The new PLOS One study found that modifiable risk factors—including hypertension, obesity, diabetes, low HDL cholesterol and sleep disorders—have different impacts on dementia risk for different ethnic groups.
However, most risk factor studies have been conducted only in people of European descent. In the new study, researchers analyzed the relationship between risk factors and dementia onset using anonymized data from English primary care records, spanning 1997 to 2018, for 865,674 adults in diverse ethnic groups.
Nearly all risk factors analyzed in the study were associated with dementia, with the same risk factors often conferring a higher risk of dementia in Black and South Asian people, particularly for cardiovascular risk. After adjusting for comorbidity, age, sex and deprivation, hypertension conferred higher risk of dementia in Black people compared to White people, while hypertension, obesity, diabetes, low HDL and sleep disorders conferred a higher risk of dementia in South Asian people.
She and her co-authors say these latest results may explain these previous findings, and they conclude that dementia prevention efforts should be targeted toward people from minority ethnic groups and tailored to risk factors of particular importance.
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