Executive function, but not memory, associates with incident coronary heart disease and stroke

Research output: Contribution to journalJournal articleResearchpeer-review

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Executive function, but not memory, associates with incident coronary heart disease and stroke. / Rostamian, Somayeh; van Buchem, Mark A; Westendorp, Rudi G J; Jukema, J Wouter; Mooijaart, Simon P; Sabayan, Behnam; de Craen, Anton J M.

In: Neurology, Vol. 85, No. 9, 01.09.2015, p. 783-789.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Rostamian, S, van Buchem, MA, Westendorp, RGJ, Jukema, JW, Mooijaart, SP, Sabayan, B & de Craen, AJM 2015, 'Executive function, but not memory, associates with incident coronary heart disease and stroke', Neurology, vol. 85, no. 9, pp. 783-789. https://doi.org/10.1212/WNL.0000000000001895

APA

Rostamian, S., van Buchem, M. A., Westendorp, R. G. J., Jukema, J. W., Mooijaart, S. P., Sabayan, B., & de Craen, A. J. M. (2015). Executive function, but not memory, associates with incident coronary heart disease and stroke. Neurology, 85(9), 783-789. https://doi.org/10.1212/WNL.0000000000001895

Vancouver

Rostamian S, van Buchem MA, Westendorp RGJ, Jukema JW, Mooijaart SP, Sabayan B et al. Executive function, but not memory, associates with incident coronary heart disease and stroke. Neurology. 2015 Sep 1;85(9):783-789. https://doi.org/10.1212/WNL.0000000000001895

Author

Rostamian, Somayeh ; van Buchem, Mark A ; Westendorp, Rudi G J ; Jukema, J Wouter ; Mooijaart, Simon P ; Sabayan, Behnam ; de Craen, Anton J M. / Executive function, but not memory, associates with incident coronary heart disease and stroke. In: Neurology. 2015 ; Vol. 85, No. 9. pp. 783-789.

Bibtex

@article{a26a58b13c354120ae815470076099a5,
title = "Executive function, but not memory, associates with incident coronary heart disease and stroke",
abstract = "OBJECTIVE: To evaluate the association of performance in cognitive domains executive function and memory with incident coronary heart disease and stroke in older participants without dementia.METHODS: We included 3,926 participants (mean age 75 years, 44{\%} male) at risk for cardiovascular diseases from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER) with Mini-Mental State Examination score ≥24 points. Scores on the Stroop Color-Word Test (selective attention) and the Letter Digit Substitution Test (processing speed) were converted to Z scores and averaged into a composite executive function score. Likewise, scores of the Picture Learning Test (immediate and delayed memory) were transformed into a composite memory score. Associations of executive function and memory were longitudinally assessed with risk of coronary heart disease and stroke using multivariable Cox regression models.RESULTS: During 3.2 years of follow-up, incidence rates of coronary heart disease and stroke were 30.5 and 12.4 per 1,000 person-years, respectively. In multivariable models, participants in the lowest third of executive function, as compared to participants in the highest third, had 1.85-fold (95{\%} confidence interval [CI] 1.39-2.45) higher risk of coronary heart disease and 1.51-fold (95{\%} CI 0.99-2.30) higher risk of stroke. Participants in the lowest third of memory had no increased risk of coronary heart disease (hazard ratio 0.99, 95{\%} CI 0.74-1.32) or stroke (hazard ratio 0.87, 95{\%} CI 0.57-1.32).CONCLUSION: Lower executive function, but not memory, is associated with higher risk of coronary heart disease and stroke. Lower executive function, as an independent risk indicator, might better reflect brain vascular pathologies.",
author = "Somayeh Rostamian and {van Buchem}, {Mark A} and Westendorp, {Rudi G J} and Jukema, {J Wouter} and Mooijaart, {Simon P} and Behnam Sabayan and {de Craen}, {Anton J M}",
note = "{\circledC} 2015 American Academy of Neurology.",
year = "2015",
month = "9",
day = "1",
doi = "10.1212/WNL.0000000000001895",
language = "English",
volume = "85",
pages = "783--789",
journal = "Neurology",
issn = "0028-3878",
publisher = "Lippincott Williams & Wilkins",
number = "9",

