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TOPLINE:
High and low levels of HDL cholesterol but not levels of LDL cholesterol are associated with an increased risk for dementia in older adults, a new study found.
METHODOLOGY:
- Electronic health record and survey data on 184,367 Kaiser Permanente Northern California participants (median age, 69.5 years) with no history of dementia were taken.
- Cholesterol levels were measured within 2 years of survey completion.
TAKEAWAY:
- There were 25,214 incident cases of dementia reported over an average follow-up of 8.77 years.
- Dementia risk was significantly higher in people with low HDL cholesterol (11-41 mg/dL; adjusted hazard ratio, 1.07; 95% confidence interval, 1.03-1.11) and high HDL cholesterol (> 65 mg/dL; aHR, 1.15; 95% CI, 1.11-1.20).
- The study demonstrates an association between low and high levels of “good” cholesterol but not a causal link.
- There was no significant association between LDL cholesterol and dementia risk.
IN PRACTICE:
“These results support the conclusion that some lipoproteins may be modifiable risk factors for dementia, even in late life,” the authors wrote.
SOURCE:
The study was conducted by Erin L. Ferguson, MPH, department of epidemiology & biostatistics, University of California, San Francisco, and was funded by the National Institutes of Health. It was published online in Neurology.
LIMITATIONS:
There were no adjustments for apo E status and confounding and selection bias.
DISCLOSURES:
The authors report no relevant disclosures.
A version of this article first appeared on Medscape.com.
TOPLINE:
High and low levels of HDL cholesterol but not levels of LDL cholesterol are associated with an increased risk for dementia in older adults, a new study found.
METHODOLOGY:
- Electronic health record and survey data on 184,367 Kaiser Permanente Northern California participants (median age, 69.5 years) with no history of dementia were taken.
- Cholesterol levels were measured within 2 years of survey completion.
TAKEAWAY:
- There were 25,214 incident cases of dementia reported over an average follow-up of 8.77 years.
- Dementia risk was significantly higher in people with low HDL cholesterol (11-41 mg/dL; adjusted hazard ratio, 1.07; 95% confidence interval, 1.03-1.11) and high HDL cholesterol (> 65 mg/dL; aHR, 1.15; 95% CI, 1.11-1.20).
- The study demonstrates an association between low and high levels of “good” cholesterol but not a causal link.
- There was no significant association between LDL cholesterol and dementia risk.
IN PRACTICE:
“These results support the conclusion that some lipoproteins may be modifiable risk factors for dementia, even in late life,” the authors wrote.
SOURCE:
The study was conducted by Erin L. Ferguson, MPH, department of epidemiology & biostatistics, University of California, San Francisco, and was funded by the National Institutes of Health. It was published online in Neurology.
LIMITATIONS:
There were no adjustments for apo E status and confounding and selection bias.
DISCLOSURES:
The authors report no relevant disclosures.
A version of this article first appeared on Medscape.com.
TOPLINE:
High and low levels of HDL cholesterol but not levels of LDL cholesterol are associated with an increased risk for dementia in older adults, a new study found.
METHODOLOGY:
- Electronic health record and survey data on 184,367 Kaiser Permanente Northern California participants (median age, 69.5 years) with no history of dementia were taken.
- Cholesterol levels were measured within 2 years of survey completion.
TAKEAWAY:
- There were 25,214 incident cases of dementia reported over an average follow-up of 8.77 years.
- Dementia risk was significantly higher in people with low HDL cholesterol (11-41 mg/dL; adjusted hazard ratio, 1.07; 95% confidence interval, 1.03-1.11) and high HDL cholesterol (> 65 mg/dL; aHR, 1.15; 95% CI, 1.11-1.20).
- The study demonstrates an association between low and high levels of “good” cholesterol but not a causal link.
- There was no significant association between LDL cholesterol and dementia risk.
IN PRACTICE:
“These results support the conclusion that some lipoproteins may be modifiable risk factors for dementia, even in late life,” the authors wrote.
SOURCE:
The study was conducted by Erin L. Ferguson, MPH, department of epidemiology & biostatistics, University of California, San Francisco, and was funded by the National Institutes of Health. It was published online in Neurology.
LIMITATIONS:
There were no adjustments for apo E status and confounding and selection bias.
DISCLOSURES:
The authors report no relevant disclosures.
