Literature DB >> 21149810

Association of higher levels of high-density lipoprotein cholesterol in elderly individuals and lower risk of late-onset Alzheimer disease.

Christiane Reitz1, Ming-Xin Tang, Nicole Schupf, Jennifer J Manly, Richard Mayeux, José A Luchsinger.   

Abstract

OBJECTIVE: To reexamine the association of lipid levels with Alzheimer disease (AD) using Cox proportional hazards models.
DESIGN: Prospective cohort study.
SETTING: Northern Manhattan, New York. PARTICIPANTS: One thousand one hundred thirty elderly individuals free of cognitive impairment at baseline. MAIN OUTCOME MEASURE: High-density lipoprotein cholesterol (HDL-C) levels.
RESULTS: Higher levels of HDL-C (>55 mg/dL) were associated with a decreased risk of both probable and possible AD and probable AD compared with lower HDL-C levels (hazard ratio, 0.4; 95% confidence interval, 0.2-0.9; P = .03 and hazard ratio, 0.4; 95% confidence interval, 0.2-0.9; P = .03). In addition, higher levels of total and non-HDL-C were associated with a decreased risk of AD in analyses adjusting for age, sex, education, ethnic group, and APOE e4 genotype.
CONCLUSION: High HDL-C levels in elderly individuals may be associated with a decreased risk of AD.

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Year:  2010        PMID: 21149810      PMCID: PMC3065942          DOI: 10.1001/archneurol.2010.297

Source DB:  PubMed          Journal:  Arch Neurol        ISSN: 0003-9942


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