ArticlemedRxiv : the preprint server for health sciences2025
Risk and protective factors against cognitive decline in older adults from a nationally representative sample in India: Results from the LASI-DAD.
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWe characterized modifiable risk and protective factors for cognitive decline in India.
methodsUsing the first nationally representative population-based longitudinal sample of N=6,168 older adults in India, we evaluated associations of risk factors (demographic characteristics, self-reported and objective health characteristics, health behaviors, and sensory function) for late-life cognitive decline with up to 6.4 years of follow-up (range: 2.8 to 6.4 years).
resultsThe mean rate of general cognitive decline was -0.029 SD per year, and was progressively steeper with age. Most risk factors, particularly demographic and cardiovascular characteristics, were associated with steeper cognitive decline in expected directions: associations of history of high cholesterol or heart attack on rate of cognitive decline, for example, were comparable to being 11-12 years older. DISCUSSION: Most risk factors were associated with change in expected directions, highlighting the potential generalizability to India of previously identified risk factors for dementia.
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