Skip to main content

Advertisement

Log in

Association between Cognitive Impairment, Vascular Disease and All-Cause Mortality

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

The purpose of this study was to investigate the association between elder’s cognitive impairment and mortality. Additionally, interaction between cognitive impairment and cardio- and cerebrovascular diseases was considered.

Methods

Data from the Korean Longitudinal Study of Aging (KLoSA) from 2006 to 2014 was assessed using 10,026 participants at baseline with no missing information. Chi-square test, log-rank test, and Cox proportional hazards models were used to investigate the association between cognitive impairment and mortality.

Results

Cognitive impairment was significantly associated with mortality. With normal cognitive functioning group as reference: HR=2.329 (p<.0001) for severe cognitive impairment, HR=1.238 (p.009) for mild cognitive impairment. The association remained significant even after considering for cardio- and cerebrovascular diseases.

Conclusion

This study provided additional support to previous findings in regards to the relationship between cognitive impairment and mortality. Worse cognitive functioning increased the risk of mortality and the presence of cardio- and cerebrovascular diseases exacerbated this relationship.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Table 1
Figure 1
Table 2
Table 3

Similar content being viewed by others

References

  1. Hultsch DF, Hammer M, Small BJ. Age differences in cognitive performance in later life: Relationships to self-reported health and activity life style. Journal of Gerontology 1993;48:P1–P11

    Article  PubMed  CAS  Google Scholar 

  2. Tabbarah M, Crimmins EM, Seeman TE. The relationship between cognitive and physical performance: MacArthur Studies of Successful Aging. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2002;57: M228–M235

    Article  Google Scholar 

  3. Indicators O. Health at a Glance; 2015.

    Google Scholar 

  4. Korea S. Statistics of Korea, Korean population statistics. Statistics Korea, 2015

    Google Scholar 

  5. Korea S. Dementia Prevalence of the Korean Populatin. Statistics Korea, 2015

    Google Scholar 

  6. De Moraes SA, Szklo M, Tilling K, Sato R, Knopman D. Cognitive functioning as a predictor of ischemic stroke incidence. Epidemiology 2003;14: 673–679

    Article  PubMed  Google Scholar 

  7. Weiler PG, Lubben JE, Chi I. Cognitive impairment and hospital use. American Journal of Public Health 1991;81: 1153–1157

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  8. Sabayan B, Jansen S, Oleksik AM, van Osch MJ, van Buchem MA, van Vliet P, de Craen AJ, Westendorp RG. Cerebrovascular hemodynamics in Alzheimer’s disease and vascular dementia: a meta-analysis of transcranial Doppler studies. Ageing research reviews 2012;11: 271–277

    Article  PubMed  Google Scholar 

  9. Wu C-Y, Chou Y-C, Huang N, Chou Y-J, Hu H-Y, Li C-P. Cognitive impairment assessed at annual geriatric health examinations predicts mortality among the elderly. Preventive medicine 2014;67: 28–34

    Article  PubMed  Google Scholar 

  10. O’donnell M, Teo K, Gao P, Anderson C, Sleight P, Dans A, Marzona I, Bosch J, Probstfield J, Yusuf S. Cognitive impairment and risk of cardiovascular events and mortality. European heart journal 2012;33: 1777–1786

    Article  PubMed  Google Scholar 

  11. Post Hospers G, Smulders Y, Maier A, Deeg D, Muller M. Relation between blood pressure and mortality risk in an older population: role of chronological and biological age. Journal of internal medicine 2015;277: 488–497

    Article  PubMed  CAS  Google Scholar 

  12. Georgakis MK, Protogerou AD, Kalogirou EI, Kontogeorgi E, Pagonari I, Sarigianni F, Papageorgiou SG, Kapaki E, Papageorgiou C, Tousoulis D. Blood Pressure and All-Cause Mortality by Level of Cognitive Function in the Elderly: Results From a Population-Based Study in Rural Greece. The Journal of Clinical Hypertension 2017;19: 161–169

