Sex as a Risk Factor for Developing Cognitive Impairments in National Alzheimer's Coordinating Center Participants

性别作为国家阿尔茨海默病协调中心参与者认知障碍风险因素的研究

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Abstract

BACKGROUND: It is inconclusive on how sex affects the risk of developing mild cognitive impairment (MCI) or dementia. OBJECTIVE: To investigate how sex affects the risk of developing MCI or dementia. METHODS: A secondary data analysis was performed on data collected from participants enrolled at Alzheimer's Disease Research Centers funded by National Institute on Aging. There were two inclusion criteria: 1) participants were free of dementia at the baseline visit; 2) every participant must have at least one follow-up visit. A Cox proportional hazards model was used to investigate how sex affects the risk of developing cognitive impairments. RESULTS: During a follow-up period of more than 10 years, male participants had a slightly higher incidence than female participants for either MCI or dementia. Not surprisingly, a higher prevalence was observed in male than female participants for either MCI or dementia. However, male participants had a higher mortality rate than their female counterparts. CONCLUSION: The male sex is associated with a higher risk for developing cognitive impairments along the aging process.

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