AJE Advances

Dementia near 80 linked to health and thinking skills near 60

An observational study of 5,873 US adults linked health, thinking ability, education and daily limitations around age 60 to dementia probability around age 80.

Paper by Péter Hudomiet, Michael D. Hurd, Susann Rohwedder · RAND Corporation
Figure 1. Prevalence of Dementia at 80 by Demographic, SES, and Labor Predictors at Age 60.
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Figure 1. Prevalence of Dementia at 80 by Demographic, SES, and Labor Predictors at Age 60.Prevalence of Dementia at 80 by Demographic, SES, and Labor Predictors at Age 60.Hudomiet et al.
Cohort study of 5,873 US adultsPopulations

Independent replication

Limit: The analysis included only people who survived to the later age window

Stake: Genentech funded the study.

Edited by Boris Djordjevic · AgingResearch.News

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Researchers analyzed Health and Retirement Study data from 1992–2016 on 5,873 US adults, slightly more than half women, observed at ages 55–64 and again at ages 75–84. This observational study assessed 110 potential predictors measured around age 60 against dementia probability around age 80. The outcome was an estimate based on memory and thinking tests and other information.

Poor physical health, poorer thinking skills, fewer than 12 years of education and greater difficulty with everyday activities were the strongest predictors. Additional predictors included poor vision or hearing, diabetes, previous stroke, and both not drinking alcohol and heavy drinking. The authors said future research should test whether these candidate predictors were causes rather than simply associations.

Why it matters

Identifying dementia risk decades before its possible onset may help people prepare and help health services target resources.

Caveats

The analysis included only people who survived to the later age window, and the exploratory models were not externally validated. These associations do not show that changing the factors would change dementia risk.

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