CIENCIASMEDICASNEWS: Predicting cognitive decline ► A dementia risk score vs the Framingham vascular risk scores

miércoles, 3 de abril de 2013

Predicting cognitive decline ► A dementia risk score vs the Framingham vascular risk scores

Predicting cognitive decline

A dementia risk score vs the Framingham vascular risk scores

Sara Kaffashian, PhD,

Aline Dugravot, MSc,

Alexis Elbaz, MD, PhD,

Martin J. Shipley, MSc,

Séverine Sabia, PhD,

Mika Kivimäki, PhD and

Archana Singh-Manoux, PhD

+Show Affiliations

Correspondence to Dr. Kaffashian: sara.kaffashian@inserm.fr

doi: 10.1212/WNL.0b013e31828ab370 Neurology April 2, 2013 vol. 80 no. 14 1300-1306

Abstract

Full Text

Full Text (PDF)

Also available:

Data Supplement

Abstract

Objective: Our aim was to compare 2 Framingham vascular risk scores with a dementia risk score in relation to 10-year cognitive decline in late middle age.

Methods: Participants were men and women with mean age of 55.6 years at baseline, from the Whitehall II study, a longitudinal British cohort study. We compared the Framingham general cardiovascular disease risk score and the Framingham stroke risk score with the Cardiovascular Risk Factors, Aging and Dementia (CAIDE) risk score that uses risk factors in midlife to estimate risk of late-life dementia. Cognitive tests included reasoning, memory, verbal fluency, vocabulary, and global cognition, assessed 3 times over 10 years.

Results: Higher cardiovascular disease risk and higher stroke risk were associated with greater cognitive decline in all tests except memory; higher dementia risk was associated with greater decline in reasoning, vocabulary, and global cognitive scores. Compared with the dementia risk score, cardiovascular and stroke risk scores showed slightly stronger associations with 10-year cognitive decline; these differences were statistically significant for semantic fluency and global cognitive scores. For example, cardiovascular disease risk was associated with −0.06 SD (95% confidence interval [CI] = −0.08, −0.05) decline in the global cognitive scores over 10 years whereas dementia risk was associated with −0.03 SD (95% CI = −0.04, −0.01) decline (difference in β coefficients = 0.03; 95% CI = 0.01, 0.05).

Conclusions: The CAIDE dementia and Framingham risk scores predict cognitive decline in late middle age but the Framingham risk scores may have an advantage over the dementia risk score for use in primary prevention for assessing risk of cognitive decline and targeting of modifiable risk factors.

Footnotes

Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.