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Midlife and Late-Life Body Mass Index and Late-Life Dementia: Results from a Prospective Population-Based Cohort

Tolppanen, Anna-Maija, Ngandu, Tiia, Kåreholt, Ingemar, Laatikainen, Tiina, Rusanen, Minna, Soininen, Hilkka, Kivipelto, Miia·2013·Journal of Alzheimer's Disease

Abstract

BACKGROUND: Obesity has been consistently associated with dementia. The role of certain risk factors of dementia may change during life, and the importance of having a life-course perspective has been acknowledged. OBJECTIVE: The aim of this study was to investigate the association of midlife and late-life body mass index (BMI) with late-life dementia/Alzheimer's disease (AD) and whether the association was independent of other obesity-related co-morbidities. METHODS: The association between midlife BMI (mean age 50.2, SD 6.0) and late-life BMI (mean age 71.2, SD 4.0) and incident dementia later in life (mean age 75.7, SD 5.0) were investigated among 1,304 participants of the longitudinal population-based Cardiovascular risk factors, Aging and Dementia (CAIDE) study, conducted in Eastern Finland. The duration of follow-up was 26 years. The diagnosis of dementia was based on DSM-IV criteria and the probable and possible AD on the NINCDS-ADRDA criteria. RESULTS: Higher midlife BMI was associated with higher risk of incident dementia (adjusted HR, 95% CI 1.07, 1.00-1.14). However, decrease in BMI from midlife to late-life was associated with higher risk of dementia (1.14, 1.03-1.25 for one-unit decrease) and AD (1.20, 1.09-1.33). High late-life BMI was associated with lower risk of AD (0.89, 0.81-0.98) but the association with dementia was less evident (0.94, 0.86-1.03). CONCLUSION: Higher midlife BMI is related to higher risk of dementia and AD, independently of obesity-related risk factors and co-morbidities. Steeper decrease of BMI and low late-life BMI are associated with higher risk of dementia and AD. These findings highlight the importance of life-course perspective when assessing the association between BMI and cognition.

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Metadata

Authors
Tolppanen, A.-M., Ngandu, T., Kåreholt, I., Laatikainen, T., Rusanen, M., Soininen, H., & Kivipelto, M.
Venue
Journal of Alzheimer's Disease
Published
2013-10-29
Volume
38
Issue
1
Pages
201-209
ISSN
  • 1387-2877 (ISSN-L)
  • 1875-8908
OpenAlex
W2167825457
Cited by
251
References
10
FWCI
13.40
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Midlife and Late-Life Body Mass Index and Late-Life Dementia: Results from a Prospective Population-Based Cohort. https://app.cochat.ai/papers/10.3233/jad-130698
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Tolppanen, A.-M., Ngandu, T., Kåreholt, I., Laatikainen, T., Rusanen, M., Soininen, H., & Kivipelto, M. (2013). Midlife and Late-Life Body Mass Index and Late-Life Dementia: Results from a Prospective Population-Based Cohort. Journal of Alzheimer's Disease. https://doi.org/10.3233/jad-130698

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