Use of statins and incidence of dementia and cognitive impairment without dementia in a cohort study.

Abstract:

OBJECTIVE:Evidence of a relation between use of lipid lowering drugs and cognitive outcomes is mixed. This study aimed to test the association between use of statins and incidence of dementia and cognitive impairment without dementia (CIND) over 5 years of follow-up. METHODS:Data were from a population-based cohort study comprising 1,789 older Mexican Americans. All participants had cognitive and clinical evaluations performed every 12 to 15 months. Participants who fell below specified cutpoints on cognitive tests were then evaluated clinically. Dementia diagnoses were finalized by an adjudication team. A total of 1,674 participants free of dementia/CIND at baseline were included in these analyses. Statin use was verified at each participant's home by medicine cabinet inspection. Cox proportional hazards models were used to evaluate the association between statin use and incidence of dementia/CIND. RESULTS:Overall, 452 of 1,674 participants (27%) took statins at any time during the study. Over the 5-year follow-up period, 130 participants developed dementia/CIND. In Cox proportional hazards models adjusted for education, smoking status, presence of at least one APOE epsilon4 allele, and history of stroke or diabetes at baseline, persons who had used statins were about half as likely as those who did not use statins to develop dementia/CIND (HR = 0.52; 95% CI 0.34, 0.80). CONCLUSION:Statin users were less likely to have incident dementia/cognitive impairment without dementia during a 5-year follow-up. These results add to the emerging evidence suggesting a protective effect of statin use on cognitive outcomes.

journal_name

Neurology

journal_title

Neurology

authors

Cramer C,Haan MN,Galea S,Langa KM,Kalbfleisch JD

doi

10.1212/01.wnl.0000319647.15752.7b

subject

Has Abstract

pub_date

2008-07-29 00:00:00

pages

344-50

issue

5

eissn

0028-3878

issn

1526-632X

pii

71/5/344

journal_volume

71

pub_type

杂志文章
  • Airborne rabies encephalitis: demonstration of rabies virus in the human central nervous system.

    abstract::A veterinarian contracted rabies in the course of laboratory work with homogenates of rabid goat brain. Epidemiologic study determined a respiratory mode of transmission. After a fulminant encephalitic illness, formed rabies virions were identified in the synaptic zones of the olfactory glomeruli. Identification, isol...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.1.67

    authors: Conomy JP,Leibovitz A,McCombs W,Stinson J

    更新日期:1977-01-01 00:00:00

  • Oral fluoroquinolone use and risk of peripheral neuropathy: a pharmacoepidemiologic study.

    abstract:OBJECTIVE:To quantify the risk of peripheral neuropathy (PN) with oral fluoroquinolone (FQ) use. METHODS:We conducted a case-control study within a cohort of men aged 45 to 80 years in the United States followed from 2001 to 2011. Cases were defined as those with the first physician visit diagnosis of PN, polyneuropat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000846

    authors: Etminan M,Brophy JM,Samii A

    更新日期:2014-09-30 00:00:00

  • Human brain, plasma, and cerebrospinal fluid concentration of sodium valproate after 72 hours of therapy.

    abstract::Nine neurosurgical patients suffering from a variety of brain tumors were studied. Sodium valproate was given for 3 days before surgery. At craniotomy, sections of brain and samples of cerebrospinal fluid (CSF) and plasma were obtained and assayed for sodium valproate concentrations. Brain levels were 6.8 to 27.9% of ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.4.486

    authors: Vajda FJ,Donnan GA,Phillips J,Bladin PF

    更新日期:1981-04-01 00:00:00

  • Nonsteroidal anti-inflammatory drugs are associated with increased neuritic plaques.

    abstract:OBJECTIVES:Observational and experimental studies suggest that nonsteroidal anti-inflammatory drugs (NSAIDs) may protect against Alzheimer disease (AD); however, clinical trials and other observational studies, including the Adult Changes in Thought (ACT) study, show no protection or promotion of AD. The objective of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181f52db1

    authors: Sonnen JA,Larson EB,Walker RL,Haneuse S,Crane PK,Gray SL,Breitner JC,Montine TJ

