Depressive symptoms predict incident dementia during short‐ but not long‐term follow‐up period
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Background: Whether depression is a long‐term risk factor for dementia or represents a dementia prodrome is unclear. Therefore, we examined the relationship between depressive symptoms and dementia during short and long follow‐up in a population‐based cohort. Methods: In the Rotterdam Study, 4393 nondemented individuals were followed for incident dementia for 13.7 years by continuous monitoring. Cox proportional hazards models for different time intervals were used to estimate the risk of incident dementia. Results: Five‐hundred eighty‐two participants developed dementia during 13.7 years. Persons with depressive symptoms had an 8% increased risk of dementia compared with those without depressive symptoms during the overall follow‐up. The risk was highest in the short and intermediate follow‐up, particularly in men. We did not find an association in the follow‐up period beyond 10 years. Conclusion: Our results suggest that late‐life depressive symptoms are part of a dementia prodrome rather than an independent risk factor of dementia.
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Depression is associated with an increased risk of dementia (RR 2.25, 1.69-2.98, I2=82.8%).
“we performed a random effects meta-analysis using the seven studies with a 10 to 14-year follow-up (104-111) and found an increased risk of dementia (RR 2.25, 1.69 -2.98 I 2 = 82.8% )”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [108]
Depression is associated with an increased risk of dementia (RR 2.25, 1.69-2.98, I2=82.8%).
“we performed a random effects meta-analysis using the seven studies with a 10 to 14-year follow-up (104-111) and found an increased risk of dementia (RR 2.25, 1.69 -2.98 I 2 = 82.8% )”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [109]
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- Authors
- Mirza, S. S., de Bruijn, R. F. A. G., Direk, N., Hofman, A., Koudstaal, P. J., Ikram, M. A., & Tiemeier, H.
- Affiliations
- Erasmus MC (NL)
- Department of Epidemiology Erasmus Medical Center Rotterdam The Netherlands
- Corresponding author
- Tiemeier, Henning
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2014-02-14
- Volume
- 10
- Issue
- 5S
- Pages
- S323-S329.e1
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- OpenAlex
- W2016262898
- Cited by
- 73
- References
- 37
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 1
- FWCI
- 3.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Funders
- Erasmus Medical Centre and Erasmus University Rotterdam
- Netherlands Organization for Scientific Research
- Netherlands Organization for Health Research and Development
- Research Institute for Diseases in the Elderly
- Netherlands Genomics Initiative; the Ministry of Education, Culture
- Ministry of Health, Welfare, and Sports
- European Commission (DG XII)
- Municipality of Rotterdam
- VIDI grant of ZonMw (2009-017.106.370)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depressive symptoms, dementia
- MeSH terms
- Aged, Aged, 80 and over, Dementia, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Time Factors, Proportional Hazards Models
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