Type 2 & other diabetes

Age of Diabetes Diagnosis and Lifetime Risk of Dementia: The Atherosclerosis Risk in Communities (ARIC) Study

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Preventing or delaying diabetes may be an important approach for reducing dementia risk throughout the life course.

Study context

Population
ARIC Study participants free from dementia at age 60 years
Participants
13,087 participants
Exposure
Middle age-onset diabetes vs older-onset diabetes vs no diabetes
Outcome
Lifetime risk of dementia (incident dementia ascertained via adjudication and active surveillance)
Follow-up
Median 24.1 (percentile 25-percentile 75, 17.4-28.3) years
Methodological detailscompeting risk of mortality accounted for, cumulative incidence function estimator, restricted mean survival time
  • Competing risk of mortality accounted for
  • Cumulative incidence function estimator
  • Restricted mean survival time

Main finding

As reported in the abstract

Lifetime risk of dementia

Observational data: associations, not effects.

Further findings

OutcomeMiddle age-onset diabetesNo diabetes
Cumulative incidence of dementia by age 80 years16.1%9.4%

Timing of dementia onset

Middle age-onset diabetes developed dementia earlier than no diabetes
4 years
Middle age-onset diabetes developed dementia earlier than older-onset diabetes
1 year

Events during follow-up (all participants)

Individuals with dementia
2,982
Deaths without dementia
4,662

Original publication

Age of Diabetes Diagnosis and Lifetime Risk of Dementia: The Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care. Published 27 June 2024. doi:10.2337/dc24-0203

Composed by AI from the published abstract and checked against it. How Briefs are made →

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