The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Midlife overweight and obesity increase late-life dementia risk: A population-based twin study
Open accessAbstract
OBJECTIVE: The relation of overweight to dementia is controversial. We aimed to examine the association of midlife overweight and obesity with dementia, Alzheimer disease (AD), and vascular dementia (VaD) in late life, and to verify the hypothesis that genetic and early-life environmental factors contribute to the observed association. METHODS: From the Swedish Twin Registry, 8,534 twin individuals aged ≥65 (mean age 74.4) were assessed to detect dementia cases (DSM-IV criteria). Height and weight at midlife (mean age 43.4) were available in the Registry. Data were analyzed as follows: 1) unmatched case-control analysis for all twins using generalized estimating equation (GEE) models and 2) cotwin matched case-control approach for dementia-discordant twin pairs by conditional logistic regression taking into account lifespan vascular disorders and diabetes. RESULTS: Among all participants, dementia was diagnosed in 350 subjects, and 114 persons had questionable dementia. Overweight (body mass index [BMI] >25-30) and obesity (BMI >30) at midlife were present in 2,541 (29.8%) individuals. In fully adjusted GEE models, compared with normal BMI (20-25), overweight and obesity at midlife were related to dementia with odds ratios (ORs) (95% CIs) of 1.71 (1.30-2.25) and 3.88 (2.12-7.11), respectively. Conditional logistic regression analysis in 137 dementia-discordant twin pairs led to an attenuated midlife BMI-dementia association. The difference in ORs from the GEE and the matched case-control analysis was statistically significant (p = 0.019). CONCLUSIONS: Both overweight and obesity at midlife independently increase the risk of dementia, AD, and VaD. Genetic and early-life environmental factors may contribute to the midlife high adiposity-dementia association.
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Obesity and Vascular Risk Factors at Midlife and the Risk of Dementia and Alzheimer Disease
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Self-citationThe Body-Mass Index of Twins Who Have Been Reared Apart
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Midlife and Late-Life Obesity and the Risk of Dementia: Cardiovascular Health Study
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Body Mass Index in Midlife and Risk of Alzheimer Disease and Vascular Dementia
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Body Mass Index, Other Cardiovascular Risk Factors, and Hospitalization for Dementia
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Overweight in midlife and risk of dementia: a 40-year follow-up study
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Common neurodegenerative pathways in obesity, diabetes, and Alzheimer's disease
Pugazhenthi, S., Qin, L., & Reddy, P. H. (2017) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2016.04.017 · Cited by 697
Deckers, K., van Boxtel, M. P. J., Schiepers, O. J. G., de Vugt, M., Muñoz Sánchez, J. L., Anstey, K. J., Brayne, C., Dartigues, J.-F., Engedal, K., Kivipelto, M., et al. (2015) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4245 · Cited by 534
Sibling Comparison Designs: Bias From Non-Shared Confounders and Measurement Error
Frisell, T., Öberg, S., Kuja-Halkola, R., & Sjölander, A. (2012) · Epidemiology · doi:10.1097/ede.0b013e31825fa230 · Cited by 551
The relationship between obesity and cognitive health and decline
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Metadata
- Authors
- Xu, W. L., Atti, A. R., Gatz, M., Pedersen, N. L., Johansson, B., & Fratiglioni, L.
- Venue
- Neurology
- Published
- 2011-05-03
- Volume
- 76
- Issue
- 18
- Pages
- 1568-1574
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2008992496
- Cited by
- 478
- References
- 9
- FWCI
- 20.88
- Type
- journal article
- Language
- en
- Open access
- green
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