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Middle age self-report risk score predicts cognitive functioning and dementia in 20-40 years.


ABSTRACT:

Introduction

On the basis of the proxy measures of cognitive reserve, we created a middle age self-report risk score for early prediction of dementia.

Methods

We used a longitudinal population-based study of 2602 individuals with a replication sample (N = 1011). Risk score at a mean age of 47 years was based on questions on educational and occupational attainments. Cognitive status at a mean age of 74 was determined via two validated telephone instruments.

Results

The prevalence of dementia was 10% after a mean follow-up of 28 years. Risk score was a good predictor of dementia: area under the curve = 0.77 (95% confidence interval, 0.74-0.80). The risk of dementia decreased as a function of risk score from 36% to 0%. The risk score was significantly associated with cognition after a mean follow-up of 39 years in the replication sample.

Discussion

Self-report risk score predicted cognitive functioning and dementia risk 20-40 years later.

SUBMITTER: Vuoksimaa E 

PROVIDER: S-EPMC5061466 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Middle age self-report risk score predicts cognitive functioning and dementia in 20-40 years.

Vuoksimaa Eero E   Rinne Juha O JO   Lindgren Noora N   Heikkilä Kauko K   Koskenvuo Markku M   Kaprio Jaakko J  

Alzheimer's & dementia (Amsterdam, Netherlands) 20160914


<h4>Introduction</h4>On the basis of the proxy measures of cognitive reserve, we created a middle age self-report risk score for early prediction of dementia.<h4>Methods</h4>We used a longitudinal population-based study of 2602 individuals with a replication sample (N = 1011). Risk score at a mean age of 47 years was based on questions on educational and occupational attainments. Cognitive status at a mean age of 74 was determined via two validated telephone instruments.<h4>Results</h4>The preva  ...[more]

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