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- W2129865769 abstract "Vascular disorders have been implicated in the development of cognitive decline and dementia and atherosclerosis is believed to be involved in the development of the most common type of dementia, Alzheimer's disease. Although a low ankle-brachial index (ABI) reflects the presence of atherosclerosis of the arterial walls in the lower extremities and is a good indicator of generalized atherosclerosis, data on cognitive prognosis of patients with a low ABI are limited. This study aimed to investigate the association of the ABI to several grades of cognitive impairment including normal cognition (NC), amnestic mild cognitive impairment (MCI) and Alzheimer's disesase (AD) in the Korean elderly. Five hundred ninety five subjects (NC 100, amnestic MCI 291 and probable AD 204) aged 60 years old and over enrolled in the Dementia and Age-associated Cognitive Decline Clinic of an university hospital and in a service program for the early detection and management of dementia in the community. The ABI was measured as a generalized atherosclerosis. The subjects were divided into 3 groups according to the ABI tertiles and and a multivariate logistic regression analysis was applied to determine the association between the ABI and the grades of cognitive impairment. Measurement included height, weight, body mass index (BMI), blood pressure, serum total cholesterol, LDL cholesterol, triglyceride, hemostatic factors, and presence of cardiovascular diseases. Subjects with NC were significantly younger than those with either of amnestic MCI or probable AD and well educated than those with probable AD. Subjects with NC also was higher in height and lower in body weight, systolic and diastolic blood pressure, serum total cholesterol, LDL cholesterol and various hemostatic factors. When the subjects were divided into 2 groups (NC versus aMCI and AD), after adjusting for confounding factors, the lowest ABI tertile was significantly associated with an increased risk of cognitive impairment such as aMCI and AD. (OR=2.65, 95%CI=1.43–4.95). This cross-sectional study suggests that the ABI may be an independent risk factor for cognitive impairment and useful in identifying older individuals at higher risk of AD and amnestic MCI, a prodromal stage of AD." @default.
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- W2129865769 date "2013-07-01" @default.
- W2129865769 modified "2023-10-16" @default.
- W2129865769 title "P4-069: Association of ankle brachial index among the elderly with normal cognition, amnestic mild cognitive impairment and Alzheimer's disease" @default.
- W2129865769 doi "https://doi.org/10.1016/j.jalz.2013.05.1458" @default.
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