Cited by 142Dementia and Cognitive Impairment ResearchNeurological Disease Mechanisms and TreatmentsCardiovascular Health and Disease Prevention

Atherosclerotic calcification is related to a higher risk of dementia and cognitive decline

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Bos, Daniel, Vernooij, Meike W., de Bruijn, Renée F.A.G., Koudstaal, Peter J., Hofman, Albert, Franco, Oscar H., van der Lugt, Aad, Ikram, M. Arfan·2015·Alzheimer's & Dementia

Abstract

Background: Longitudinal data on the role of atherosclerosis in different vessel beds in the etiology of cognitive impairment and dementia are scarce and inconsistent. Methods: Between 2003–2006, 2364 nondemented persons underwent computed tomography of the coronaries, aortic arch, extracranial, and intracranial carotid arteries to quantify atherosclerotic calcification. Participants were followed for incident dementia (n = 90) until April 2012. At baseline and follow‐up participants also underwent a cognitive test battery. Results: Larger calcification volume in all vessels, except in the coronaries, was associated with a higher risk of dementia. After adjustment for relevant confounders, extracranial carotid artery calcification remained significantly associated with a higher risk of dementia [hazard ratio per standard deviation increase in calcification volume: 1.37 (1.05, 1.79)]. Additional analyses for Alzheimer's disease only or censoring for stroke showed similar results. Larger calcification volumes were also associated with cognitive decline. Conclusions: Atherosclerosis, in particular in the extracranial carotid arteries, is related to a higher risk of dementia and cognitive decline.

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Crossref · 10.1016/j.jalz.2014.05.1758

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  • Atherosclerotic lesions in intra- and extra-cranial arteries are associated with cognitive impairment and dementia.

    “In previous studies, atherosclerotic lesions in intra- and extra-cranial arteries were associated with cognitive impairment and even dementia [2,66,67].”

    From Neuroprotective effect of SGLT2 inhibitors. (2021) · cites this paper as [66]

  • Dementia occurred more frequently in patients with atherosclerotic calcifications in intra- and extra-cranial arteries as opposed to coronary vessels.

    “As demonstrated by another study, dementia occurred more frequently in patients with atherosclerotic calcifications in intra and extra-cranial arteries as opposed to coronary vessels [66].”

    From Neuroprotective effect of SGLT2 inhibitors. (2021) · cites this paper as [66]

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  1. Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet 2008; 371:1612-23.

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Authors
Bos, D., Vernooij, M. W., de Bruijn, R. F. A. G., Koudstaal, P. J., Hofman, A., Franco, O. H., van der Lugt, A., & Ikram, M. A.
Affiliations
  • Department of Radiology Erasmus Medical Center Rotterdam The Netherlands
  • Erasmus MC (NL)
  • Department of Epidemiology Erasmus Medical Center Rotterdam The Netherlands
Corresponding author
Ikram, M. Arfan
Venue
Alzheimer's & Dementia
Publisher
Wiley
Published
2014-08-21
Volume
11
Issue
6
Pages
639
ISSN
  • 1552-5260 (ISSN-L)
  • 1552-5279
OpenAlex
W2120316106
Cited by
142
References
52
Citations by year
2026: 15 · 2025: 15 · 2024: 13 · 2023: 17 · 2022: 14 · 2021: 12 · 2020: 17 · 2019: 11 · 2018: 7 · 2017: 7 · 2016: 8 · 2015: 5 · 2014: 1
FWCI
5.35
Type
journal article
Language
en
Open access
Locations
  • Alzheimer s & Dementia (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion)
Funders
  • Erasmus Medisch Centrum
  • Erasmus Universiteit Rotterdam
  • European Commission
  • Alzheimer's Association (NIRG‐08‐91391)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
atherosclerotic calcification, dementia
MeSH terms
Aged, Aorta, Thoracic, Calcinosis, Carotid Arteries, Cognition Disorders, Coronary Vessels, Dementia, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Netherlands, Prospective Studies, Risk, Tomography, X-Ray Computed, Stroke, Atherosclerosis

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