Blood pressure polygenic score, cardiorespiratory fitness and odds of dementia: the HUNT Study.

High blood pressure (BP) is linked to an increased dementia risk. The role of sex and the impact of cardiorespiratory fitness (CRF) on the potential association between genetic predisposition to high blood pressure and dementia are less understood. Our aim was to investigate if there is an associati...

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Publicado en:Age & Ageing Vol. 55; no. 7; pp. 1 - 10
Autores principales: Lerfald, Maren, Øvretveit, Karsten, Nilsen, Tom Ivar Lund, Eldholm, Rannveig Sakshaug, Grøtting, Nora, Wolford, Brooke N, Selbaek, Geir, Ernstsen, Linda
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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        10.1093/ageing/afag214
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        atl: Blood pressure polygenic score, cardiorespiratory fitness and odds of dementia: the HUNT Study.
      aug:
        au:
          Lerfald, Maren
          Øvretveit, Karsten
          Nilsen, Tom Ivar Lund
          Eldholm, Rannveig Sakshaug
          Grøtting, Nora
          Wolford, Brooke N
          Selbaek, Geir
          Ernstsen, Linda
        affil:
          Faculty of Medicine and Health Sciences, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, NorwayClinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
          HUNT Center for Molecular and Clinical Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, Norway
          Faculty of Medicine and Health Sciences, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, NorwayClinic of Emergency Medicine and Prehospital Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
          Faculty of Medicine and Health Sciences, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Trøndelag, NorwayDepartment of Geriatrics, Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
          Faculty of Medicine and Health Sciences, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway
          Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Oslo, NorwayFaculty of Medicine, University of Oslo, Oslo, NorwayDepartment of Geriatric Medicine, Oslo University Hospital, Oslo, Norway
      su:
        Norway
        Hypertension
        Sex distribution
        Psychological tests
        Dementia risk factors
        Risk assessment
        Cardiopulmonary fitness
        Research funding
        Logistic regression analysis
        Descriptive statistics
        Genetic risk score
        Longitudinal method
        Odds ratio
        Confidence intervals
        Systolic blood pressure
        Data analysis software
        Algorithms
        Regression analysis
        Disease complications
      sug:
        subj:
          Hypertension
          Sex distribution
          Psychological tests
          Norway
          Dementia risk factors
          Risk assessment
          Cardiopulmonary fitness
          Research funding
          Logistic regression analysis
          Descriptive statistics
          Genetic risk score
          Longitudinal method
          Odds ratio
          Confidence intervals
          Systolic blood pressure
          Data analysis software
          Algorithms
          Regression analysis
          Disease complications
      keyword:
        blood pressure
        cardiorespiratory fitness
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        genetics
        https://dx.doi.org/10.1093/ageing/afag214
        hunt study
        inLanguage:en
        older people
        polygenic score
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42476555/
        blood pressure
        cardiorespiratory fitness
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        dementia
        genetics
        https://dx.doi.org/10.1093/ageing/afag214
        hunt study
        inLanguage:en
        older people
        polygenic score
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42476555/
      ab: High blood pressure (BP) is linked to an increased dementia risk. The role of sex and the impact of cardiorespiratory fitness (CRF) on the potential association between genetic predisposition to high blood pressure and dementia are less understood. Our aim was to investigate if there is an association between genetic predisposition to high systolic blood pressure (SBP) and occurrence of dementia in males and females and whether CRF modifies this association. This prospective cohort study utilised data from the population-based Trøndelag Health Study in Norway. We included 9145 participants ≥70 years in the HUNT4 70+ sub-study. The sex-specific association between the BP polygenic score (PGS) and dementia was estimated by logistic regression. Analyses were stratified by CRF to investigate potential effect modification by CRF. Among 5011 females (mean age 78.5 years) and 4134 males (mean age 77.4 years), 812 (16.2%) and 570 (13.8%) dementia cases were identified, respectively. Females in the highest fifth of the PGS had an increased odds of dementia [odds ratio (OR) = 1.45; 95% confidence interval (CI) 1.10 to 1.90]. This was not observed in males (OR = 1.03; 95% CI 0.77 to 1.37). The association was somewhat stronger in females with low fitness (OR = 1.53; 95% CI 1.08 to 2.17) than in females with high fitness (OR = 1.12; 95% CI 0.78 to 1.63). Genetic predisposition to high SBP was associated with higher odds of dementia in females, particularly if they had low CRF. Future studies should further examine sex-specific effects of genetic and modifiable factors on dementia risk.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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