    更新日期:2010-09-28 00:00:00

  • GFAP and S100B are biomarkers of traumatic brain injury: an observational cohort study.

    abstract:BACKGROUND:Biomarker levels in blood after traumatic brain injury (TBI) may offer diagnostic and prognostic tools in addition to clinical indices. This study aims to validate glial fibrillary acidic protein (GFAP) and S100B concentrations in blood as outcome predictors of TBI using cutoff levels of 1.5 μg/L for GFAP an...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181fd62d2

    authors: Vos PE,Jacobs B,Andriessen TM,Lamers KJ,Borm GF,Beems T,Edwards M,Rosmalen CF,Vissers JL

    更新日期:2010-11-16 00:00:00

  • Factors influencing osmotic fragility of red blood cells in Duchenne muscular dystrophy.

    abstract::Factors affecting osmotic fragility were studied in red blood cells of patients with Duchenne muscular dystrophy. The mean osmotic fragility (MOF), operationally defined as the NaCl concentration for 50% hemolysis, was found to be higher by 3.63 +/- 0.51 mM in Duchenne cells than in normal cells having an MOF of 60.1 ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.7.726

    authors: Kim HD,Luthra MG,Watts RP,Stern LZ

    更新日期:1980-07-01 00:00:00

  • Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neuro

    abstract:OBJECTIVES/METHODS:To examine evidence for effectiveness of anteromesial temporal lobe and localized neocortical resections for disabling complex partial seizures by systematic review and analysis of the literature since 1990. RESULTS:One intention-to-treat Class I randomized, controlled trial of surgery for mesial te...

    journal_title:Neurology

    pub_type: 指南,杂志文章,实务指引,评审

    doi:10.1212/01.wnl.0000055086.35806.2d

    authors: Engel J Jr,Wiebe S,French J,Sperling M,Williamson P,Spencer D,Gumnit R,Zahn C,Westbrook E,Enos B,Quality Standards Subcommittee of the American Academy of Neurology.,American Epilepsy Society.,American Association of Neurological

    更新日期:2003-02-25 00:00:00

  • Irreversible spinal cord injury as a complication of subarachnoid ethanol neurolysis.

    abstract::Subarachnoid neurolysis using ethanol to destroy selectively the posterior roots of the spinal cord is a method for providing pain relief in patients with advanced cancer. Weakness of the extremities is a complication of the procedure that has been attributed to spread of the neurolytic agent to the anterior roots. Th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.7.1522

    authors: McGarvey ML,Ferrante FM,Patel RS,Maljian JA,Stecker M

    更新日期:2000-04-11 00:00:00

  • Frequency and risk factors of antibody-induced secondary failure of botulinum neurotoxin therapy.

    abstract:OBJECTIVE:To investigate the risk factors of neutralizing antibody (NAB)-induced complete secondary treatment failure (cSTF) during long-term botulinum neurotoxin (BoNT) treatment in various neurologic indications. METHODS:This monocenter retrospective cohort study analyzed the data of 471 patients started on BoNT the...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009444

    authors: Walter U,Mühlenhoff C,Benecke R,Dressler D,Mix E,Alt J,Wittstock M,Dudesek A,Storch A,Kamm C

    更新日期:2020-05-19 00:00:00

  • Spinal cord infarction: etiology and outcome.

    abstract::We reviewed 44 cases of ischemia and infarction of the spinal cord at two university hospitals. Three patients experienced transient ischemic attacks. Etiologies of completed strokes were diverse and included rupture and surgical repair of aortic aneurysms, aortic dissection, aortic rupture and thrombosis, global isch...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.321

    authors: Cheshire WP,Santos CC,Massey EW,Howard JF Jr

    更新日期:1996-08-01 00:00:00

  • Brain N-acetylaspartate is elevated in Pelizaeus-Merzbacher disease with PLP1 duplication.

