Sex differences in dementia and response to a lifestyle intervention: Evidence from Nordic population‐based studies and a prevention trial

Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods Two strategies were adopted, one using combined data from three large Nordic population‐bas...

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Published inAlzheimer's & dementia Vol. 17; no. 7; pp. 1166 - 1178
Main Authors Sindi, Shireen, Kåreholt, Ingemar, Ngandu, Tiia, Rosenberg, Anna, Kulmala, Jenni, Johansson, Lena, Wetterberg, Hanna, Skoog, Johan, Sjöberg, Linnea, Wang, Hui‐Xin, Fratiglioni, Laura, Skoog, Ingmar, Kivipelto, Miia
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.07.2021
Subjects
Age Factors
Aged
Aged, 80 and over
cohort study
dementia
Dementia - prevention & control
Female
Health Sciences
Humans
Hälsovetenskaper
Life Style
lifestyle intervention
Male
Medicin och hälsovetenskap
Risk Factors
Scandinavian and Nordic Countries
sex differences
Sex Factors
Scandinavian and Nordic Countries
dementia
risk factors
cohort study
lifestyle intervention
sex differences
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Abstract Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods Two strategies were adopted, one using combined data from three large Nordic population‐based cohort studies (n = 2289), adopting dementia as outcome, and 2‐year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. Results There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex‐specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid‐ and late‐life. Conclusion Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
AbstractList Abstract Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods Two strategies were adopted, one using combined data from three large Nordic population‐based cohort studies (n = 2289), adopting dementia as outcome, and 2‐year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. Results There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex‐specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid‐ and late‐life. Conclusion Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods Two strategies were adopted, one using combined data from three large Nordic population‐based cohort studies (n = 2289), adopting dementia as outcome, and 2‐year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. Results There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex‐specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid‐ and late‐life. Conclusion Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods Two strategies were adopted, one using combined data from three large Nordic population-based cohort studies (n = 2289), adopting dementia as outcome, and 2-year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. Results There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex-specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid- and late-life. Conclusion Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention.INTRODUCTIONEvidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention.Two strategies were adopted, one using combined data from three large Nordic population-based cohort studies (n = 2289), adopting dementia as outcome, and 2-year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome.METHODSTwo strategies were adopted, one using combined data from three large Nordic population-based cohort studies (n = 2289), adopting dementia as outcome, and 2-year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome.There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex-specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid- and late-life.RESULTSThere was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex-specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid- and late-life.Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.CONCLUSIONWomen had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Introduction: Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Methods: Two strategies were adopted, one using combined data from three large Nordic population-based cohort studies (n = 2289), adopting dementia as outcome, and 2-year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. Results: There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex-specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid- and late-life. Conclusion: Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects of a lifestyle intervention. Two strategies were adopted, one using combined data from three large Nordic population-based cohort studies (n = 2289), adopting dementia as outcome, and 2-year multidomain lifestyle intervention (n = 1260), adopting cognitive change as outcome. There was higher risk for dementia after age 80 years in women. The positive effects of the lifestyle intervention on cognition did not significantly differ between men and women. Sex-specific analyses suggested that different vascular, lifestyle, and psychosocial risk factors are important for women and men in mid- and late-life. Women had higher risk for dementia among the oldest individuals. Lifestyle interventions may be effectively implemented among older men and women.
Author Johansson, Lena
Sjöberg, Linnea
Wang, Hui‐Xin
Fratiglioni, Laura
Wetterberg, Hanna
Kivipelto, Miia
Sindi, Shireen
Kulmala, Jenni
Skoog, Johan
Rosenberg, Anna
Skoog, Ingmar
Kåreholt, Ingemar
Ngandu, Tiia
AuthorAffiliation 4 Institute of Gerontology School of Health and Welfare Aging Research Network – Jönköping (ARN‐J) Jönköping University Jönköping Sweden
6 Institute of Public Health and Clinical Nutrition and Institute of Clinical Medicine Neurology University of Eastern Finland Kuopio Finland
9 Stress Research Institute Stockholom University Stockholm Sweden
11 Theme Aging Karolinska University Hospital Stockholm Sweden
8 Department of Psychology Center for Health and Ageing (AGECAP) University of Gothenburg Gothenburg Sweden
10 Stockholm Gerontology Research Center Stockholm Sweden
3 Aging Research Center Karolinska Institutet and Stockholm University Stockholm Sweden
7 Institute of Neuroscience and Physiology Center for Health and Ageing AGECAP Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
5 Public Health Promotion Unit National Institute for Health and Welfare Helsinki Finland
1 Division of Clinical Geriatrics Center for Alzheimer Research Karolinska Institutet and Karolinska University Ho
AuthorAffiliation_xml – name: 7 Institute of Neuroscience and Physiology Center for Health and Ageing AGECAP Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
– name: 3 Aging Research Center Karolinska Institutet and Stockholm University Stockholm Sweden
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– name: 5 Public Health Promotion Unit National Institute for Health and Welfare Helsinki Finland
– name: 6 Institute of Public Health and Clinical Nutrition and Institute of Clinical Medicine Neurology University of Eastern Finland Kuopio Finland
– name: 11 Theme Aging Karolinska University Hospital Stockholm Sweden
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  organization: Karolinska University Hospital
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Issue 7
Keywords dementia
risk factors
cohort study
lifestyle intervention
sex differences
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SSID ssj0040815
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Snippet Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in...
Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in the effects...
Abstract Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of...
Introduction: Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and...
Introduction Evidence on sex differences in the risk for dementia has been mixed. The goal was to assess sex differences in the development of dementia, and in...
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StartPage 1166
SubjectTerms Age Factors
Aged
Aged, 80 and over
cohort study
dementia
Dementia - prevention & control
Female
Health Sciences
Humans
Hälsovetenskaper
Life Style
lifestyle intervention
Male
Medicin och hälsovetenskap
Risk Factors
Scandinavian and Nordic Countries
sex differences
Sex Factors
Title Sex differences in dementia and response to a lifestyle intervention: Evidence from Nordic population‐based studies and a prevention trial
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Falz.12279
https://www.ncbi.nlm.nih.gov/pubmed/34255432
https://www.proquest.com/docview/2551210179/abstract/
https://pubmed.ncbi.nlm.nih.gov/PMC8361986
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-54201
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-196493
https://gup.ub.gu.se/publication/308452
http://kipublications.ki.se/Default.aspx?queryparsed=id:147170347
Volume 17
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