Subclinical Vascular Burden Predicts 20‑Year Cognitive Decline: Arteriosclerosis and Atherosclerosis Outperform Blood Pressure and Cardiac Measures
Highlights
• In the Multi‑Ethnic Study of Atherosclerosis (MESA), baseline composite measures of arteriosclerosis and atherosclerosis were more consistently associated with cognitive decline and incident cognitive impairment (MCI/dementia) over 20 years than composites of blood pressure or cardiac function.
• Associations were observed across cognitive domains and racial/ethnic subgroups and persisted after accounting for clinical dementia risk factors.
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