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Developing cardiovascular, mental health and neurological-related illnesses before the age of 70 is associated with a greater risk of dementia later in life, with the more of these conditions accumulated the greater the risk, according to a new study by the University of Oxford.

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Scientists in the Department of Psychiatry, supported by the National Institute for Health and Care Research (NIHR) Oxford Health Biomedical Research Centre, also found that there were “critical time windows” when the onset of these chronic health conditions could have the greatest effect on the risk of developing dementia.

Previous research has shown that the co-existence of multiple illnesses, known as multimorbidity, increases the chances of dementia, but this study is the first to identify how the age of onset of these specific health conditions makes a difference.

The study, published in the journal Brain Communications, analysed UK Biobank electronic health data from more than 282,000 people. The researchers examined the patterns of accumulation of 46 chronic health conditions from birth to 70 years old, and found that:

  • Before the age of 55, people who were diagnosed with cardiometabolic disorders, such as coronary heart disease and diabetes, had the highest risk of developing dementia in the future, compared to those diagnosed with other chronic illnesses or those without any illnesses.
  • Between 55 and 70 years old, people who were diagnosed with mental health conditions such as anxiety and depression, and neurovascular conditions, such as stroke, had a two-fold increase in dementia risk compared to those without any chronic illnesses.
  • The findings also point to a cumulative effect; people who sequentially accumulate cardiometabolic conditions, followed later by neurovascular and mental health disorders were at the greatest risk of dementia

 

Read the full story on the Department of Psychiatry website.