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ABSTRACT: Background
Lowering vascular risk is associated with a decrease in the prevalence of cardiovascular disease and dementia. However, it is still unknown whether lowering of vascular risk with pharmacological treatment preserves cognitive performance in general. Therefore, we compared the change in cognitive performance in persons with and without treatment of vascular risk factors.Methods
In this longitudinal observational study, 256 persons (mean age, 58?years) were treated for increased vascular risk during a mean follow-up period of 5.5?years (treatment group), whereas 1678 persons (mean age, 50?years) did not receive treatment (control group). Cognitive performance was three times measured during follow-up using the Ruff Figural Fluency Test (RFFT) and Visual Association Test (VAT), and calculated as the average of standardized RFFT and VAT score per participant. Because treatment allocation was nonrandomized, additional analyses were performed in demographic and vascular risk-matched samples and adjusted for propensity scores.Results
In the treatment group, mean (SD) cognitive performance changed from -?0.30 (0.80) to -?0.23 (0.80) to 0.02 (0.87), and in control group, from 0.08 (0.77) to 0.24 (0.79) to 0.49 (0.74) at the first, second and third measurement, respectively (ptrend ConclusionChange in cognitive performance during follow-up was similar in treated and untreated persons. This suggests that lowering vascular risk preserves cognitive performance.
SUBMITTER: van Eersel MEA
PROVIDER: S-EPMC7291556 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
van Eersel Marlise E A MEA Visser Sipke T ST Joosten Hanneke H Gansevoort Ron T RT Slaets Joris P J JPJ Izaks Gerbrand J GJ
BMC neurology 20200612 1
<h4>Background</h4>Lowering vascular risk is associated with a decrease in the prevalence of cardiovascular disease and dementia. However, it is still unknown whether lowering of vascular risk with pharmacological treatment preserves cognitive performance in general. Therefore, we compared the change in cognitive performance in persons with and without treatment of vascular risk factors.<h4>Methods</h4>In this longitudinal observational study, 256 persons (mean age, 58 years) were treated for in ...[more]