Associations between mid-life social relationships and the risk of incident dementia: The ARIC study

IF 13 1区 医学 Q1 CLINICAL NEUROLOGY
Renée C. Groechel, Albert C. Liu, Pamela L. Lutsey, Priya Palta, Anna M. Kucharska-Newton, Silvia Koton, A. Richey Sharrett, Alden L. Gross, Keenan A. Walker, Rebecca F. Gottesman
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Abstract

INTRODUCTION

This study aimed to assess whether mid-life social relationships are associated with a lower risk of late-life dementia.

METHODS

Participants in the Atherosclerosis Risk in Communities (ARIC) study were assessed for social support and isolation (Visit 2;1990–1992). A composite measure, “social relationships,” was generated. Incident dementia cases were identified following Visit 2 through 2019, using ongoing surveillance. Associations between mid-life social relationships and incident dementia were evaluated with Cox proportional-hazard regression models. Formal interaction tests examined whether sex or race modified this association.

RESULTS

Among 13,070 participants without dementia, those with strong social relationships in mid-life had a lower risk for developing dementia, compared to participants with poor mid-life social relationships. Neither sex nor race significantly modified this association.

DISCUSSION

Stronger mid-life social relationships may have a potentially protective effect on dementia risk. Future studies evaluating psychosocial health at multiple time points in ethnically diverse populations are needed.

Highlights

  • Psychosocial health is a modifiable risk factor for dementia.
  • Stronger mid-life social relationships are associated with a lower risk of dementia.
  • Social relationships may have a potentially protective effect on late-life outcomes.
  • This study leveraged data collected from nearly 20 years of follow-up in 13,070 participants.
  • Longitudinal data used in this study were captured in a population that is 24% Black.

Abstract Image

中年社会关系与痴呆风险之间的关系:ARIC研究
本研究旨在评估中年社会关系是否与较低的老年痴呆风险相关。方法对社区动脉粥样硬化风险(ARIC)研究的参与者进行社会支持和孤立性评估(访问2;1990-1992)。于是产生了一个综合衡量标准“社会关系”。通过持续监测,在访问2至2019年期间确定了偶发性痴呆病例。采用Cox比例风险回归模型评估中年社会关系与痴呆发生率之间的关系。正式的互动测试检验了性别或种族是否会改变这种联系。在13070名没有痴呆症的参与者中,与中年社会关系差的参与者相比,中年社会关系强的参与者患痴呆症的风险较低。性别和种族都没有显著改变这种联系。更强的中年社会关系可能对痴呆风险有潜在的保护作用。未来的研究需要在不同种族人群的多个时间点评估心理社会健康。强调心理社会健康是痴呆症的可改变风险因素。较强的中年社会关系与较低的痴呆症风险有关。社会关系可能对晚年生活有潜在的保护作用。这项研究利用了对13070名参与者近20年的随访数据。本研究中使用的纵向数据是在24%的黑人人口中获取的。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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