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Distinct components of cardiovascular health are linked with age-related differences in cognitive abilities

Published version
Peer-reviewed

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Authors

King, Deborah 
Henson, Richard 
Kievit, Rogier 
Wolpe, Noham 
Brayne, Carol 

Abstract

Cardiovascular ageing contributes to cognitive impairment. However, the unique and synergistic contributions of multiple cardiovascular factors to cognitive function remain unclear because they are often condensed into a single composite score or examined in isolation. We hypothesized that vascular risk factors, electrocardiographic features and blood pressure indices reveal multiple latent vascular factors, with independent contributions to cognition. In a population-based deep-phenotyping study (n=708, age 18-88), path analysis revealed three latent vascular factors dissociating the autonomic nervous system response from two components of blood pressure. These three factors made unique and additive contributions to the variability in crystallized and fluid intelligence. The discrepancy in fluid relative to crystallized intelligence, indicative of cognitive decline, was associated with a latent vascular factor predominantly expressing pulse pressure. This suggests that higher pulse pressure is associated with cognitive decline from expected performance. The effect was stronger in older adults. Controlling pulse pressure may help to preserve cognition, particularly in older adults. Our findings highlight the need to better understand the multifactorial nature of vascular aging.

Description

Keywords

Humans, Aged, Adolescent, Young Adult, Adult, Middle Aged, Aged, 80 and over, Cognition, Aging, Cognitive Dysfunction, Cognition Disorders, Blood Pressure

Journal Title

Scientific Reports

Conference Name

Journal ISSN

2045-2322
2045-2322

Volume Title

Publisher

Nature Publishing Group
Sponsorship
Biotechnology and Biological Sciences Research Council (2274385)
Biotechnology and Biological Sciences Research Council (BB/M011194/1)
Guarantors of Brain (Unknown)
Biotechnology and Biological Sciences Research Council (BB/H008217/1)
National Institute for Health and Care Research (IS-BRC-1215-20014)
Medical Research Council (MC_UU_00005/8)
Medical Research Council (MC_UU_00005/12)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Medical Research Council (MR/M008983/1)
Medical Research Council (MC_U105597119)
MRC (via University of Oxford) (MR/T033371/1)
Medical Research Council (MR/L023784/2)
MRC (MC_UU_00030/8)
Wellcome Trust (220258/Z/20/Z)
British Academy (pf160048)
MRC (MC_UU_00030/14)
MRC (MC_UU_00030/5)
MRC (MC_UU_00030/7)