Impact of cumulative exposure to anticholinergic and sedative drugs on cognition in older adults: a memory clinic cohort study
| dc.rights.license | open | en_US |
| dc.contributor.author | REALLON, Elsa | |
| dc.contributor.author | GERVAIS, Frederic | |
| dc.contributor.author | MOUTET, Claire | |
| dc.contributor.author | DAUPHINOT, Virginie | |
| dc.contributor.author | DESNAVAILLES, Pauline | |
| dc.contributor.author | NOVAIS, Teddy | |
| dc.contributor.author | KROLAK-SALMON, Pierre | |
| dc.contributor.author | GARNIER-CRUSSARD, Antoine | |
| dc.contributor.author | MOUCHOUX, Christelle | |
| dc.contributor.author | GROUP., Memora | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | ROUCH, Isabelle | |
| dc.date.accessioned | 2025-02-17T13:42:40Z | |
| dc.date.available | 2025-02-17T13:42:40Z | |
| dc.date.issued | 2024-07-23 | |
| dc.identifier.issn | 1758-9193 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/204942 | |
| dc.description.abstractEn | Background: Long-term exposure to anticholinergic and sedative drugs could be a modifiable risk factor for cognitive decline. The objective of this study was to measure the association between previous cumulative anticholinergic and sedative drug exposure (Drug Burden Index) and cognitive decline. Methods: A cohort study (MEMORA cohort) was conducted in a French memory clinic for patients attending a consultation between November 2014 and December 2020, with at least 2 Mini-Mental State Examination (MMSE) measurements (≥ 6 months apart) and available medication data from the local Primary Health Insurance Fund database (n = 1,970). Drug Burden Index was linearly cumulated until each MMSE measurement and was used to categorise patients according to their level of exposure (no exposure, moderate, or high). The longitudinal association between Drug Burden Index and MMSE was assessed using a multivariate linear mixed model, adjusted for age, education level, anxiety disorders, depressive disorders, functional autonomy, and behavioural disorders. Results: Overall, 1,970 patients were included with a mean follow-up duration of 2.78 years (± 1.54) and 2.99 visits per patients (5,900 MMSE + Drug Burden Index measurements collected). At baseline, 68.0% of patients had moderate cumulative anticholinergic and sedative drug exposure and a mean MMSE of 21.1. MMSE decrease was steeper in patients with moderate and high Drug Burden Index (-1.74 and -1.70/year, respectively) than in patients with no exposure (-1.26/year) after adjusting for age, education, anxiety and depressive disorders, functional autonomy, and behavioural disorders (p < 0.01). Conclusions: Long-term exposure to anticholinergic and sedative drugs is associated with steeper cognitive decline. Medication review focusing on de-prescribing these drugs could be implemented early to reduce cognitive impairment. © The Author(s) 2024. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | * |
| dc.subject.en | Alzheimer’s Disease | |
| dc.subject.en | Anticholinergic | |
| dc.subject.en | Dementia | |
| dc.subject.en | Hypnotics and Sedatives | |
| dc.subject.en | Potentially Inappropriate Medication | |
| dc.title.en | Impact of cumulative exposure to anticholinergic and sedative drugs on cognition in older adults: a memory clinic cohort study | |
| dc.title.alternative | Alzheimers Res Ther | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1186/s13195-024-01530-8 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 39044289 | en_US |
| bordeaux.journal | Alzheimer's Research and Therapy | en_US |
| bordeaux.page | 163 | en_US |
| bordeaux.volume | 16 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 1 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | Coll_ACTIVE_BPH | en_US |
| bordeaux.team | Coll_ACTIVE_BPH | |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-04952039 | |
| hal.version | 1 | |
| hal.date.transferred | 2025-02-17T13:42:43Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
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