    abstract:OBJECTIVE:To assess alterations in brain metabolites of patients with Pelizaeus-Merzbacher disease (PMD) with the proteolipid protein gene 1 (PLP1) duplications using quantitative proton MRS. METHODS:Five unrelated male Japanese patients with PMD with PLP1 duplications were analyzed using automated proton brain examin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.2.237

    authors: Takanashi J,Inoue K,Tomita M,Kurihara A,Morita F,Ikehira H,Tanada S,Yoshitome E,Kohno Y

    更新日期:2002-01-22 00:00:00

  • Fat metabolism during exercise in patients with McArdle disease.

    abstract:OBJECTIVE:It is known that muscle phosphorylase deficiency restricts carbohydrate utilization, but the implications for muscle fat metabolism have not been studied. We questioned whether patients with McArdle disease can compensate for the blocked muscle glycogen breakdown by enhancing fat oxidation during exercise. M...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000343002.74480.e4

    authors: Ørngreen MC,Jeppesen TD,Andersen ST,Taivassalo T,Hauerslev S,Preisler N,Haller RG,van Hall G,Vissing J

    更新日期:2009-02-24 00:00:00

  • MRI correlates of neurofibrillary tangle pathology at autopsy: a voxel-based morphometry study.

    abstract:BACKGROUND:Neurofibrillary tangles (NFTs), composed of hyperphosphorylated tau proteins, are one of the pathologic hallmarks of Alzheimer disease (AD). We aimed to determine whether patterns of gray matter atrophy from antemortem MRI correlate with Braak staging of NFT pathology. METHODS:Eighty-three subjects with Bra...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000324924.91351.7d

    authors: Whitwell JL,Josephs KA,Murray ME,Kantarci K,Przybelski SA,Weigand SD,Vemuri P,Senjem ML,Parisi JE,Knopman DS,Boeve BF,Petersen RC,Dickson DW,Jack CR Jr

    更新日期:2008-09-02 00:00:00

  • Autopsy validation of 123I-FP-CIT dopaminergic neuroimaging for the diagnosis of DLB.

    abstract:OBJECTIVE:To conduct a validation study of 123I-N-fluoropropyl-2b-carbomethoxy-3b-(4-iodophenyl) nortropane (123I-FP-CIT) SPECT dopaminergic imaging in the clinical diagnosis of dementia with Lewy bodies (DLB) with autopsy as the gold standard. METHODS:Patients >60 years of age with dementia who had undergone 123I-FP-...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003512

    authors: Thomas AJ,Attems J,Colloby SJ,O'Brien JT,McKeith I,Walker R,Lee L,Burn D,Lett DJ,Walker Z

    更新日期:2017-01-17 00:00:00

  • Demyelinating encephalopathy in Lyme disease.

    abstract::A 38-year-old man from southeastern Connecticut developed a diffuse encephalopathy with partial complex seizures, followed weeks later by arthritis, cryoglobulinemia, and increased serum IgM. CT showed confluent low-density lesions in the deep cerebral white matter consistent with demyelination. Neither the encephalop...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.2.267

    authors: Reik L Jr,Smith L,Khan A,Nelson W

    更新日期:1985-02-01 00:00:00

  • A compulsive collecting behavior following an A-com aneurysmal rupture.

    abstract::Hoarding behavior associated with focal brain injury is rarely reported. The authors report a 46-year-old man with pathologic collecting behavior after a left orbitofrontal and caudate injury from an aneurysmal rupture of anterior communicating artery. His hoarding, an impulse control disorder or an ego-syntonic compu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.3.398

    authors: Hahm DS,Kang Y,Cheong SS,Na DL

    更新日期:2001-02-13 00:00:00

  • Preoperative factors of apathy in subthalamic stimulated Parkinson disease: a PET study.

