Effect of Depression and Diabetes Mellitus on the Risk for Dementia: A National Population-Based Cohort Study

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Effect of Depression and Diabetes Mellitus on the Risk for Dementia : A National Population-Based Cohort Study. / Katon, Wayne; Pedersen, Henrik Søndergaard; Ribe, Anette Riisgaard; Fenger-Grøn, Morten; Davydow, Dimitry; Waldorff, Frans Boch; Vestergaard, Mogens.

In: J A M A Psychiatry, Vol. 72, No. 6, 06.2015, p. 612-619.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Katon, W, Pedersen, HS, Ribe, AR, Fenger-Grøn, M, Davydow, D, Waldorff, FB & Vestergaard, M 2015, 'Effect of Depression and Diabetes Mellitus on the Risk for Dementia: A National Population-Based Cohort Study', J A M A Psychiatry, vol. 72, no. 6, pp. 612-619. https://doi.org/10.1001/jamapsychiatry.2015.0082

APA

Katon, W., Pedersen, H. S., Ribe, A. R., Fenger-Grøn, M., Davydow, D., Waldorff, F. B., & Vestergaard, M. (2015). Effect of Depression and Diabetes Mellitus on the Risk for Dementia: A National Population-Based Cohort Study. J A M A Psychiatry, 72(6), 612-619. https://doi.org/10.1001/jamapsychiatry.2015.0082

Vancouver

Katon W, Pedersen HS, Ribe AR, Fenger-Grøn M, Davydow D, Waldorff FB et al. Effect of Depression and Diabetes Mellitus on the Risk for Dementia: A National Population-Based Cohort Study. J A M A Psychiatry. 2015 Jun;72(6):612-619. https://doi.org/10.1001/jamapsychiatry.2015.0082

Author

Katon, Wayne ; Pedersen, Henrik Søndergaard ; Ribe, Anette Riisgaard ; Fenger-Grøn, Morten ; Davydow, Dimitry ; Waldorff, Frans Boch ; Vestergaard, Mogens. / Effect of Depression and Diabetes Mellitus on the Risk for Dementia : A National Population-Based Cohort Study. In: J A M A Psychiatry. 2015 ; Vol. 72, No. 6. pp. 612-619.

Bibtex

@article{c1e737cd6b1d4c598b098e9e431a3566,
title = "Effect of Depression and Diabetes Mellitus on the Risk for Dementia: A National Population-Based Cohort Study",
abstract = "Importance  Although depression and type 2 diabetes mellitus (DM) may independently increase the risk for dementia, no studies have examined whether the risk for dementia among people with comorbid depression and DM is higher than the sum of each exposure individually.Objective  To examine the risk for all-cause dementia among persons with depression, DM, or both compared with persons with neither exposure.Design, Setting, and Participants  We performed a national population-based cohort study of 2 454 532 adults, including 477 133 (19.4{\%}) with depression, 223 174 (9.1{\%}) with DM, and 95 691 (3.9{\%}) with both. We included all living Danish citizens 50 years or older who were free of dementia from January 1, 2007, through December 31, 2013 (followed up through December 31, 2013). Dementia was ascertained by physician diagnosis from the Danish National Patient Register or the Danish Psychiatric Central Register and/or by prescription of a cholinesterase inhibitor or memantine hydrochloride from the Danish National Prescription Registry. Depression was ascertained by psychiatrist diagnosis from the Danish Psychiatric Central Research Register or by prescription of an antidepressant from the Danish National Prescription Registry. Diabetes mellitus was identified using the National Diabetes Register.Main Outcomes and Measures  We estimated the risk for all-cause dementia associated with DM, depression, or both using Cox proportional hazards regression models that adjusted for potential confounding factors (eg, demographics) and potential intermediates (eg, medical comorbidities).Results  During 13 834 645 person-years of follow-up, 59 663 participants (2.4{\%}) developed dementia; of these, 6466 (10.8{\%}) had DM, 15 729 (26.4{\%}) had depression, and 4022 (6.7{\%}) had both. The adjusted hazard ratio for developing all-cause dementia was 1.83 (95{\%} CI, 1.80-1.87) for persons with depression, 1.20 (95{\%} CI, 1.17-1.23) for persons with DM, and 2.17 (95{\%} CI, 2.10-2.24) for those with both compared with persons who had neither exposure. The excess risk for all-cause dementia observed for individuals with comorbid depression and DM surpassed the summed risk associated with each exposure individually, especially for persons younger than 65 years (hazard ratio, 4.84 [95{\%} CI, 4.21-5.55]). The corresponding attributable proportion due to the interaction of comorbid depression and DM was 0.25 (95{\%} CI, 0.13-0.36;P < .001) for those younger than 65 years and 0.06 (95{\%} CI, 0.02-0.10; P = .001) for those 65 years or older.Conclusions and Relevance  Depression and DM were independently associated with a greater risk for dementia, and the combined association of both exposures with the risk for all-cause dementia was stronger than the additive association.",
keywords = "Cohort Studies, Dementia, DEPRESSION, diabetes, Diabetes Mellitus, Risk, semrap-2015-1",
author = "Wayne Katon and Pedersen, {Henrik S{\o}ndergaard} and Ribe, {Anette Riisgaard} and Morten Fenger-Gr{\o}n and Dimitry Davydow and Waldorff, {Frans Boch} and Mogens Vestergaard",
year = "2015",
month = "6",
doi = "10.1001/jamapsychiatry.2015.0082",
language = "English",
volume = "72",
pages = "612--619",
journal = "J A M A Psychiatry",
issn = "2168-622X",
publisher = "The JAMA Network",
number = "6",

