Cholesterol en het geheugen*
Uit een Engelse studie onder ruim 3.600 mensen van middelbare leeftijd blijkt dat de hoeveelheid goed
cholesterol (HDL) gerelateerd is aan het meer of minder verlies aan geheugen bij het ouder worden. Van iedere deelnemer werden op 55 jarige en 61 jarige leeftijd bloedmonsters genomen en geheugentesten gehouden. Als lage waarden HDL werd 40 mg/dl (1 mmol/l) en lager aangehouden terwijl hoge waarden HDL aangenomen werden op 60 mg/dl (1,6 mmol/l) en hoger. Zij met de lage HDL waarden hadden op 55 jarige leeftijd 27% meer kans op geheugenverlies en op 61 jarige leeftijd zelfs 53% kans. Zij waarvan tussen die twee tests in het HDL sterk omlaag ging hadden
ook een grote kans op geheugenverlies.
Low "Good" HDL Cholesterol Linked To Memory Decline
A new study from the UK suggests that low levels of the "good" HDL cholesterol is linked to poor memory, and decline in memory, in middle aged
adults.
The study is the work of researchers at University College, London, and is published in the Arteriosclerosis, Thrombosis and Vascular Biology journal of the American Heart
Association.
The authors examined the relationship between fasting levels of blood fats and short term verbal memory in 3,673 male and female middle aged adults who were taking part in the Whitehall II longitudinal study.
Blood samples were taken at two measuring points: at mean age 55 and mean age 61, and tested for lipid or blood fat levels, including total cholesterol, high-density lipoprotein cholesterol (HDL-C), and triglycerides. The participants also completed short term memory tests at the two measuring points.
Whitehall II is a prospective study that started in 1985 and has been following over 10,000 male and female London-based members of the British Civil Service. The participants have regular clinical exams and periodically fill in questionnaires.
Using a statistical test called logistical regression, the researchers then looked for significant links between levels of HDL-C and memory deficit and decline. Memory deficit was defined as not being able to recall more than 4 words, and deficit was not being able to recall more than 2 words, from a list of 20.
High HDL-C was defined as being equal to or above 60 mg/dL or more, and low HDL-C was below 40
mg/dL.
The results were adjusted to take into account possible confounding factors, including education, job level, coronary heart disease, stroke, blood pressure, medications, diabetes, smoking and alcohol
use.
The results showed that:
· Compared to having high HDL-C, having low HDL-C was linked to having a higher risk of memory deficit at the first (27 per cent higher risk) and second measuring point (53 per cent higher risk).
· Decrease in HDL-C over the 5 year follow up was linked with memory decline (61 per cent higher risk).
· The authors wrote that "no interaction with APOE e4 status was present".
APOE e4 is a gene that some studies have suggested may predispose people to Alzheimer's
Disease.
The authors concluded that low HDL-C, which is potentially modifiable, is linked to "poor memory and decline in memory in middle-aged
adults."
" Low HDL Cholesterol Is a Risk Factor for Deficit and Decline in Memory in Midlife. The Whitehall II Study."
Archana Singh-Manoux, David Gimeno, Mika Kivimaki, Eric Brunner, and Michael G. Marmot.
Arterioscler. Thromb. Vasc. Biol. DOI: 10.1161/ATVBAHA.108.163998. (Augustus
2008)
