The impact of social networks and APOE ε4 on dementia among older adults: tests of possible interactions
Open accessAbstract
Objectives: Emerging evidence suggests that social networks may protect against the development of dementia among older adults. In this study we analysed the association between social networks, the apolipoprotein E (APOE) ε4 allele, and dementia. We also investigated whether there were gender-specific patterns in this respect.Method: The analyses used population-based longitudinal data from Gothenburg, Sweden: the H70 Birth Cohort Study and the Prospective Population Study on Women (PPSW). A total of 580 individuals born in 1930 underwent semi-structured neuropsychiatric examinations in 2000–2001. Follow-up examinations were carried out in 2005–2006 and 2009–2010. The timing of dementia onset was analysed using Cox proportional hazards regression.Results: The presence of the APOE ε4 allele affected the risk of developing dementia in both genders. Among women, distant social networks had a protective effect on dementia, while among men the significant associations between close social networks and dementia did not remain after controlling for covariates. Significant interactions between social networks and the APOE ε4 allele were not found.Conclusion: Strong social networks do not seem to moderate the increased risk of dementia implied by the APOE ε4 allele. Nevertheless, our results underline the importance of strong social networks in postponing dementia onset and indicate that their impact may differ among men and women.
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Social network size is positively associated with maintenance of cognitive performance within the normal range over a longer period, thus postponing dementia onset independently of APOE status.
“Indeed, social network size was found to be positively associated with maintenance of cognitive performance within the normal range over a longer period of time, thus postponing dementia onset independently of APOE status (43).”
From The impact of COVID-19 infection and enforced prolonged social isolation on neuropsychiatric symptoms in older adults with and without dementia: A review (2020) · cites this paper as [43]
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Manca, R., De Marco, M., & Venneri, A. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.585540 · Cited by 227 · see citing works
Elovainio, M., Lahti, J., Pirinen, M., Pulkki-Råback, L., Malmberg, A., Lipsanen, J., Virtanen, M., Kivimäki, M., & Hakulinen, C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-053936 · Cited by 85 · see citing works
- Authors
- Wu, J., Hasselgren, C., Zettergren, A., Zetterberg, H., Blennow, K., Skoog, I., & Halleröd, B.
- Affiliations
- University of Gothenburg (SE)
- Sahlgrenska University Hospital (SE)
- Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden;
- Corresponding author
- Wu, Jing
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2018-12-27
- Volume
- 24
- Issue
- 3
- Pages
- 395-404
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2906929042
- Cited by
- 18
- References
- 93
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 2
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Aging & Mental Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- the Stena Foundation
- the Swedish Research Council (2015-02830, 2013-8717)
- the Swedish Research Council for Health, Working Life and Welfare (2004-0145, 2006-0596, 2008-1111, 2010-0870, 2013-1202, 2013-2300, 2013-2496)
- the Alzheimer's Association Zenith Award (ZEN-01-3151)
- the Alzheimer's Association Stephanie B. Overstreet Scholars (IIRG-00-2159)
- Sahlgrenska University Hospital
- Alzheimerfonden
- Hjärnfonden
- Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse
- Eivind och Elsa K:son Sylvans Stiftelse
- Stiftelsen Söderström-Königska Sjukhemmet
- Stiftelsen för Gamla Tjänarinnor
- Handlanden Hjalmar Svenssons Forskningsfond
- Stiftelsen Professor Bror Gadelius’ Minnesfond
- the Swedish Brain Foundation
- the Swedish Alzheimer Foundation
- the Torsten Söderberg Foundation
- the Swedish Society of Medicine
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- social networks, APOE ε4, dementia, older adults, gender differences, gene-environment interaction, dementia onset
- MeSH terms
- Aged, Aged, 80 and over, Alleles, Dementia, Female, Genotype, Humans, Male, Prospective Studies, Risk Factors, Sweden, Apolipoprotein E4, Social Networking
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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