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Head Trauma as a Risk Factor for Alzheimer's Disease: A Collaborative Re-Analysis of Case-Control Studies
Open accessAbstract
A re-analysis of the data from 11 case-control studies was performed to investigate the association between head trauma and Alzheimer's disease (AD). To increase comparability of studies, exposures were limited to head trauma with loss of consciousness (hereafter referred to as 'head trauma') and comparisons were restricted to community (versus hospital) controls. Test for heterogeneity across studies was negative; consequently, data were pooled in subsequent analyses. The pooled relative risk for head trauma was 1.82 (95% confidence interval: 1.26-2.67). Stratified analyses showed stronger associations in cases without a positive family history of dementia and in males (versus females). Adjustment of the pooled relative risk for family history of dementia, education and alcohol consumption did not alter significantly the association between head trauma and AD. There was no interaction effect between head trauma and family history of dementia, suggesting that these risk factors operate independently. Mean age of onset was not significantly different in cases with a history of head trauma compared to cases without such a history. The findings of the pooled analysis support an association between reported head trauma and AD.
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“In particular, repeated mTBI (rmTBI) has been identified as a major risk factor for neurodegenerative diseases including Alzheimer’s disease (AD) [100], Parkinson’s disease (PD) [68] amyotrophic lateral sclerosis (ALS) [21, 2], fronto-temporal dementia (FTD) [126, 124], and chronic traumatic encephalopathy (CTE) [95].”
From Early onset senescence and cognitive impairment in a murine model of repeated mTBI (2021) · cites this paper as [100]
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Factors Associated with Alzheimer's Disease: An Overview of Reviews
Rochoy, M., Rivas, V., Chazard, E., Decarpentry, E., Saudemont, G., Hazard, P.-A., Puisieux, F. L., Gautier, S., & Bordet, R. (2019) · The Journal of Prevention of Alzheimer s Disease · doi:10.14283/jpad.2019.7 · Cited by 38
Zhou, Y., Chen, Q., Wang, Y., Wu, H., Xu, W., Pan, Y., Gao, S., Dong, X., Zhang, J. H., & Shao, A. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.00581 · Cited by 36
“…evidence has suggested that TBI is a significant risk factor for a variety of neurodegenerative diseases such as Alzheimer’s disease (AD) (Mortimer et al., 1991; Fleminger et al., 2003; Hayes et al., 2017; LoBue et al., 2019), Parkinson’s disease (PD) (Goldman et al., 2006; Jafari et…”
BackgroundShimamura, M., Garcia, J. M., Prough, D., Dewitt, D., Uchida, T., Shah, S. A., Avila, M. A., & Hellmich, H. L. (2005) · Neuroscience · doi:10.1016/j.neuroscience.2004.10.041 · Cited by 33
Ojo, J. O., Algamal, M., Leary, P., Abdullah, L. I., Mouzon, B., Evans, J. E., MULLAN, M. J., & Crawford, F. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00893 · Cited by 34
“…such as Alzheimer’s disease, and chronic traumatic encephalopathy (CTE) typified by immunoreactive tau aggregates in the depths of the sulci (Gedye et al., 1989; Mortimer et al., 1991; Schofield et al., 1997; Fleminger et al., 2003; McKee et al., 2013; Omalu et al., 2011; Smith et al., 2013).”
BackgroundLong-term outcome of serious traumatic brain injury
Wood, R. L. (2008) · European Journal of Anaesthesiology · doi:10.1017/s0265021507003432 · Cited by 35
“Seven studies had already been the subject of an earlier meta-analysis conducted by Mortimer and colleagues [22].”
Potter, H. (1998) · Frontiers in bioscience · doi:10.2741/a290 · Cited by 35
The social construction of the human brain
Eisenberg, L. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.11.1563b · Cited by 35
Institution Type-Dependent High Prevalence of Dementia in Long-Term Care Units
Chen, T., Chiu, M., Tang, L., Chiu, Y., Chang, S.-F., Su, C.-L., Chen, S.-J., Lin, C.-W., Shih, W.-Y., Chen, T. H.-H., et al. (2007) · Neuroepidemiology · doi:10.1159/000102142 · Cited by 34
Kim, J. H., Jung, H., Lee, Y., & Sohn, J. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.658860 · Cited by 33
MASUMURA, M., HATA, R., URAMOTO, H., MURAYAMA, N., OHNO, T., & SAWADA, T. (2000) · Journal of Neurotrauma · doi:10.1089/neu.2000.17.123 · Cited by 34
“…factors for the subsequent jor transcripts of the APP gene in mammals are dis-development of Alzheimer's disease (AD)-type neu-cemible as alternatively spliced forms, and translated into ropathology (Mortimer et al., 1991; Schofield et al., APP variants: APP695, APP751, and APP770 (Apelt et 1997).”
Zaltsman, S. L., Friedman‐Levi, Y., Shabashov-Stone, D., Gincberg, G., Atrakcy-Baranes, D., Joy, M. T., Carmichael, S. T., Silva, A. J., & Shohami, E. (2020) · Journal of Neurotrauma · doi:10.1089/neu.2020.7015 · Cited by 34
Cellular Senescence in Traumatic Brain Injury: Evidence and Perspectives
Schwab, N., Leung, E., & Hazrati, L. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.742632 · Cited by 37
Influence of denture treatment on brain function activity
Hosoi, T., Morokuma, M., Shibuya, N., & Yoneyama, Y. (2010) · Japanese Dental Science Review · doi:10.1016/j.jdsr.2010.09.001 · Cited by 33
“Similar results have been reported by many researchers [3—10].”
Result
Metadata
- Authors
- Mortimer, J. A., Van Duijn, C. M., Chandra, V, Fratiglioni, L., Graves, A. B., Heyman, A., Jorm, A. F., Kokmen, E., Kondo, K., Rocca, W. A., Shalat, S. L., Soininen, H., & A Hofman for the Eurodem Risk Factors Research Group
- Affiliations
- Minneapolis VA Medical Center (US)
- Erasmus University Rotterdam (NL)
- Corresponding author
- Mortimer, J A
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-01-01
- Volume
- 20
- Issue
- Supplement 2
- Pages
- S28-S35
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2142046013
- Cited by
- 594
- References
- 0
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 10 · 2023: 16 · 2022: 28 · 2021: 23 · 2020: 21 · 2019: 35 · 2018: 16 · 2017: 28 · 2016: 37 · 2015: 31 · 2014: 22 · 2013: 11 · 2012: 21
- FWCI
- 12.29
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- head trauma, Alzheimer's disease, risk factors, loss of consciousness, family history of dementia, sex differences, age of onset, pooled relative risk, case-control study
- MeSH terms
- Alzheimer Disease, Australia, Europe, Female, Craniocerebral Trauma, Humans, Male, Risk, Risk Factors, United States, Meta-Analysis as Topic, Case-Control Studies
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