Midlife Cardiovascular Fitness and Dementia

التفاصيل البيبلوغرافية
العنوان: Midlife Cardiovascular Fitness and Dementia
المؤلفون: Gunnar Grimby, Helena Horder, Ingmar Skoog, Lena Johansson, Silke Kern, Svante Ostling, Xin Xin Guo
بيانات النشر: American Academy of Neurology
سنة النشر: 2018
المجموعة: IssueLab (Nonprofit Research)
مصطلحات موضوعية: Aging, Health
جغرافية الموضوع: Europe (Scandinavia) / Sweden
الوصف: Objective: To investigate whether greater cardiovascular fitness in midlife is associated with decreased dementia risk in women followed up for 44 years.Methods: A population-based sample of 1,462 women 38 to 60 years of age was examined in 1968. Of these, a systematic subsample comprising 191 women completed a stepwise-increased maximal ergometer cycling test to evaluate cardiovascular fitness. Subsequent examinations of dementia incidence were done in 1974, 1980, 1992, 2000, 2005, and 2009. Dementia was diagnosed according to DSM-III-R criteria on the basis of information from neuropsychiatric examinations, informant interviews, hospital records, and registry data up to 2012. Cox regressions were performed with adjustment for socioeconomic, lifestyle, and medical confounders.Results: Compared with medium fitness, the adjusted hazard ratio for all-cause dementia during the 44-year follow-up was 0.12 (95% confidence interval [CI] 0.03–0.54) among those with high fitness and 1.41 (95% CI 0.72–2.79) among those with low fitness. High fitness delayed age dementia onset by 9.5 years and time to dementia onset by 5 years compared to medium fitness.Conclusions: Among Swedish women, a high cardiovascular fitness in midlife was associated with a decreased risk of subsequent dementia. Promotion of a high cardiovascular fitness may be included in strategies to mitigate or prevent dementia. Findings are not causal, and future research needs to focus on whether improved fitness could have positive effects on dementia risk and when during the life course a high cardiovascular fitness is most important.
نوع الوثيقة: report
وصف الملف: pdf
اللغة: English
العلاقة: https://www.issuelab.org/resources/31027/pdf_cover_285.pngTest
DOI: 10.1212/WNL.0000000000005290
الإتاحة: https://doi.org/10.1212/WNL.0000000000005290Test
حقوق: Copyright 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
رقم الانضمام: edsbas.A3A91DEE
قاعدة البيانات: BASE