Age and Ageing Advance Access published online on November 23, 2006
Age and Ageing, doi:10.1093/ageing/afl123
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1 Division of Aging, Brigham and Women's Hospital/Harvard Medical School, 1620 Tremont Street, Boston, USA
* To whom correspondence should be addressed. Background: identification of modifiable risk factors is crucial in the prevention of dementia, given its limited treatment options. Studies on increased body mass index (BMI) as a risk factor for dementia show conflicting results. Methods: we systematically retrieved and reviewed longitudinal population-based studies on increased BMI and dementia using a standard protocol. We searched Medline (1966-2006), Ageline (1978-2006), PsychInfo (1966-2006), CINAHL (1982-2006), and other relevant databases, including the reference lists of the eligible articles for review. Included studies were subjected to a quality assessment protocol. Results: we identified eight studies that met our selection criteria. These studies covered 1,688 cases of dementia from 28,697 participants. After adjustment for age, smoking, comorbidities, and other confounders, four studies presented significantly increased risk of dementia with elevated BMI. Conclusion: this systematic review supports the hypothesis that increased BMI is independently associated with increased risk of dementia. Long-term studies to examine the mechanisms underlying the relationship between obesity and dementia are needed.
Accepted September 14, 2006
Systematic Review
The risk of dementia with increased body mass index: a systematic review
Emmanuel C. Gorospe 1 and Jatin K. Dave 1 *
Jatin K. Dave, E-mail: jkdave{at}partners.org
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