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- Title
Vascular Risk Aggravates the Progression of Alzheimer's Disease in a Chinese Cohort.
- Authors
Jing Li; Meng Zhang; Zhi-Qiang Xu; Chang-Yue Gao; Chuan-Qin Fang; Juan Deng; Jia-Chuan Yan; Yan-Jiang Wang; Hua-Dong Zhou
- Abstract
To investigate whether vascular risk affects the progression of Alzheimer's disease (AD), 415 AD patients aged 65 years old and over without cerebrovascular diseases were enrolled and administered with a structured interview to assess demography, vascular risk factors, and cognitive and functional status at baseline, and 324 AD patients were followed up annually for 5 years. A mixed random effects regression model was used to identify the association between vascular risk, individual vascular risk factors, and the progression of AD. After adjusting for confounding factors, AD patients with vascular risk had faster cognitive and functional decline rates than the subjects without such risk factors. Individual vascular risk factors including hypertension and diabetes mellitus, transient ischemic attack and cerebrovascular accident during the follow-up were independently associated with the progression of AD. Our findings suggest that vascular risk aggravates the progression of AD and may be involved in the etiologic process of AD. As such, control of vascular risk may slow down the progression of AD.
- Subjects
VASCULAR diseases; CEREBROVASCULAR disease; DISEASE risk factors; DISEASE progression; ALZHEIMER'S disease; COGNITION disorders; HYPERTENSION; DIABETES
- Publication
Journal of Alzheimer's Disease, 2010, Vol 20, Issue 2, p491
- ISSN
1387-2877
- Publication type
Article
- DOI
10.3233/JAD-2010-1383