Association between metabolic syndrome and risk of incident dementia in UK Biobank

INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank participants aged ≥60 years at baseline, Cox proportional‐hazards models were used to investigate the association between MetS and incident dementia....

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Published in:Alzheimer's & dementia Vol. 20; no. 1; pp. 447 - 458
Main Authors: Qureshi, Danial, Collister, Jennifer, Allen, Naomi E., Kuźma, Elżbieta, Littlejohns, Thomas
Format: Journal Article
Language:English
Published: United States John Wiley & Sons, Inc 01.01.2024
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Abstract INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank participants aged ≥60 years at baseline, Cox proportional‐hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high‐density lipoprotein cholesterol. RESULTS Over 15 years of follow‐up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow‐up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein‐E (APOE)‐ε4 non‐carriers. DISCUSSION In this large population‐based prospective cohort, MetS was associated with an increased risk of dementia. Highlights MetS was associated with a 12% increased risk of incident all‐cause dementia. Associations remained similar after restricting the analysis to those with longer follow‐up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.
AbstractList INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank participants aged ≥60 years at baseline, Cox proportional‐hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high‐density lipoprotein cholesterol. RESULTS Over 15 years of follow‐up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow‐up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein‐E (APOE)‐ε4 non‐carriers. DISCUSSION In this large population‐based prospective cohort, MetS was associated with an increased risk of dementia. Highlights MetS was associated with a 12% increased risk of incident all‐cause dementia. Associations remained similar after restricting the analysis to those with longer follow‐up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.
The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. In 176,249 dementia-free UK Biobank participants aged ≥60 years at baseline, Cox proportional-hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high-density lipoprotein cholesterol. Over 15 years of follow-up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow-up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein-E (APOE)-ε4 non-carriers. In this large population-based prospective cohort, MetS was associated with an increased risk of dementia. MetS was associated with a 12% increased risk of incident all-cause dementia. Associations remained similar after restricting the analysis to those with longer follow-up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.
INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank participants aged ≥60 years at baseline, Cox proportional‐hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high‐density lipoprotein cholesterol. RESULTS Over 15 years of follow‐up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow‐up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein‐E (APOE)‐ε4 non‐carriers. DISCUSSION In this large population‐based prospective cohort, MetS was associated with an increased risk of dementia. Highlights MetS was associated with a 12% increased risk of incident all‐cause dementia. Associations remained similar after restricting the analysis to those with longer follow‐up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.
The association between metabolic syndrome (MetS) and incident dementia remains inconclusive.INTRODUCTIONThe association between metabolic syndrome (MetS) and incident dementia remains inconclusive.In 176,249 dementia-free UK Biobank participants aged ≥60 years at baseline, Cox proportional-hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high-density lipoprotein cholesterol.METHODSIn 176,249 dementia-free UK Biobank participants aged ≥60 years at baseline, Cox proportional-hazards models were used to investigate the association between MetS and incident dementia. MetS was defined as the presence of ≥3 of the following: elevated waist circumference, triglycerides, blood pressure, blood glucose, and reduced high-density lipoprotein cholesterol.Over 15 years of follow-up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow-up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein-E (APOE)-ε4 non-carriers.RESULTSOver 15 years of follow-up (median = 12.3), 5255 participants developed dementia. MetS was associated with an increased risk of incident dementia (hazard ratio [HR]: 1.12, 95% confidence interval [CI]: 1.06, 1.18). The association remained consistent when restricting to longer follow-up intervals: >5 to 10 years (HR: 1.17, 95% CI: 1.07, 1.27) and >10 years (HR: 1.22, 95% CI: 1.12, 1.32). Stronger associations were observed in those with ≥4 MetS components and in apolipoprotein-E (APOE)-ε4 non-carriers.In this large population-based prospective cohort, MetS was associated with an increased risk of dementia.DISCUSSIONIn this large population-based prospective cohort, MetS was associated with an increased risk of dementia.MetS was associated with a 12% increased risk of incident all-cause dementia. Associations remained similar after restricting the analysis to those with longer follow-up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.HIGHLIGHTSMetS was associated with a 12% increased risk of incident all-cause dementia. Associations remained similar after restricting the analysis to those with longer follow-up. The presence of four or five MetS components was significantly associated with dementia. Stronger associations were observed in those with a low genetic risk for dementia.
Author Kuźma, Elżbieta
Collister, Jennifer
Littlejohns, Thomas
Allen, Naomi E.
Qureshi, Danial
AuthorAffiliation 3 Albertinen Haus Centre for Geriatrics and Gerontology University of Hamburg Hamburg Germany
1 Nuffield Department of Population Health University of Oxford Oxford UK
2 UK Biobank Ltd Stockport UK
AuthorAffiliation_xml – name: 3 Albertinen Haus Centre for Geriatrics and Gerontology University of Hamburg Hamburg Germany
– name: 1 Nuffield Department of Population Health University of Oxford Oxford UK
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  givenname: Danial
  orcidid: 0000-0001-5703-2220
  surname: Qureshi
  fullname: Qureshi, Danial
  email: danial.qureshi@dph.ox.ac.uk
  organization: University of Oxford
– sequence: 2
  givenname: Jennifer
  surname: Collister
  fullname: Collister, Jennifer
  organization: University of Oxford
– sequence: 3
  givenname: Naomi E.
  surname: Allen
  fullname: Allen, Naomi E.
  organization: UK Biobank Ltd
– sequence: 4
  givenname: Elżbieta
  surname: Kuźma
  fullname: Kuźma, Elżbieta
  organization: University of Hamburg
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  givenname: Thomas
  surname: Littlejohns
  fullname: Littlejohns, Thomas
  organization: University of Oxford
BackLink https://www.ncbi.nlm.nih.gov/pubmed/37675869$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords metabolic syndrome
follow-up studies
risk factors
UK biobank
cohort studies
dementia
longitudinal
incidence
Language English
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PublicationDate January 2024
PublicationDateYYYYMMDD 2024-01-01
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PublicationTitle Alzheimer's & dementia
PublicationTitleAlternate Alzheimers Dement
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Publisher John Wiley & Sons, Inc
John Wiley and Sons Inc
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Snippet INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank...
The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. In 176,249 dementia-free UK Biobank participants aged ≥60 years...
INTRODUCTION The association between metabolic syndrome (MetS) and incident dementia remains inconclusive. METHODS In 176,249 dementia‐free UK Biobank...
The association between metabolic syndrome (MetS) and incident dementia remains inconclusive.INTRODUCTIONThe association between metabolic syndrome (MetS) and...
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SubjectTerms Alzheimer's disease
Apolipoproteins
Biobanks
Biological Specimen Banks
Blood pressure
Cholesterol
Codes
cohort studies
Dementia
Dementia - complications
Dementia - epidemiology
Density
Diabetes
Disease
Exercise
follow‐up studies
Genetic susceptibility
Genetics
Glucose
Health risk assessment
Hospitals
Humans
Incidence
Interactive computer systems
Lipids
longitudinal
Longitudinal studies
Males
Metabolic syndrome
Metabolic Syndrome - complications
Metabolic Syndrome - epidemiology
Prospective Studies
Questionnaires
Risk
Risk Factors
Sociodemographics
Triglycerides
UK Biobank
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Title Association between metabolic syndrome and risk of incident dementia in UK Biobank
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