}

RIS

TY - JOUR

T1 - Effect of Depression and Diabetes Mellitus on the Risk for Dementia

T2 - A National Population-Based Cohort Study

AU - Katon, Wayne

AU - Pedersen, Henrik Søndergaard

AU - Ribe, Anette Riisgaard

AU - Fenger-Grøn, Morten

AU - Davydow, Dimitry

AU - Waldorff, Frans Boch

AU - Vestergaard, Mogens

PY - 2015/6

Y1 - 2015/6

N2 - Importance  Although depression and type 2 diabetes mellitus (DM) may independently increase the risk for dementia, no studies have examined whether the risk for dementia among people with comorbid depression and DM is higher than the sum of each exposure individually.Objective  To examine the risk for all-cause dementia among persons with depression, DM, or both compared with persons with neither exposure.Design, Setting, and Participants  We performed a national population-based cohort study of 2 454 532 adults, including 477 133 (19.4%) with depression, 223 174 (9.1%) with DM, and 95 691 (3.9%) with both. We included all living Danish citizens 50 years or older who were free of dementia from January 1, 2007, through December 31, 2013 (followed up through December 31, 2013). Dementia was ascertained by physician diagnosis from the Danish National Patient Register or the Danish Psychiatric Central Register and/or by prescription of a cholinesterase inhibitor or memantine hydrochloride from the Danish National Prescription Registry. Depression was ascertained by psychiatrist diagnosis from the Danish Psychiatric Central Research Register or by prescription of an antidepressant from the Danish National Prescription Registry. Diabetes mellitus was identified using the National Diabetes Register.Main Outcomes and Measures  We estimated the risk for all-cause dementia associated with DM, depression, or both using Cox proportional hazards regression models that adjusted for potential confounding factors (eg, demographics) and potential intermediates (eg, medical comorbidities).Results  During 13 834 645 person-years of follow-up, 59 663 participants (2.4%) developed dementia; of these, 6466 (10.8%) had DM, 15 729 (26.4%) had depression, and 4022 (6.7%) had both. The adjusted hazard ratio for developing all-cause dementia was 1.83 (95% CI, 1.80-1.87) for persons with depression, 1.20 (95% CI, 1.17-1.23) for persons with DM, and 2.17 (95% CI, 2.10-2.24) for those with both compared with persons who had neither exposure. The excess risk for all-cause dementia observed for individuals with comorbid depression and DM surpassed the summed risk associated with each exposure individually, especially for persons younger than 65 years (hazard ratio, 4.84 [95% CI, 4.21-5.55]). The corresponding attributable proportion due to the interaction of comorbid depression and DM was 0.25 (95% CI, 0.13-0.36;P < .001) for those younger than 65 years and 0.06 (95% CI, 0.02-0.10; P = .001) for those 65 years or older.Conclusions and Relevance  Depression and DM were independently associated with a greater risk for dementia, and the combined association of both exposures with the risk for all-cause dementia was stronger than the additive association.

AB - Importance  Although depression and type 2 diabetes mellitus (DM) may independently increase the risk for dementia, no studies have examined whether the risk for dementia among people with comorbid depression and DM is higher than the sum of each exposure individually.Objective  To examine the risk for all-cause dementia among persons with depression, DM, or both compared with persons with neither exposure.Design, Setting, and Participants  We performed a national population-based cohort study of 2 454 532 adults, including 477 133 (19.4%) with depression, 223 174 (9.1%) with DM, and 95 691 (3.9%) with both. We included all living Danish citizens 50 years or older who were free of dementia from January 1, 2007, through December 31, 2013 (followed up through December 31, 2013). Dementia was ascertained by physician diagnosis from the Danish National Patient Register or the Danish Psychiatric Central Register and/or by prescription of a cholinesterase inhibitor or memantine hydrochloride from the Danish National Prescription Registry. Depression was ascertained by psychiatrist diagnosis from the Danish Psychiatric Central Research Register or by prescription of an antidepressant from the Danish National Prescription Registry. Diabetes mellitus was identified using the National Diabetes Register.Main Outcomes and Measures  We estimated the risk for all-cause dementia associated with DM, depression, or both using Cox proportional hazards regression models that adjusted for potential confounding factors (eg, demographics) and potential intermediates (eg, medical comorbidities).Results  During 13 834 645 person-years of follow-up, 59 663 participants (2.4%) developed dementia; of these, 6466 (10.8%) had DM, 15 729 (26.4%) had depression, and 4022 (6.7%) had both. The adjusted hazard ratio for developing all-cause dementia was 1.83 (95% CI, 1.80-1.87) for persons with depression, 1.20 (95% CI, 1.17-1.23) for persons with DM, and 2.17 (95% CI, 2.10-2.24) for those with both compared with persons who had neither exposure. The excess risk for all-cause dementia observed for individuals with comorbid depression and DM surpassed the summed risk associated with each exposure individually, especially for persons younger than 65 years (hazard ratio, 4.84 [95% CI, 4.21-5.55]). The corresponding attributable proportion due to the interaction of comorbid depression and DM was 0.25 (95% CI, 0.13-0.36;P < .001) for those younger than 65 years and 0.06 (95% CI, 0.02-0.10; P = .001) for those 65 years or older.Conclusions and Relevance  Depression and DM were independently associated with a greater risk for dementia, and the combined association of both exposures with the risk for all-cause dementia was stronger than the additive association.

KW - Cohort Studies

KW - Dementia

KW - DEPRESSION

KW - diabetes

KW - Diabetes Mellitus

KW - Risk

KW - semrap-2015-1

U2 - 10.1001/jamapsychiatry.2015.0082

DO - 10.1001/jamapsychiatry.2015.0082

M3 - Journal article

C2 - 25875310

VL - 72

SP - 612

EP - 619

JO - J A M A Psychiatry

JF - J A M A Psychiatry

SN - 2168-622X

IS - 6

ER -

ID: 141093041