The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
NSAIDs and incident Alzheimer’s disease. the Rotterdam study
Abstract
Recent studies suggest that the use of nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the risk for Alzheimer's disease (AD). We investigated the relation of NSAID use over a 10-year period and the risk for incident AD using a nested case-control design in the population-based Rotterdam Study. The study was performed in 306 subjects; 74 Alzheimer patients diagnosed according to NINCDS-ADRDRA criteria and 232 age and sex-matched controls. NSAID use was abstracted from general practitioners' medical records and expressed as cumulative prescription days. The relative risk for AD associated with long-term use (> or = 2 months) was 0.95 (95% CI: 0.46-1.99) as compared to nonusers, after controlling for possible confounders. In a separate examination, subjects who had more than 6 months of prescription days had a reduced relative risk for AD (RR = 0.74 (95% CI: 0.20-2.72). In an age-stratified analysis the effect in long-term users was evident in those aged 85 and under; 0.53 (95% CI: 0.15-1.77). All risk estimates were lower when the last 2 years of exposure were excluded from the analyses. Our point estimates in subjects younger than 85 years and in subjects using NSAIDs for 6 months or more are consistent with the hypothesis that long-term use of NSAIDs reduces the risk for AD. However, overall there was no association between NSAID use and the risk for incident AD.
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“Second, retrospective studies demonstrate that sustained NSAID treatment during mid-life significantly decreases the risk of AD (109, 110).”
From The Inflammatory Continuum of Traumatic Brain Injury and Alzheimer’s Disease (2018) · cites this paper as [110]
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“…association between daily use of NSAIDs and AD (Breitner and Zandi, 2001; Broe et al., 2000; in't Veld et al., 2001; Szekely et al., 2008a; Vlad et al., 2008), other studies have failed to find a protective effect (Arvanitakis et al., 2008; Henderson et al., 1997; in't Veld et al., 1998).”
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“Taking such factors into account, the relative risk for developing AD is markedly lower in those subjects aged under 85 years who also used NSAIDs for 6 months or more in the preceding year (In 't Veld et al., 1998; Launer and In 't Veld, 1998).”
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“A third study had 74 AD subjects and found a risk ratio (RR) of 0.74 for those who had had exposure to NSAIDs for two or more years [52].”
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Metadata
- Authors
- In ’t Veld, B. A., Launer, L. J., Hoes, A. W., Ott, A., Hofman, A., Breteler, M. M. B., & Stricker, B. H. C.
- Affiliations
- Erasmus MC (NL)
- Utrecht University (NL)
- Dutch Health Care Inspectorate (NL)
- Corresponding author
- Launer, L.J
- Venue
- Neurobiology of Aging
- Publisher
- Elsevier BV
- Published
- 1998-11
- Volume
- 19
- Issue
- 6
- Pages
- 607-611
- ISSN
- 0197-4580 (ISSN-L)
- OpenAlex
- W1965756304
- Cited by
- 145
- References
- 0
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 6 · 2015: 1 · 2014: 5 · 2013: 4 · 2012: 5
- FWCI
- 7.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurobiology of Aging (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pharmacology (medical) › Inflammatory mediators and NSAID effects
- Keywords
- nonsteroidal anti-inflammatory drugs, Alzheimer's disease, long-term NSAID use, Rotterdam Study
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Anti-Inflammatory Agents, Non-Steroidal, Female, Humans, Male, Middle Aged, Risk, Logistic Models, Case-Control Studies
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