Spousal Cognitive Status and Risk for Declining Cognitive Function and Dementia: The Atherosclerosis Risk in Communities Study
Objectives: We investigated the relationship between the cognitive status of participants’ spouses and participants’ own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66–90 years) from the prospective Atherosclerosis Risk in Communities Study wer...
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| Published in: | Journal of aging and health Vol. 35; no. 9; pp. 688 - 698 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Los Angeles, CA
SAGE Publications
01.10.2023
SAGE PUBLICATIONS, INC |
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| ISSN: | 0898-2643, 1552-6887, 1552-6887 |
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| Abstract | Objectives: We investigated the relationship between the cognitive status of participants’ spouses and participants’ own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66–90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Results: Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = −0.09 standard deviations; 95% CI = −0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = −0.02 standard deviations; 95% CI = −0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Discussion: Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors. |
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| AbstractList | Objectives: We investigated the relationship between the cognitive status of participants’ spouses and participants’ own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66–90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Results: Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = −0.09 standard deviations; 95% CI = −0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = −0.02 standard deviations; 95% CI = −0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Discussion: Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors. Objectives: We investigated the relationship between the cognitive status of participants’ spouses and participants’ own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66–90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Results: Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = −0.09 standard deviations; 95% CI = −0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = −0.02 standard deviations; 95% CI = −0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Discussion: Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors. We investigated the relationship between the cognitive status of participants' spouses and participants' own cognitive outcomes, controlling for mid-life factors. Participants ( = 1845; baseline age 66-90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = -0.09 standard deviations; 95% CI = -0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = -0.02 standard deviations; 95% CI = -0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors. Objectives: We investigated the relationship between the cognitive status of participants' spouses and participants' own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66-90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Results: Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = -0.09 standard deviations; 95% CI = -0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = -0.02 standard deviations; 95% CI = -0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Discussion: Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors.Objectives: We investigated the relationship between the cognitive status of participants' spouses and participants' own cognitive outcomes, controlling for mid-life factors. Methods: Participants (n = 1845; baseline age 66-90 years) from the prospective Atherosclerosis Risk in Communities Study were followed from 2011 to 2019. We used linear regression and Cox proportional hazard models to estimate whether spouses of people with MCI/dementia had lower cognitive functioning and elevated risk of incident dementia. Results: Having a spouse with MCI/dementia was associated with a deficit in cognitive function (b = -0.09 standard deviations; 95% CI = -0.18, 0.00). Adjustment for mid-life risk factors attenuated this association (b = -0.02 standard deviations; 95% CI = -0.10, 0.06). We observed no significant relationship between spousal MCI/dementia status and incident dementia (hazard ratio = 0.97; 95% CI = 0.69, 1.38). Discussion: Spousal cognitive status is not associated with poor cognitive outcomes independent of mid-life factors. |
| Author | Lee, Mark Demmer, Ryan T. Windham, Beverly Gwen Palta, Priya Shippee, Tetyana Lutsey, Pamela L. Kucharska-Newton, Anna |
| AuthorAffiliation | 3. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA 2. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA 1. Minnesota Population Center, University of Minnesota, Minneapolis, MN, USA 4. Department of Epidemiology, College of Public Health, University of Kentucky, Lexington, KY, USA 5. Department of Medicine, School of Medicine, The University of Mississippi Medical Center, Jackson, MS, USA 6. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA |
| AuthorAffiliation_xml | – name: 5. Department of Medicine, School of Medicine, The University of Mississippi Medical Center, Jackson, MS, USA – name: 1. Minnesota Population Center, University of Minnesota, Minneapolis, MN, USA – name: 4. Department of Epidemiology, College of Public Health, University of Kentucky, Lexington, KY, USA – name: 2. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA – name: 6. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA – name: 3. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA |
| Author_xml | – sequence: 1 givenname: Mark orcidid: 0000-0002-5528-3832 surname: Lee fullname: Lee, Mark email: leex6611@umn.edu organization: Department of Epidemiology, Mailman School of Public Health – sequence: 2 givenname: Ryan T. surname: Demmer fullname: Demmer, Ryan T. organization: Department of Epidemiology, Mailman School of Public Health – sequence: 3 givenname: Anna surname: Kucharska-Newton fullname: Kucharska-Newton, Anna organization: Department of Epidemiology, Mailman School of Public Health – sequence: 4 givenname: Beverly Gwen surname: Windham fullname: Windham, Beverly Gwen organization: Department of Epidemiology, Mailman School of Public Health – sequence: 5 givenname: Priya surname: Palta fullname: Palta, Priya organization: Department of Epidemiology, Mailman School of Public Health – sequence: 6 givenname: Tetyana orcidid: 0000-0003-1804-2527 surname: Shippee fullname: Shippee, Tetyana organization: Department of Epidemiology, Mailman School of Public Health – sequence: 7 givenname: Pamela L. surname: Lutsey fullname: Lutsey, Pamela L. organization: Department of Epidemiology, Mailman School of Public Health |
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| SubjectTerms | Atherosclerosis Cognitive ability Dementia Health risk assessment |
| Title | Spousal Cognitive Status and Risk for Declining Cognitive Function and Dementia: The Atherosclerosis Risk in Communities Study |
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