Cargando…
Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study
Background: Recent growing evidences suggest that body weight (Bwt) variability, a repeated loss and regain of weight within a specific period, causes metabolic disturbances and can be a marker for poor homeostasis. Although there have been many studies about the association between Bwt variability...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247844/ https://www.ncbi.nlm.nih.gov/pubmed/32528407 http://dx.doi.org/10.3389/fendo.2020.00291 |
_version_ | 1783538246727237632 |
---|---|
author | Roh, Eun Hwang, Soon Young Kim, Jung A. Lee, You-Bin Hong, So-hyeon Kim, Nam Hoon Seo, Ji A. Kim, Sin Gon Kim, Nan Hee Choi, Kyung Mook Baik, Sei Hyun Yoo, Hye Jin |
author_facet | Roh, Eun Hwang, Soon Young Kim, Jung A. Lee, You-Bin Hong, So-hyeon Kim, Nam Hoon Seo, Ji A. Kim, Sin Gon Kim, Nan Hee Choi, Kyung Mook Baik, Sei Hyun Yoo, Hye Jin |
author_sort | Roh, Eun |
collection | PubMed |
description | Background: Recent growing evidences suggest that body weight (Bwt) variability, a repeated loss and regain of weight within a specific period, causes metabolic disturbances and can be a marker for poor homeostasis. Although there have been many studies about the association between Bwt variability and various health status, its association with the incidence of dementia among elderly people has not been examined. Methods: We performed a retrospective elderly cohort study from 19,987 participants with mean age 73 years old in the Korean National Health Insurance Service. We examined the risk of incident dementia, including Alzheimer's dementia and vascular dementia, according to the quartile of Bwt variability, represented as coefficient of variation (Bwt-CV), SD (Bwt-SD), and variability independent of the mean (Bwt-VIM). Results: In fully adjusted model, the group with the highest Bwt variability (Bwt-VIM Q4) showed an increased risk of all-cause dementia (hazard ratio [HR] 1.39, 95% confidence interval [CI] 1.206–1.603) and Alzheimer's dementia (HR 1.46, CI 1.240–1.724) compared to the lowest quartile (Bwt-VIM Q1). We also found that subjects with the highest Bwt variability (Q4) and underweight BMI had a significantly increased risk of developing dementia (HR 1.994, 95% CI 1.302–3.054), while subjects with low Bwt variability (Q1 and Q2) and obese BMI had decreased risk of dementia (HR 0.664, 95% CI 0.505–0.872 and HR 0.648, 95% CI 0.493–0.852, respectively) compared to reference group (lowest Bwt variability (Q1) with normal baseline BMI). The effect of Bwt variability on the incidence of dementia was more prominent in subjects <75 years old and abnormal BMI groups (P for interaction < 0.05). Conclusion: The present study revealed that high Bwt variability was associated with an increased risk of dementia in the elderly. |
format | Online Article Text |
id | pubmed-7247844 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72478442020-06-10 Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study Roh, Eun Hwang, Soon Young Kim, Jung A. Lee, You-Bin Hong, So-hyeon Kim, Nam Hoon Seo, Ji A. Kim, Sin Gon Kim, Nan Hee Choi, Kyung Mook Baik, Sei Hyun Yoo, Hye Jin Front Endocrinol (Lausanne) Endocrinology Background: Recent growing evidences suggest that body weight (Bwt) variability, a repeated loss and regain of weight within a specific period, causes metabolic disturbances and can be a marker for poor homeostasis. Although there have been many studies about the association between Bwt variability and various health status, its association with the incidence of dementia among elderly people has not been examined. Methods: We performed a retrospective elderly cohort study from 19,987 participants with mean age 73 years old in the Korean National Health Insurance Service. We examined the risk of incident dementia, including Alzheimer's dementia and vascular dementia, according to the quartile of Bwt variability, represented as coefficient of variation (Bwt-CV), SD (Bwt-SD), and variability independent of the mean (Bwt-VIM). Results: In fully adjusted model, the group with the highest Bwt variability (Bwt-VIM Q4) showed an increased risk of all-cause dementia (hazard ratio [HR] 1.39, 95% confidence interval [CI] 1.206–1.603) and Alzheimer's dementia (HR 1.46, CI 1.240–1.724) compared to the lowest quartile (Bwt-VIM Q1). We also found that subjects with the highest Bwt variability (Q4) and underweight BMI had a significantly increased risk of developing dementia (HR 1.994, 95% CI 1.302–3.054), while subjects with low Bwt variability (Q1 and Q2) and obese BMI had decreased risk of dementia (HR 0.664, 95% CI 0.505–0.872 and HR 0.648, 95% CI 0.493–0.852, respectively) compared to reference group (lowest Bwt variability (Q1) with normal baseline BMI). The effect of Bwt variability on the incidence of dementia was more prominent in subjects <75 years old and abnormal BMI groups (P for interaction < 0.05). Conclusion: The present study revealed that high Bwt variability was associated with an increased risk of dementia in the elderly. Frontiers Media S.A. 2020-05-12 /pmc/articles/PMC7247844/ /pubmed/32528407 http://dx.doi.org/10.3389/fendo.2020.00291 Text en Copyright © 2020 Roh, Hwang, Kim, Lee, Hong, Kim, Seo, Kim, Kim, Choi, Baik and Yoo. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Roh, Eun Hwang, Soon Young Kim, Jung A. Lee, You-Bin Hong, So-hyeon Kim, Nam Hoon Seo, Ji A. Kim, Sin Gon Kim, Nan Hee Choi, Kyung Mook Baik, Sei Hyun Yoo, Hye Jin Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title | Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title_full | Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title_fullStr | Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title_full_unstemmed | Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title_short | Body Weight Variability Increases Dementia Risk Among Older Adults: A Nationwide Population-Based Cohort Study |
title_sort | body weight variability increases dementia risk among older adults: a nationwide population-based cohort study |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247844/ https://www.ncbi.nlm.nih.gov/pubmed/32528407 http://dx.doi.org/10.3389/fendo.2020.00291 |
work_keys_str_mv | AT roheun bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT hwangsoonyoung bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT kimjunga bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT leeyoubin bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT hongsohyeon bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT kimnamhoon bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT seojia bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT kimsingon bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT kimnanhee bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT choikyungmook bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT baikseihyun bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy AT yoohyejin bodyweightvariabilityincreasesdementiariskamongolderadultsanationwidepopulationbasedcohortstudy |