Data‐driven discovery of midlife cardiometabolic profile associated with incident early‐onset and late‐onset dementia

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Cardiometabolic patterns characterised by relatively high liver enzyme levels or systemic inflammation were associated with increased risks of early-onset and late-onset dementia. Identification of high-risk subgroups according to distinct cardiometabolic patterns might help develop more precise strategies for dementia prevention regardless of apolipoprotein E (APOE) ε4 status.

Study context

Population
UK Biobank participants; early-onset dementia analyses in those aged <65 years at baseline (n = 249,870), late-onset dementia analyses in those ≥65 at end of follow-up (n = 191,213)
Participants
289,494 participants
Exposure
Cardiometabolic profile clusters vs relatively healthy pattern
Outcome
Incident early-onset and late-onset dementia
Follow-up
Median 14.1 years
Methodological detailsdata-driven cluster analysis of 12 cardiometabolic markers, UK Biobank
  • Data-driven cluster analysis of 12 cardiometabolic markers
  • UK Biobank

Main finding

As reported in the abstract

Each group vs cluster 5Hazard ratio (95% CI)
Cluster 3early-onset dementia
2.58(1.61–4.14)
Cluster 3late-onset dementia
1.36(1.09–1.71)
Cluster 4late-onset dementia
1.39(1.13–1.72)
Early-onset dementia cases
279
Late-onset dementia cases
3167

Observational data: associations, not effects.

Further findings

No significant interactions between cardiometabolic clusters and apolipoprotein E (APOE) ε4 genotype

Original publication

Data‐driven discovery of midlife cardiometabolic profile associated with incident early‐onset and late‐onset dementia. Diabetes Obes Metab. Published 6 March 2025. doi:10.1111/dom.16292

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