    abstract:OBJECTIVE:The current literature provides discrepant results regarding preoperative sociodemographic and clinical factors, and no information about preoperative cerebral metabolic patterns associated with apathy after subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson disease. METHODS:To resolve this is...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000941

    authors: Robert GH,Le Jeune F,Lozachmeur C,Drapier S,Dondaine T,Péron J,Houvenaghel JF,Travers D,Sauleau P,Millet B,Vérin M,Drapier D

    更新日期:2014-10-28 00:00:00

  • Erythrocyte thiolmethyltransferase: another failed marker for Alzheimer's and Parkinson's diseases.

    abstract::There are reports that patients with Parkinson's disease (PD) and Alzheimer's disease (AD) have reduced levels of thiolmethyltransferase (TMT) in erythrocyte membranes. TMT methylates thiols and thiocarbamates, thereby reducing their toxicity. We examined TMT levels in erythrocytes from patients with PD and AD and fro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.10.1903

    authors: Hurwitz A,Hubble JP,Glatt SL,Koller WC,Pollack J

    更新日期:1995-10-01 00:00:00

  • Glycine and experimental spinal spasticity.

    abstract::Spasticity may result in part from segmental spinal disinhibition. We determined the content and specific activity of glycine (the putative neurotransmitter thought to mediate spinal postsynaptic inhibition) and serine (the probable precursor of glycine) in feline spastic spinal cord following the intra-aortic adminis...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.2.262

    authors: Hall PV,Smith JE,Lane J,Mote T,Campbell R

    更新日期:1979-02-01 00:00:00

  • Confusion and memory loss from capsular genu infarction: a thalamocortical disconnection syndrome?

    abstract::We examined six patients with an abrupt change in behavior after infarction involving the inferior genu of the internal capsule. The acute syndrome featured fluctuating alertness, inattention, memory loss, apathy, abulia, and psychomotor retardation, suggesting frontal lobe dysfunction. Contralateral hemiparesis and d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.10.1966

    authors: Tatemichi TK,Desmond DW,Prohovnik I,Cross DT,Gropen TI,Mohr JP,Stern Y

    更新日期:1992-10-01 00:00:00

  • A 21-aminosteroid inhibits stimulated monocyte hydrogen peroxide and chemiluminescence measurements from MS patients and controls.

    abstract::Monocytes are recruited to active sites of multiple sclerosis (MS) demyelination and may promote local tissue injury by generating an inflammatory response, mediated in part by the production of toxic oxygen metabolites. Corticosteroids are frequently and effectively used to ameliorate MS exacerbations, despite inadeq...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.2_part_1.297

    authors: Fisher M,Levine PH,Doyle EM,Arpano MM,Bergeron DA,Cohen RA,Hoogasian JJ

    更新日期:1991-02-01 00:00:00

  • Valproic acid efficacy, toxicity, and pharmacokinetics in neonates with intractable seizures.

    abstract::Six neonates with prolonged, intractable seizures were treated with valproic acid (VPA). Each patient had received maximum doses of phenobarbital (greater than 40 micrograms/ml), and five patients received at least two additional anticonvulsants, without success. Seizure activity was controlled in five of six (83%) ca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.3.467

    authors: Gal P,Oles KS,Gilman JT,Weaver R

    更新日期:1988-03-01 00:00:00

  • Cerebral ischemia and atrial fibrillation: prospective study.

    abstract::The frequency of recurrent cerebral ischemia and death was determined prospectively in 36 patients who presented with ischemic stroke and had atrial fibrillation. Patients were followed an average of 2.3 months (range, 3 weeks to 9 months). The recurrence rate for cerebral ischemia was 33%, and the mortality rate was ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1285

    authors: Kelley RE,Berger JR,Alter M,Kovacs AG

    更新日期:1984-10-01 00:00:00

  • A prospective study of cognitive impairment in ALS.

