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Research article summary (published 27 Feb 2003):

Non-steroidal anti-inflammatory drug (NSAID) use and Alzheimer disease in community-dwelling elderly patients.

Full Abstract

OBJECTIVE:
Recently, greater attention has been paid to the role of inflammatory processes in the pathophysiology of Alzheimer disease (AD). However, the mechanism by which anti-inflammatory agents (NSAIDs) might slow the progression of AD is not completely known. The aim of the present study was to examine the relationship between NSAIDs use and AD in a large sample of community-dwelling elderly people.

METHODS:
In a cross-sectional retrospective study, the authors analyzed data on patients admitted to home care programs. A total of 12 home health agencies participated in the project, with a total of 2,708 patients enrolled in the present study. The main outcome measures were the prevalence of AD and use of NSAIDs treatment.

RESULTS:
Compared with all non-users, NSAID users had a nearly 50% lower risk of being affected by AD. Separate multivariate analyses of subjects receiving different types of NSAIDs found a significantly decreased risk of cognitive impairment associated with non-aspirin NSAID use, whereas, among subjects taking aspirin, the difference in estimated risk did not reach statistical significance.

CONCLUSION:
The results of this population-based cross-sectional study are consistent with the notion that long-term NSAIDs use has a protective effect against AD. However, after possible confounding effects of age and several other variables potentially associated with cognitive impairment were controlled, this association was statistically significant only for non-aspirin NSAIDs use.

 

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Author information

Author/s: Landi, Francesco (F); Cesari, Matteo (M); Onder, Graziano (G); Russo, Andrea (A); Torre, Sergio (S); Bernabei, Roberto (R);

Affiliation: Department of Gerontology-Geriatric and Physiatric, Catholic University of the Sacred Heart, Rome, Italy. francesco_landi(-atsign-)rm.unicatt.it.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry (Am J Geriatr Psychiatry), published in United States. (Language: eng)

Reference: -2003 Mar-Apr; vol 11 (issue 2) : pp 179-85

Dates: Created 2003/03/03; Completed 2003/07/03; Revised 2006/11/15;

PMID: 12611747, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Associated Chemicals: Anti-Inflammatory Agents, Non-Steroidal (0)

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