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Atherosclerotic calcification is related to a higher risk of dementia and cognitive decline
Open accessAbstract
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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“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]
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“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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Metadata
- 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
- bronze
- doi.org
- 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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