Early-Onset Dementia 1.6X more likely if low Vitamin D

Modifiable Risk Factors for Young-Onset Dementia Flagged

MDEdge

  • "The study included 356,052 participants younger than 65 years (mean baseline age, 54.6 years) without dementia from the UK Biobank, an ongoing prospective cohort study."

  • "During a mean follow-up of 8.12 years, there were 485 incident YOD cases (incidence rate of 16.8 per 100,000 person-years; 95% CI 15.4-18.3)."

  • "The final analysis identified 15 risk factors associated with significantly higher incidence of YOD, including traditional factors like

  • stroke (hazard ratio [HR], 2.07),

  • heart disease (HR, 1.61),

  • diabetes (HR, 1.65), and

  • depression (HR, 3.25) but also less-recognized risk factors like

  • vitamin D deficiency (< 10 ng/mL; HR, 1.59) ,

  • high CRP levels (> 1 mg/dL; HR, 1.54),

  • and social isolation (infrequent visits to friends or family; HR, 1.53),

  • with lower socioeconomic status (HR, 1.82),

  • having two apolipoprotein E epsilon-4 alleles (HR, 1.87),

  • orthostatic hypotension, which the authors said may be an early sign of Parkinson's dementia or Lewy body dementia (HR, 4.20), and

  • hearing impairment (HR, 1.56) also increases risk."

Suspect they "adjusted" Vitamin D for stroke, diabetes, depression - all associated with Low Vitamin D

Suspect "unadjusted" Vitamin D is > 3X

Reporting on: Risk Factors for Young-Onset Dementia in the UK Biobank

Stevie Hendriks, PhD1; Janice M. Ranson, PhD2; Kirsten Peetoom, PhD1

The abstract is data-free. The PDF is not free: it costs $40 doi:10.1001/jamaneurol.2023.4929

PDF can be read at DeepDyve

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57+ Vitamin D pages have "Dementia" in the title

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