Dementia risk in patients with heart disease and depression

ABSTRACT. The high prevalence of Alzheimer's disease and dementia is a growing concern for healthcare systems and patients. Objective: The primary objective of our study was to assess the association of depression and heart disease on the risk of dementias like Alzheimer's disease or vasc...

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Main Authors: Daniel Denisenko, Gladys Ekong, Harlan Spotts
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento 2023-10-01
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642023000100321&lng=en&tlng=en
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author Daniel Denisenko
Gladys Ekong
Harlan Spotts
author_facet Daniel Denisenko
Gladys Ekong
Harlan Spotts
author_sort Daniel Denisenko
collection DOAJ
description ABSTRACT. The high prevalence of Alzheimer's disease and dementia is a growing concern for healthcare systems and patients. Objective: The primary objective of our study was to assess the association of depression and heart disease on the risk of dementias like Alzheimer's disease or vascular dementia in patients. Methods: This retrospective study used electronic health records data that was provided by the HealthVerity™ Marketplace. The characteristics of the patient population were recorded and the risk of dementia was examined using adjusted logistic regression models. Results: The analysis included 49,735 participants and revealed that patients who have heart disease or depression had a higher risk of dementia. Patients who had both heart disease and depression were over three times more likely to have dementia and Alzheimer's disease, and over five times more likely to have vascular dementia compared to patients who only have a diagnosis of heart disease. Depression was associated with a fourfold increase in the risk of dementia. Participants with a diagnosis of most types of heart disease as well as depression had increased risk for developing dementia. Conclusion: This study revealed that patients with both heart disease and depression had increased odds of having dementia as well as vascular dementia and Alzheimer's disease. These findings may serve to support policies and healthcare decision-making to increase preventive measures for dementia and Alzheimer's disease among patients with both depression and heart disease.
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spelling doaj.art-1ac4f02b00a64f72a4f025a4b37626762023-10-24T07:42:51ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642023-10-011710.1590/1980-5764-dn-2023-0024Dementia risk in patients with heart disease and depressionDaniel Denisenkohttps://orcid.org/0000-0002-9589-3686Gladys Ekonghttps://orcid.org/0000-0001-8256-1546Harlan Spottshttps://orcid.org/0000-0003-0076-0571ABSTRACT. The high prevalence of Alzheimer's disease and dementia is a growing concern for healthcare systems and patients. Objective: The primary objective of our study was to assess the association of depression and heart disease on the risk of dementias like Alzheimer's disease or vascular dementia in patients. Methods: This retrospective study used electronic health records data that was provided by the HealthVerity™ Marketplace. The characteristics of the patient population were recorded and the risk of dementia was examined using adjusted logistic regression models. Results: The analysis included 49,735 participants and revealed that patients who have heart disease or depression had a higher risk of dementia. Patients who had both heart disease and depression were over three times more likely to have dementia and Alzheimer's disease, and over five times more likely to have vascular dementia compared to patients who only have a diagnosis of heart disease. Depression was associated with a fourfold increase in the risk of dementia. Participants with a diagnosis of most types of heart disease as well as depression had increased risk for developing dementia. Conclusion: This study revealed that patients with both heart disease and depression had increased odds of having dementia as well as vascular dementia and Alzheimer's disease. These findings may serve to support policies and healthcare decision-making to increase preventive measures for dementia and Alzheimer's disease among patients with both depression and heart disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642023000100321&lng=en&tlng=enAgingDementiaDepressionHeart DiseasesAlzheimer Disease
spellingShingle Daniel Denisenko
Gladys Ekong
Harlan Spotts
Dementia risk in patients with heart disease and depression
Dementia & Neuropsychologia
Aging
Dementia
Depression
Heart Diseases
Alzheimer Disease
title Dementia risk in patients with heart disease and depression
title_full Dementia risk in patients with heart disease and depression
title_fullStr Dementia risk in patients with heart disease and depression
title_full_unstemmed Dementia risk in patients with heart disease and depression
title_short Dementia risk in patients with heart disease and depression
title_sort dementia risk in patients with heart disease and depression
topic Aging
Dementia
Depression
Heart Diseases
Alzheimer Disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642023000100321&lng=en&tlng=en
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AT harlanspotts dementiariskinpatientswithheartdiseaseanddepression