Midlife Forgetfulness and Risk of Dementia in Old Age: Results from the Danish Working Environment Cohort Study.


Journal

Dementia and geriatric cognitive disorders
ISSN: 1421-9824
Titre abrégé: Dement Geriatr Cogn Disord
Pays: Switzerland
ID NLM: 9705200

Informations de publication

Date de publication:
2019
Historique:
received: 27 12 2018
accepted: 06 04 2019
pubmed: 19 7 2019
medline: 23 1 2020
entrez: 19 7 2019
Statut: ppublish

Résumé

Despite the current evidence of a high prevalence of forgetfulness in middle-aged individuals, and the evidence of a link between midlife memory complaints and biological changes in the brain, no previous study has yet investigated midlife forgetfulness in relation to risk of dementia in old age. We investigated whether midlife forgetfulness was an indicator of an increased risk of dementia in old age. We used data from 3,136 employed men and women who participated in the Danish Work Environment Cohort Study in 1990. These data were linked to Danish national registers. Participants were asked whether their closest relative had ever told them that they were forgetful. Incidence rate ratios (IRR) were estimated using Poisson regression analysis. At baseline, 749 (24%) study participants were categorized as forgetful, and 86 (2.7%) participants were diagnosed with dementia during a total of 31,724 person-years at risk. After adjusting for sociodemographic factors, comorbidities, and work-related factors, midlife forgetfulness was associated with a higher risk of dementia (IRR = 1.82; 95% CI: 1.12-2.97). This study is the first to investigate midlife forgetfulness and dementia, and the results suggest that midlife forgetfulness is an early indicator of an increased risk of dementia in old age.

Sections du résumé

BACKGROUND
Despite the current evidence of a high prevalence of forgetfulness in middle-aged individuals, and the evidence of a link between midlife memory complaints and biological changes in the brain, no previous study has yet investigated midlife forgetfulness in relation to risk of dementia in old age.
AIMS
We investigated whether midlife forgetfulness was an indicator of an increased risk of dementia in old age.
METHODS
We used data from 3,136 employed men and women who participated in the Danish Work Environment Cohort Study in 1990. These data were linked to Danish national registers. Participants were asked whether their closest relative had ever told them that they were forgetful. Incidence rate ratios (IRR) were estimated using Poisson regression analysis.
RESULTS
At baseline, 749 (24%) study participants were categorized as forgetful, and 86 (2.7%) participants were diagnosed with dementia during a total of 31,724 person-years at risk. After adjusting for sociodemographic factors, comorbidities, and work-related factors, midlife forgetfulness was associated with a higher risk of dementia (IRR = 1.82; 95% CI: 1.12-2.97).
CONCLUSIONS
This study is the first to investigate midlife forgetfulness and dementia, and the results suggest that midlife forgetfulness is an early indicator of an increased risk of dementia in old age.

Identifiants

pubmed: 31319407
pii: 000500184
doi: 10.1159/000500184
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

264-273

Informations de copyright

© 2019 S. Karger AG, Basel.

Auteurs

Kazi Ishtiak-Ahmed (K)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark, kaah@sund.ku.dk.

Åse Marie Hansen (ÅM)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
The National Research Centre for the Working Environment, Copenhagen, Denmark.

Erik Lykke Mortensen (EL)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark.

Anne Helene Garde (AH)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
The National Research Centre for the Working Environment, Copenhagen, Denmark.

Matias Brødsgaard Grynderup (M)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Finn Gyntelberg (F)

The National Research Centre for the Working Environment, Copenhagen, Denmark.

Sabrina Islamoska (S)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Rikke Lund (R)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark.

Thien Kieu Thi Phung (TKT)

Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Eva Prescott (E)

Department of Cardiology, Bispebjerg University Hospital, Copenhagen, Denmark.

Gunhild Waldemar (G)

Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Kirsten Nabe-Nielsen (K)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

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Classifications MeSH