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Study Links Lower Income to Heavier Load of Modifiable Dementia Risks, With Vision Loss and Isolation Standing Out

Several risk factors remained higher for Black and Mexican American groups even after income was accounted for.

Overview

  • Researchers analyzed more than 5,000 U.S. adults from NHANES 1999–2018 across 13 established dementia risk factors and published the findings in Neurology.
  • Each 100% rise above the poverty line was associated with a 9% lower likelihood of having an additional midlife risk factor.
  • In people living below the poverty line, addressing vision loss could potentially mitigate about 21% of dementia cases and tackling social isolation about 20%.
  • Higher income correlated with lower prevalence of most risks, with exceptions for obesity, high LDL cholesterol and traumatic brain injury.
  • Authors and outside experts emphasize prevention opportunities and caution that the cross-sectional, self-reported data show associations rather than causation, with concerns about generalizing trial results from higher-income samples.