    Article  PubMed  Google Scholar 

  13. Georgakis MK, Papadopoulos FC, Protogerou AD, Pagonari I, Sarigianni F, Biniaris-Georgallis S-I, Kalogirou EΙ, Thomopoulos TP, Kapaki E, Papageorgiou C. Comorbidity of cognitive impairment and late-life depression increase mortality: results from a Cohort of Community-Dwelling Elderly Individuals in Rural Greece. Journal of geriatric psychiatry and neurology 2016;29: 195–204

    Article  PubMed  Google Scholar 

  14. Alonso A, Jacobs DR, Menotti A, Nissinen A, Dontas A, Kafatos A, Kromhout D. Cardiovascular risk factors and dementia mortality: 40 years of follow-up in the Seven Countries Study. Journal of the neurological sciences 2009;280: 79–83

    Article  PubMed  Google Scholar 

  15. Weidung B, Littbrand H, Nordström P, Carlberg B, Gustafson Y. The association between SBP and mortality risk differs with level of cognitive function in very old individuals. Journal of hypertension 2016;34: 745

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  16. Stump TE, Callahan CM, Hendrie HC. Cognitive impairment and mortality in older primary care patients. Journal of the American Geriatrics Society 2001;49: 934–940

    Article  PubMed  CAS  Google Scholar 

  17. Nilsson SE, Read S, Berg S, Johansson B, Melander A, Lindblad U. Low systolic blood pressure is associated with impaired cognitive function in the oldest old: longitudinal observations in a population-based sample 80 years and older. Aging clinical and experimental research 2007;19: 41–47

    Article  PubMed  Google Scholar 

  18. Attems J, Jellinger KA. The overlap between vascular disease and Alzheimer’s disease-lessons from pathology. BMC medicine 2014;12: 206

    Article  PubMed  PubMed Central  Google Scholar 

  19. Gąsecki D, Kwarciany M, Nyka W, Narkiewicz K. Hypertension, brain damage and cognitive decline. Current hypertension reports 2013;15: 547–558

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  20. Kang Y, Na DL, Hahn S. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association 1997;15: 300–308

    Google Scholar 

  21. Thomas F, Bean K, Pannier B, Oppert JM, Guize L, Benetos A. Cardiovascular mortality in overweight subjects: the key role of associated risk factors. Hypertension 2005;46: 654–659

    Article  PubMed  CAS  Google Scholar 

  22. Min JY, Lee KJ, Park JB, Cho SI, Park SG, Min K. Social engagement, health, and changes in occupational status: analysis of the Korean Longitudinal Study of Ageing (KLoSA). PLoS One 2012;7: e46500

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  23. Bassuk SS, Wypij D, Berkmann LF. Cognitive impairment and mortality in the community-dwelling elderly. American journal of epidemiology 2000;151: 676–688

    Article  PubMed  CAS  Google Scholar 

  24. Kelman HR, Thomas C, Kennedy GJ, Cheng J. Cognitive impairment and mortality in older community residents. American journal of public health 1994;84: 1255–1260

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  25. Brunnström H, Englund E. Cause of death in patients with dementia disorders. European Journal of Neurology 2009;16: 488–492

    Article  PubMed  Google Scholar 

  26. Gale CR, Martyn CN, Cooper C. Cognitive impairment and mortality in a cohort of elderly people. Bmj 1996;312: 608–611

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  27. Gussekloo J, Westendorp R, Remarque E, Lagaay A, Heeren T, Knook D. Impact of mild cognitive impairment on survival in very elderly people: cohort study. Bmj 1997;315: 1053–1054

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  28. Kalaria RN (2012) Cerebrovascular disease and mechanisms of cognitive impairment. Stroke 2012;43: 2526–2534

    Article  PubMed  Google Scholar 

  29. Launer LJ, Ross GW, Petrovitch H, Masaki K, Foley D, White LR, Havlik RJ. Midlife blood pressure and dementia: the Honolulu–Asia aging study. Neurobiology of aging 2000;21: 49–55

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Doukyoung Chon.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, JH., Chon, D. Association between Cognitive Impairment, Vascular Disease and All-Cause Mortality. J Nutr Health Aging 22, 790–795 (2018). https://doi.org/10.1007/s12603-018-1011-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-018-1011-y

Key words

Navigation