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 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
John Wiley & Sons, Inc
01.01.2024
John Wiley and Sons Inc |
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| ISSN: | 1552-5260, 1552-5279, 1552-5279 |
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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 – name: 2 UK Biobank Ltd Stockport UK |
| Author_xml | – sequence: 1 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 – sequence: 5 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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| Copyright | 2023 The Authors. published by Wiley Periodicals LLC on behalf of Alzheimer's Association. 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association. 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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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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