Prevention & lipids

Ischemic Heart Disease and Vascular Risk Factors Are Associated With Accelerated Brain Aging

JACC Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

Prevalent IHD and coexisting vascular risk factors are associated with accelerated brain aging and risk of dementia.

Study context

Population
UK Biobank participants with brain MRI
Participants
1,341 vs 35,237
Exposure
Prevalent ischemic heart disease (IHD) vs no prevalent IHD
  • IHDn = 1,341
  • No IHDn = 35,237reference
Outcome
Brain-age delta (predicted brain age minus chronological age, years; positive = accelerated brain aging)
Methodological detailsUK Biobank, MRI-based brain-age model (Bayesian ridge regression)
  • UK Biobank
  • MRI-based brain-age model (Bayesian ridge regression)

Main finding

As reported in the abstract

Brain aging in prevalent IHD
Prevalent IHD linked to significantly accelerated brain aging, not fully mediated by microvascular injury
P < 0.001

Observational data: associations, not effects.

Further findings

Dementia risk with brain aging (positive brain-age delta)

OR for dementia
1.13 [95% CI: 1.04-1.22]; P = 0.002

Brain aging and risk factors

Brain aging associated with vascular risk factors (such as diabetes) and high adiposity
Without IHD, brain aging associated with CV structural and functional changes of aging hearts; these not linked with dementia risk

Original publication

Ischemic Heart Disease and Vascular Risk Factors Are Associated With Accelerated Brain Aging. JACC Cardiovasc Imaging. Published 12 April 2023. doi:10.1016/j.jcmg.2023.01.016

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

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