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...

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Main Authors: Eero Vuoksimaa, Juha O. Rinne, Noora Lindgren, Kauko Heikkilä, Markku Koskenvuo, Jaakko Kaprio
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Subjects:
Online Access:https://doi.org/10.1016/j.dadm.2016.08.003
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author Eero Vuoksimaa
Juha O. Rinne
Noora Lindgren
Kauko Heikkilä
Markku Koskenvuo
Jaakko Kaprio
author_facet Eero Vuoksimaa
Juha O. Rinne
Noora Lindgren
Kauko Heikkilä
Markku Koskenvuo
Jaakko Kaprio
author_sort Eero Vuoksimaa
collection DOAJ
description 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.
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spelling doaj.art-2b444810182743c6b5fcf0256614540a2022-12-21T19:17:59ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292016-01-014111812510.1016/j.dadm.2016.08.003Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 yearsEero Vuoksimaa0Juha O. Rinne1Noora Lindgren2Kauko Heikkilä3Markku Koskenvuo4Jaakko Kaprio5Institute for Molecular Medicine Finland, University of HelsinkiHelsinkiFinlandTurku PET CentreUniversity of Turku, Turku University HospitalTurkuFinlandTurku PET CentreUniversity of Turku, Turku University HospitalTurkuFinlandInstitute for Molecular Medicine Finland, University of HelsinkiHelsinkiFinlandClinicum, Department of Public HealthUniversity of HelsinkiHelsinkiFinlandInstitute for Molecular Medicine Finland, University of HelsinkiHelsinkiFinlandAbstract 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.https://doi.org/10.1016/j.dadm.2016.08.003EducationEarly identificationCognitive reserveDementiaMiddle ageOccupation
spellingShingle Eero Vuoksimaa
Juha O. Rinne
Noora Lindgren
Kauko Heikkilä
Markku Koskenvuo
Jaakko Kaprio
Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Education
Early identification
Cognitive reserve
Dementia
Middle age
Occupation
title Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
title_full Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
title_fullStr Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
title_full_unstemmed Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
title_short Middle age self‐report risk score predicts cognitive functioning and dementia in 20–40 years
title_sort middle age self report risk score predicts cognitive functioning and dementia in 20 40 years
topic Education
Early identification
Cognitive reserve
Dementia
Middle age
Occupation
url https://doi.org/10.1016/j.dadm.2016.08.003
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