A version of this article first appeared on Medscape.com.
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All rights reserved. This material may not be published, broadcast, copied, or otherwise reproduced or distributed without the prior written permission of Frontline Medical Communications Inc.</copyrightNotice> </rightsInfo> </provider> <abstract/> <metaDescription>High and low levels of HDL cholesterol but not levels of LDL cholesterol are associated with an increased risk for dementia in older adults, a new study found.</metaDescription> <articlePDF/> <teaserImage/> <teaser>There was no significant association between LDL cholesterol and dementia risk.</teaser> <title>High and low HDL cholesterol levels linked to dementia risk</title> <deck/> <disclaimer/> <AuthorList/> <articleURL/> <doi/> <pubMedID/> <publishXMLStatus/> <publishXMLVersion>1</publishXMLVersion> <useEISSN>0</useEISSN> <urgency/> <pubPubdateYear/> <pubPubdateMonth/> <pubPubdateDay/> <pubVolume/> <pubNumber/> <wireChannels/> <primaryCMSID/> <CMSIDs/> <keywords/> <seeAlsos/> <publications_g> <publicationData> <publicationCode>fp</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> <publicationData> <publicationCode>im</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> <publicationData> <publicationCode>nr</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> <journalTitle>Neurology Reviews</journalTitle> <journalFullTitle>Neurology Reviews</journalFullTitle> <copyrightStatement>2018 Frontline Medical Communications Inc.,</copyrightStatement> </publicationData> <publicationData> <publicationCode>card</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> </publications_g> <publications> <term>15</term> <term canonical="true">21</term> <term>22</term> <term>5</term> </publications> <sections> <term>27970</term> <term canonical="true">39313</term> </sections> <topics> <term canonical="true">258</term> <term>194</term> <term>239</term> <term>180</term> </topics> <links/> </header> <itemSet> <newsItem> <itemMeta> <itemRole>Main</itemRole> <itemClass>text</itemClass> <title>High and low HDL cholesterol levels linked to dementia risk</title> <deck/> </itemMeta> <itemContent> <h2>TOPLINE:</h2> <p>High and low levels of HDL cholesterol but not levels of LDL cholesterol are associated with an increased risk for dementia in older adults, a new study found.</p> <h2>METHODOLOGY:</h2> <ul class="body"> <li>Electronic health record and survey data on 184,367 Kaiser Permanente Northern California participants (median age, 69.5 years) with no history of dementia were taken.</li> <li>Cholesterol levels were measured within 2 years of survey completion.</li> </ul> <h2>TAKEAWAY:</h2> <ul class="body"> <li>There were 25,214 incident cases of dementia reported over an average follow-up of 8.77 years.</li> <li>Dementia risk was significantly higher in people with low HDL cholesterol (11-41 mg/dL; adjusted hazard ratio, 1.07; 95% confidence interval, 1.03-1.11) and high HDL cholesterol (> 65 mg/dL; aHR, 1.15; 95% CI, 1.11-1.20).</li> <li>The study demonstrates an association between low and high levels of “good” cholesterol but not a causal link.</li> <li>There was no significant association between LDL cholesterol and dementia risk.</li> </ul> <h2>IN PRACTICE:</h2> <p>“These results support the conclusion that some lipoproteins may be modifiable risk factors for dementia, even in late life,” the authors wrote.</p> <h2>SOURCE:</h2> <p>The study was conducted by Erin L. Ferguson, MPH, department of epidemiology & biostatistics, University of California, San Francisco, and was funded by the National Institutes of Health. It was <a href="https://n.neurology.org/content/early/2023/10/04/WNL.0000000000207876">published online</a> in Neurology.</p> <h2>LIMITATIONS:</h2> <p>There were no adjustments for apo E status and confounding and selection bias.</p> <h2>DISCLOSURES:</h2> <p>The authors report no relevant disclosures.<span class="end"/></p> <p> <em>A version of this article first appeared on <span class="Hyperlink"><a href="https://www.medscape.com/viewarticle/997326">Medscape.com</a></span>.</em> </p> </itemContent> </newsItem> <newsItem> <itemMeta> <itemRole>teaser</itemRole> <itemClass>text</itemClass> <title/> <deck/> </itemMeta> <itemContent> </itemContent> </newsItem> </itemSet></root>