    abstract:OBJECTIVE:To characterize prospectively the cognitive profile in ALS. METHODS:Clinically definite ALS patients (11 men, 2 women), age 39.9 to 74.0 years (mean age, 54.2 +/- 9.6 years; mean disease duration, 21.1 +/- 10.5 months) underwent neuropsychologic, language, and speech testing followed by MR 1H spectroscopy (4...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.8.1665

    authors: Strong MJ,Grace GM,Orange JB,Leeper HA,Menon RS,Aere C

    更新日期:1999-11-10 00:00:00

  • Neurocognition, sleep, and PET findings in type 2 vs type 1 narcolepsy.

    abstract:OBJECTIVE:To analyze differences in functional brain images collected in patients with type 2 and type 1 narcolepsy compared to normal controls and the relationship among brain images, objective neuropsychologic tests, and sleep findings. METHODS:Data collection included comprehensive clinical investigation, study of ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005346

    authors: Huang YS,Hsiao IT,Liu FY,Hwang FM,Lin KL,Huang WC,Guilleminault C

    更新日期:2018-04-24 00:00:00

  • Infarcts with a cardiac source of embolism in the NINCDS Stroke Data Bank: historical features.

    abstract::To gain insight into the historical features relevant to the diagnosis of cardiac embolic strokes, we studied the 1,290 patients with cerebral infarcts in the NINCDS Stroke Data Bank. Based solely on the presence of cardiac sources of embolism, we divided the patients into groups of high (n = 250), medium (n = 166), a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.2.281

    authors: Kittner SJ,Sharkness CM,Price TR,Plotnick GD,Dambrosia JM,Wolf PA,Mohr JP,Hier DB,Kase CS,Tuhrim S

    更新日期:1990-02-01 00:00:00

  • Predictive factors of in-hospital CNS complications following liver transplantation.

    abstract::We prospectively evaluated 84 consecutive adult patients with chronic liver disease before and after liver transplantation to define the type and frequency of post-transplant neurologic complications, and to assess possible pretransplant and operative variables associated with in-hospital CNS complications. There were...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.7.1226

    authors: Pujol A,Graus F,Rimola A,Beltrán J,Garcia-Valdecasas JC,Navasa M,Grande L,Galofré J,Visa J,Rodés J

    更新日期:1994-07-01 00:00:00

  • Clinical manifestations of intermediate allele carriers in Huntington disease.

    abstract:OBJECTIVE:There is controversy about the clinical consequences of intermediate alleles (IAs) in Huntington disease (HD). The main objective of this study was to establish the clinical manifestations of IA carriers for a prospective, international, European HD registry. METHODS:We assessed a cohort of participants at r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002944

    authors: Cubo E,Ramos-Arroyo MA,Martinez-Horta S,Martínez-Descalls A,Calvo S,Gil-Polo C,European HD Network.

    更新日期:2016-08-09 00:00:00

  • Cognitive deficits of pure subcortical vascular dementia vs. Alzheimer disease: PiB-PET-based study.

    abstract:OBJECTIVES:Despite many neuropsychological studies to differentiate subcortical vascular dementia (SVaD) from Alzheimer disease (AD), previous studies did not eliminate confounding effects of mixed Alzheimer and vascular pathology. We aimed to investigate neuropsychological differences between patients with Pittsburgh ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182815485

    authors: Yoon CW,Shin JS,Kim HJ,Cho H,Noh Y,Kim GH,Chin JH,Oh SJ,Kim JS,Choe YS,Lee KH,Lee JH,Seo SW,Na DL

    更新日期:2013-02-05 00:00:00

  • Cerebrospinal fluid monoclonal gammopathy in multiple myeloma and Waldenström's macroglobulinemia.

    abstract::Serum ratios of monoclonal immunoglobulin (Ig) to total protein, monoclonal immunoglobulin to albumin, CSF/serum Ig-albumin index, and CSF to serum monoclonal immunoglobulin were obtained in 21 patients with multiple myeloma and 2 with Waldenström's macroglobulinemia. Twelve patients (3 with CNS complications) showed ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.11.1411

    authors: Hansotia P,Gani K,Friedenberg W

    更新日期:1983-11-01 00:00:00