April 27, 2024

Fluctuating Levels of Cholesterol Associated With an Increased Risk of Dementia

New research suggests that older people with fluctuating levels of cholesterol and triglycerides may have a higher risk of establishing Alzheimers disease and associated dementias compared to those with consistent levels. While the research study identified a connection, it did not establish a causal relationship between ever-changing lipid levels and dementia, and additional research is required to understand this connection.
According to brand-new research study published in Neurology, the medical journal of the American Academy of Neurology, older people with changing levels of cholesterol and triglycerides might be at an increased danger of establishing Alzheimers disease and associated dementias compared to those with steady levels. It is essential to keep in mind, however, that while the study recognized a correlation, it did not establish that ever-changing levels of cholesterol and triglycerides are a direct reason for dementia.
” Prevention techniques for Alzheimers and associated dementias are urgently required,” said research study author Suzette J. Bielinski, Ph.D., of the Mayo Clinic in Rochester, Minnesota. “Routine screenings for cholesterol and triglyceride levels are typically done as part of basic treatment. Changes in these outcomes gradually could possibly assist us identify who is at greater threat for dementia, help us understand systems for the advancement of dementia and ultimately identify whether leveling out these fluctuations might play a function in lowering dementia danger.”
Researchers utilized health care information to identify 11,571 people aged 60 or older who did not have a prior diagnosis of Alzheimers disease or dementia. Researchers looked at individuals measurements of total cholesterol, triglycerides, low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL) on at least three various days in the five years before the start of the study.

” Prevention strategies for Alzheimers and associated dementias are urgently needed,” said research study author Suzette J. Bielinski, Ph.D., of the Mayo Clinic in Rochester, Minnesota. Variations in these results over time could potentially help us identify who is at greater threat for dementia, assist us comprehend systems for the advancement of dementia and ultimately determine whether leveling out these changes could play a function in decreasing dementia threat.”
After changing for variables that might affect the risk of dementia including sex, race, education, and lipid-lowering treatments, scientists found for overall cholesterol, participants in the greatest group had a 19% increased danger of dementia compared to those in the least expensive group. Of the 2,311 individuals in the greatest group, 515 established dementia compared to 483 of the 2,311 people in the least expensive group.

Researchers divided individuals into five equivalent groups based on how much the measurements varied. The most affordable group had the least variation gradually and the greatest group had the many variation.
Participants were followed for approximately 13 years. Throughout that time, 2,473 people developed Alzheimers illness or another form of dementia.
After adjusting for variables that could affect the danger of dementia including sex, race, education, and lipid-lowering treatments, scientists discovered for overall cholesterol, participants in the greatest group had a 19% increased risk of dementia compared to those in the lowest group. Of the 2,311 individuals in the highest group, 515 developed dementia compared to 483 of the 2,311 individuals in the least expensive group. For triglycerides, those in the greatest group had a 23% increased risk.
Scientists did not discover a link in between variations in LDL and HDL and an increased threat of dementia.
” It remains unclear why and how changing levels of cholesterol and triglycerides relate to the risk of Alzheimers disease,” said Bielinski. “Further studies looking at the modifications in time for this relationship are required in order to confirm our outcomes and possibly consider preventative strategies.”
Referral: “Association Between Fluctuations in Blood Lipid Levels Over Time With Incident Alzheimer Disease and Alzheimer Disease Related Dementias” by Ethan D. Moser, Sheila M. Manemann, Nicholas B. Larson, Jennifer L. St. Sauver, Paul Y. Takahashi, Michelle M. Mielke, Walter A. Rocca, Janet E. Olson, Véronique L. Roger, Alan T. Remaley, Paul A. Decker, Jill M. Killian and Suzette J. Bielinski, 5 July 2023, Neurology.DOI: 10.1212/ WNL.0000000000207595.
A restriction of the research study was researchers took a look at Alzheimers illness and associated dementias as a whole and did not differentiate between the kinds of dementia.
The study was supported by the National Heart, Lung and Blood Institute.