Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis

Background and Objectives: Recent research suggests that atrial fibrillation (AF) may influence the risk of developing Alzheimer’s disease (AD) and vascular dementia (VaD). However, existing studies have provided inconsistent results, with some showing a significant association between AF and the ri...

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Main Authors: Yi Zheng, Guangping Li
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:https://journals.lww.com/10.4103/aian.aian_62_24
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author Yi Zheng
Guangping Li
author_facet Yi Zheng
Guangping Li
author_sort Yi Zheng
collection DOAJ
description Background and Objectives: Recent research suggests that atrial fibrillation (AF) may influence the risk of developing Alzheimer’s disease (AD) and vascular dementia (VaD). However, existing studies have provided inconsistent results, with some showing a significant association between AF and the risk of AD and VaD, while others do not. The objective of this study is to conduct a meta-analysis to investigate the association between AF and the risk of AD and VaD. Methods: A comprehensive search was conducted in several databases, including PubMed, Web of Science, Embase, and Google Scholar, covering research published before December 2023. Odds ratios (ORs) or relative risks (RRs) and 95% confidence intervals (CIs) were calculated using Stata 12.0 software to assess the association between AF and the risk of AD or VaD. Results: The meta-analysis revealed a significant association between AF and an increased risk of AD, using a random effects model (OR/RR: 1.23, 95% CI: 1.13–1.34, I2 = 81.3%, P < 0.001). Similarly, a significant association was found between AF and an increased risk of VaD, using a random effects model (OR/RR: 1.80, 95% CI: 1.57–2.07, I2 = 82.1%, P < 0.001). Conclusion: In summary, our comprehensive meta-analysis provides compelling evidence of a significant association between AF and an elevated risk of AD and VaD. The findings are corroborated by robust cross-sectional and longitudinal cohort studies, which further validate the observed link. However, further large-scale prospective studies are necessary to comprehensively investigate the relationship between AF and the risk of AD and VaD.
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1998-3549
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spelling doaj-art-1ea2146ba11349c993335b0d21943e442025-01-06T14:22:14ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492024-12-0127661962810.4103/aian.aian_62_24Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysisYi ZhengGuangping LiBackground and Objectives: Recent research suggests that atrial fibrillation (AF) may influence the risk of developing Alzheimer’s disease (AD) and vascular dementia (VaD). However, existing studies have provided inconsistent results, with some showing a significant association between AF and the risk of AD and VaD, while others do not. The objective of this study is to conduct a meta-analysis to investigate the association between AF and the risk of AD and VaD. Methods: A comprehensive search was conducted in several databases, including PubMed, Web of Science, Embase, and Google Scholar, covering research published before December 2023. Odds ratios (ORs) or relative risks (RRs) and 95% confidence intervals (CIs) were calculated using Stata 12.0 software to assess the association between AF and the risk of AD or VaD. Results: The meta-analysis revealed a significant association between AF and an increased risk of AD, using a random effects model (OR/RR: 1.23, 95% CI: 1.13–1.34, I2 = 81.3%, P < 0.001). Similarly, a significant association was found between AF and an increased risk of VaD, using a random effects model (OR/RR: 1.80, 95% CI: 1.57–2.07, I2 = 82.1%, P < 0.001). Conclusion: In summary, our comprehensive meta-analysis provides compelling evidence of a significant association between AF and an elevated risk of AD and VaD. The findings are corroborated by robust cross-sectional and longitudinal cohort studies, which further validate the observed link. However, further large-scale prospective studies are necessary to comprehensively investigate the relationship between AF and the risk of AD and VaD.https://journals.lww.com/10.4103/aian.aian_62_24alzheimer’s diseaseatrial fibrillationmeta-analysisvascular dementia
spellingShingle Yi Zheng
Guangping Li
Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
Annals of Indian Academy of Neurology
alzheimer’s disease
atrial fibrillation
meta-analysis
vascular dementia
title Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
title_full Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
title_fullStr Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
title_full_unstemmed Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
title_short Association between Atrial Fibrillation and Risk of Alzheimer’s Disease and Vascular Dementia: A Systematic Review and Meta-analysis
title_sort association between atrial fibrillation and risk of alzheimer s disease and vascular dementia a systematic review and meta analysis
topic alzheimer’s disease
atrial fibrillation
meta-analysis
vascular dementia
url https://journals.lww.com/10.4103/aian.aian_62_24
work_keys_str_mv AT yizheng associationbetweenatrialfibrillationandriskofalzheimersdiseaseandvasculardementiaasystematicreviewandmetaanalysis
AT guangpingli associationbetweenatrialfibrillationandriskofalzheimersdiseaseandvasculardementiaasystematicreviewandmetaanalysis