Modifiable dementia risk factors are associated with greater subjective cognitive concerns but not perceived susceptibility to dementia in late middle‐aged adults: Baseline characteristics of the BetterBrains Trial Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1002/alz.064011
Background A range of lifestyle factors in midlife can increase risk for developing dementia in late‐life. 1 However, it remains unclear whether the presence of such risk factors (RFs) is associated with individuals’ insight into their risk of developing dementia. In a group of middle‐aged adults with a family history of dementia enrolled in a lifestyle prevention trial, we measured associations between modifiable RF prevalence, subjective cognitive concerns, and perceived susceptibility to dementia. Method Participants (n = 456) enrolled in BetterBrains (betterbrains.org.au) 2 completed a comprehensive self‐report RF assessment at baseline. Modifiable dementia risk was determined across four domains (vascular health, social/cognitive engagement, mood, sleep) and trial eligibility required risk in at least one domain. Participants were grouped according to the number of domains in which they reported high‐risk (ranging from 1‐4). Participants completed the Cognitive Function Instrument, and a brief questionnaire to assess perceived susceptibility to dementia (Motivation to Change Lifestyle/Health Behaviours for Dementia Risk Reduction scale). Linear regressions examined associations between modifiable RF prevalence, subjective cognition, and perceived susceptibility to dementia, adjusting for age, sex, education, negative beliefs about ageing, and beliefs about protective health behaviours on dementia risk. Result Participants were mostly female (80%), with an average age of 59.4 years and 15.2 years of education. Of the sample, 29.6% reported risk in all domains (29.6%) and 16.9% in three domains. Risk in a higher number of RF domains was significantly associated with greater subjective cognitive concerns (β(SE) = 0.18(0.06), p = <.001), but not with greater perceived susceptibility to developing dementia (β(SE) = 0.62(0.35), p = .08). Increasingly negative beliefs about ageing and weaker beliefs in the protective effect of health behaviours were the only significant predictors of perceived susceptibility to dementia (both p’s <.05). Conclusion In middle‐aged adults, dementia RFs are associated with greater subjective cognitive concerns, but not with an increased perception of susceptibility to dementia. Incongruence between participants’ self‐report of subjective cognitive concerns and susceptibility to dementia may be due in part to poor knowledge on modifiable dementia RFs. 3 Perceptions of personal susceptibility to dementia may also be tied more closely to negative ageing stereotypes typically associated with older age and family history of disease.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/alz.064011
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/alz.064011
- OA Status
- bronze
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4380883198Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/alz.064011Digital Object Identifier
- Title
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Modifiable dementia risk factors are associated with greater subjective cognitive concerns but not perceived susceptibility to dementia in late middle‐aged adults: Baseline characteristics of the BetterBrains TrialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-06-01Full publication date if available
- Authors
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Emily Rosenich, Lisa Bransby, Stephanie Pirotta, Darshini Ayton, Rachel F. Buckley, Paul Maruff, Yen Ying LimList of authors in order
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https://doi.org/10.1002/alz.064011Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/alz.064011Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/alz.064011Direct OA link when available
- Concepts
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Dementia, Cognition, Mood, Medicine, Gerontology, Cognitive decline, Clinical psychology, Psychology, Psychiatry, Disease, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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