}

RIS

TY - JOUR

T1 - Executive function, but not memory, associates with incident coronary heart disease and stroke

AU - Rostamian, Somayeh

AU - van Buchem, Mark A

AU - Westendorp, Rudi G J

AU - Jukema, J Wouter

AU - Mooijaart, Simon P

AU - Sabayan, Behnam

AU - de Craen, Anton J M

N1 - © 2015 American Academy of Neurology.

PY - 2015/9/1

Y1 - 2015/9/1

N2 - OBJECTIVE: To evaluate the association of performance in cognitive domains executive function and memory with incident coronary heart disease and stroke in older participants without dementia.METHODS: We included 3,926 participants (mean age 75 years, 44% male) at risk for cardiovascular diseases from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER) with Mini-Mental State Examination score ≥24 points. Scores on the Stroop Color-Word Test (selective attention) and the Letter Digit Substitution Test (processing speed) were converted to Z scores and averaged into a composite executive function score. Likewise, scores of the Picture Learning Test (immediate and delayed memory) were transformed into a composite memory score. Associations of executive function and memory were longitudinally assessed with risk of coronary heart disease and stroke using multivariable Cox regression models.RESULTS: During 3.2 years of follow-up, incidence rates of coronary heart disease and stroke were 30.5 and 12.4 per 1,000 person-years, respectively. In multivariable models, participants in the lowest third of executive function, as compared to participants in the highest third, had 1.85-fold (95% confidence interval [CI] 1.39-2.45) higher risk of coronary heart disease and 1.51-fold (95% CI 0.99-2.30) higher risk of stroke. Participants in the lowest third of memory had no increased risk of coronary heart disease (hazard ratio 0.99, 95% CI 0.74-1.32) or stroke (hazard ratio 0.87, 95% CI 0.57-1.32).CONCLUSION: Lower executive function, but not memory, is associated with higher risk of coronary heart disease and stroke. Lower executive function, as an independent risk indicator, might better reflect brain vascular pathologies.

AB - OBJECTIVE: To evaluate the association of performance in cognitive domains executive function and memory with incident coronary heart disease and stroke in older participants without dementia.METHODS: We included 3,926 participants (mean age 75 years, 44% male) at risk for cardiovascular diseases from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER) with Mini-Mental State Examination score ≥24 points. Scores on the Stroop Color-Word Test (selective attention) and the Letter Digit Substitution Test (processing speed) were converted to Z scores and averaged into a composite executive function score. Likewise, scores of the Picture Learning Test (immediate and delayed memory) were transformed into a composite memory score. Associations of executive function and memory were longitudinally assessed with risk of coronary heart disease and stroke using multivariable Cox regression models.RESULTS: During 3.2 years of follow-up, incidence rates of coronary heart disease and stroke were 30.5 and 12.4 per 1,000 person-years, respectively. In multivariable models, participants in the lowest third of executive function, as compared to participants in the highest third, had 1.85-fold (95% confidence interval [CI] 1.39-2.45) higher risk of coronary heart disease and 1.51-fold (95% CI 0.99-2.30) higher risk of stroke. Participants in the lowest third of memory had no increased risk of coronary heart disease (hazard ratio 0.99, 95% CI 0.74-1.32) or stroke (hazard ratio 0.87, 95% CI 0.57-1.32).CONCLUSION: Lower executive function, but not memory, is associated with higher risk of coronary heart disease and stroke. Lower executive function, as an independent risk indicator, might better reflect brain vascular pathologies.

U2 - 10.1212/WNL.0000000000001895

DO - 10.1212/WNL.0000000000001895

M3 - Journal article

VL - 85

SP - 783

EP - 789

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 9

ER -

ID: 146207194