Cognitive ability in young adulthood and risk of dementia in a cohort of Danish men, brothers, and twins
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Cognitive ability in young adulthood and risk of dementia in a cohort of Danish men, brothers, and twins. / Osler, Merete; Christensen, Gunhild T.; Garde, Ellen; Mortensen, Erik L.; Christensen, Kaare.
In: Alzheimer's & Dementia, Vol. 13, No. 12, 12.2017, p. 1355-1363.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cognitive ability in young adulthood and risk of dementia in a cohort of Danish men, brothers, and twins
AU - Osler, Merete
AU - Christensen, Gunhild T.
AU - Garde, Ellen
AU - Mortensen, Erik L.
AU - Christensen, Kaare
N1 - Copyright © 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
PY - 2017/12
Y1 - 2017/12
N2 - INTRODUCTION: We examined the association between cognitive ability in young adulthood and dementia in Danish men, brothers, and male twins.METHODS: In total, 666,986 men born between 1939 and 1959 were identified for dementia diagnosis in national registries from 1969 to 2016. The association between cognitive ability from draft board examination and dementia was examined using Cox regression.RESULTS: During a 44-year follow-up, 6416 (0.96%) men developed dementia, 1760 (0.26%) and 970 (0.15%) of which were classified as Alzheimer's and vascular dementia, respectively. Low cognitive ability was associated with increased risk of dementia (hazard ratio [HR]per SD decrease 1.33 [95% confidence interval {CI} = 1.30-1.35]) with the strongest associations for vascular dementia (HRper SD decrease 1.47 [95% CI = 1.31-1.56]) and a weaker for Alzheimer's disease (HRper SD decrease 1.07 [95% CI = 1.03-1.13]). The intrabrother and twin analyses (taking shared family factors into account) showed attenuated risk estimates but with wide CIs.DISCUSSION: Low early-life cognitive ability increases the risk of dementia before the age of 78 years. The association is partly explained by shared family factors.
AB - INTRODUCTION: We examined the association between cognitive ability in young adulthood and dementia in Danish men, brothers, and male twins.METHODS: In total, 666,986 men born between 1939 and 1959 were identified for dementia diagnosis in national registries from 1969 to 2016. The association between cognitive ability from draft board examination and dementia was examined using Cox regression.RESULTS: During a 44-year follow-up, 6416 (0.96%) men developed dementia, 1760 (0.26%) and 970 (0.15%) of which were classified as Alzheimer's and vascular dementia, respectively. Low cognitive ability was associated with increased risk of dementia (hazard ratio [HR]per SD decrease 1.33 [95% confidence interval {CI} = 1.30-1.35]) with the strongest associations for vascular dementia (HRper SD decrease 1.47 [95% CI = 1.31-1.56]) and a weaker for Alzheimer's disease (HRper SD decrease 1.07 [95% CI = 1.03-1.13]). The intrabrother and twin analyses (taking shared family factors into account) showed attenuated risk estimates but with wide CIs.DISCUSSION: Low early-life cognitive ability increases the risk of dementia before the age of 78 years. The association is partly explained by shared family factors.
KW - Journal Article
U2 - 10.1016/j.jalz.2017.04.003
DO - 10.1016/j.jalz.2017.04.003
M3 - Journal article
C2 - 28531378
VL - 13
SP - 1355
EP - 1363
JO - Alzheimer's & Dementia
JF - Alzheimer's & Dementia
SN - 1552-5260
IS - 12
ER -
ID: 181024374