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Cited by 282

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Diabetes Mellitus and Risk of Developing Alzheimer Disease: Results From the Framingham Study

Akomolafe, Abimbola, Beiser, Alexa, Meigs, James B., Au, Rhoda, Green, Robert C., Farrer, Lindsay A., Wolf, Philip A., Seshadri, Sudha·2006·Archives of Neurology
DOI 10.1001/archneur.63.11.1551
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Abstract

BACKGROUND: Diabetes mellitus (DM) could increase the risk of Alzheimer disease (AD) through several biologically plausible pathways, but the relationship between DM and the development of AD remains uncertain. OBJECTIVE: To compare the risk of developing AD in subjects with and without DM. DESIGN: Prospective community-based cohort study. PARTICIPANTS: Framingham Study Original cohort participants who were dementia free and attended the 16th biennial examination (n = 2210 persons, 1325 women; mean age, 70 years). MAIN OUTCOME MEASURES: Relative risk of incident AD (criteria from the National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer's Disease and Related Disorders Association) associated with baseline DM (casual plasma glucose >or=200 mg/dL [>or=11.1 mmol/L] or use of insulin or a hypoglycemic drug) in overall group and within subgroups defined by apolipoprotein E genotype and plasma homocysteine levels; models were adjusted for age, sex, and cardiovascular risk factors. RESULTS: At baseline, 202 participants (9.1%) had DM. During the follow-up period (mean, 12.7 years; range, 1-20 years), 17 of 202 persons with DM (8.4%) and 220 of 2008 persons without DM (11.0%) developed AD, yielding a relative risk of 1.15 (95% confidence interval, 0.65-2.05). Among subjects without an apolipoprotein E epsilon4 allele or elevated plasma homocysteine levels, 44 of 684 persons (6.4%) developed AD; relative risk for AD comparing diabetic patients with nondiabetic patients was 2.98 (95% confidence interval, 1.06-8.39; P = .03). The effect was strongest in persons aged 75 years or older with a relative risk of 4.77 (95% confidence interval, 1.28-17.72; P = .02). CONCLUSION: Diabetes mellitus did not increase the risk of incident AD in the Framingham cohort overall; however, DM may be a risk factor for AD in the absence of other known major AD risk factors.

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Metadata

Authors
Akomolafe, A., Beiser, A., Meigs, J. B., Au, R., Green, R. C., Farrer, L. A., Wolf, P. A., & Seshadri, S.
Venue
Archives of Neurology
Publisher
American Medical Association (AMA)
Published
2006-11-01
Volume
63
Issue
11
Pages
1551
ISSN
0003-9942 (ISSN-L)
DOI
10.1001/archneur.63.11.1551
OpenAlex
W2171236187
Cited by
282
References
13
FWCI
9.97
Type
journal article
Language
en
Open access
closed

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