Older age at retirement is associated with decreased risk of dementia

European Journal of Epidemiology - Tập 29 Số 5 - Trang 353-361 - 2014
Dufouil, Carole1,2,3,4, Pereira, Edwige1,2, Chêne, Geneviève1,2,3, Glymour, M. Maria5, Alpérovitch, Annick2, Saubusse, Elodie6, Risse-Fleury, Mathilde7, Heuls, Brigitte8, Salord, Jean-Claude9, Brieu, Marie-Anne9, Forette, Françoise9,10
1Centre INSERM U897-Epidemiologie-Biostatistique and CIC-EC7, INSERM, ISPED, Bordeaux, France
2Centre INSERM U897-Epidemiologie-Biostatistique, ISPED, Univ. Bordeaux, Bordeaux, France
3Pôle de Santé Publique, CHU de Bordeaux, Bordeaux, France
4INSERM U897 and CIC-EC7, Bâtiment ISPED-Université de Bordeaux, Bordeaux Cédex, France
5Department of Epidemiology and Biostatistics, University of California, San Francisco, USA
6Régime Social des Indépendants, Bordeaux, France
7Régime Social des Indépendants, Saint-Denis, France
8Agence nationale de sécurité du médicament et des produits de santé, Saint-Denis, France
9International Longevity Centre-France, Paris, France
10University René Descartes, Paris, France

Tóm tắt

To test the hypothesis that age at retirement is associated with dementia risk among self-employed workers in France, we linked health and pension databases of self-employed workers and we extracted data of those who were still alive and retired as of December 31st 2010. Dementia cases were detected in the database either through the declaration of a long-term chronic disease coded as Alzheimer’s disease and other dementia (International Classification of Disease codes G30, F00, F01, F03) or through the claim for reimbursement of one of the anti-dementia drugs. Data were analyzed using Cox proportional hazard model adjusting for potential confounders. Among the 429,803 retired self-employed workers alive on December 31st 2010, prevalence of dementia was 2.65 %. Multivariable analyses showed that the hazard ratio of dementia was 0.968 [95 % confidence interval = (0.962–0.973)] per each extra year of age at retirement. After excluding workers who had dementia diagnosed within the 5 years following retirement, the results remained unchanged and highly significant (p < 0.0001). We show strong evidence of a significant decrease in the risk of developing dementia associated with older age at retirement, in line with the “use it or lose it” hypothesis. Further evidence is necessary to evaluate whether this association is causal, but our results indicate the potential importance of maintaining high levels of cognitive and social stimulation throughout work and retiree life.

Tài liệu tham khảo

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