Health

Inflammation's connection to dementia proves complex

A new study finds that heavier use of nonsteroidal anti-inflammatory drugs may boost the risk of dementias but also could delay onset.

By Susan J. Landers — Posted April 28, 2009

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Despite findings from earlier research suggesting that Alzheimer's disease may be caused by inflammation, a new study has found that heavy use of nonsteroidal anti-inflammatory drugs actually may heighten the risk for that disease and other dementias.

The study demonstrates the complex relationship between NSAIDs and Alzheimer's and indicates the need for further investigation, the study authors conclude (link).

The authors of the piece in the April 22 online issue of Neurology, the journal of the American Academy of Neurology, also note that their study enrolled people who were older than those involved in earlier studies. The new findings may reflect a delayed onset of Alzheimer's disease among heavy NSAID users.

The researchers, who are from the University of Washington, the Veterans Affairs Medical Center and Group Health Cooperative, all in Seattle, studied 2,736 enrollees who were dementia-free at the onset of the study.

During the study, which followed the enrollees for 12 years, 476 people developed Alzheimer's disease or dementia. The risk of developing dementia among heavy NSAID users was 66% higher than among people with little or no NSAID use, according to the findings.

Pharmacy dispensing records indicated which participants were low, moderate or heavy users of NSAIDs.

Lead author John C. Breitner, MD, MPH, professor and head of the Geriatric Psychiatry Division at the University of Washington, cautioned that his findings were just one interpretation of the results and that other explanations are possible.

"A key difference between this study and most of those done earlier is that our participants were older," he said. "It has been argued for some time that NSAID use delays the onset of Alzheimer's disease. It would follow that studies looking at younger people who use NSAIDs would show fewer cases of Alzheimer's, while in groups of older people there might be more cases, including those that would have occurred earlier if they had not been delayed."

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story