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Does the Framingham cardiovascular disease risk score also have predictive utility for dementia death? An individual participant meta-analysis of 11,887 men and women

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http://www.sciencedirect.com/science/article/pii/S0021915013001305
Original languageEnglish
Pages (from-to)256–258
JournalAtherosclerosis
Volume228
Issue number1
DOIs
Publication statusPublished - 1 May 2013

Abstract

OBJECTIVE: Individual cardiovascular disease (CVD) risk factors are associated with dementia. For the first time, we investigated whether the Framingham CVD risk score-which comprises these multiple risk factors-was also associated with future dementia risk. METHODS: Individual participant meta-analysis of two large, general population cohort studies (N = 11,887). For the purposes of comparison of the dementia results, we also examined the association between the Framingham CVD risk score and CVD-related death. RESULTS: Framingham CVD risk score was associated with dementia death (hazard ratio per 10% increased risk, 95% confidence interval: 4.00, 2.44-6.56). Adjusting for age eliminated this association (1.04, 0.53-2.01); similarly, age explained 88% of the ability of the Framingham CVD risk score to predict CVD death. CONCLUSIONS: The Framingham CVD risk score was no more strongly associated with future dementia than age. It therefore offers no added value in predicting dementia.

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