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Brain & Heart





                                        ORIGINAL RESEARCH ARTICLE
                                        Dementia as a risk factor for coronary artery

                                        disease



                                                                1
                                                   1
                                        Ram B. Singh * , M. A. Niaz , Ajay Agarwal , Aminad Magomedova 3  ,
                                                                              2
                                        M. A. Manal Smail , Saibal Chakravorty , Yana Danailova , Ghizal Fatima 7  ,
                                                                                         6
                                                       4
                                                                          5
                                        and Miroslav Dobrev 3
                                        1 Department of Medicine, Halberg Hospital and Research Institute, Moradabad, Uttar Pradesh, India
                                        2 Department of Medicine, Fortis Hospital, Noida, Uttar Pradesh, India
                                        3 Department of Population, Lomosonov Moscow State University, Moscow, Russia
                                        4 Department Pharmacy, School of Medicine & Health Sciences, United Arab University, Ajman,
                                        United Arab Emirates
                                        5 Department of Medicine, Metro Multispeciality Hospital, Noida, Uttar Pradesh, India
                                        6 Yana Nutrition Clinic, Sofia, Sofia City, Bulgaria
                                        7 Chronobiology Laboratory, Era Medical College, Era University, Lucknow, Uttar Pradesh, India



                                        Abstract

                                        Western diet and lifestyle are known to predispose to low-grade chronic systemic
                                        inflammation, leading to dementia and coronary artery disease (CAD). It is hypothesized
                                        that dementia may also predispose individuals to CAD, just as it is well-established that
                                        CAD can predispose individuals to dementia. This study investigates the association
                                        between dementia and the risk of developing CAD. All participants (n = 2,002) were
                                        over 25 years old (986 females and 1,016 males), and all were residing in urban areas.
            *Corresponding author:      Validated instruments, including a modified memory impairment scale, were used
            Ram B. Singh
            (rbs@tsimtsoum.net)         to assess dementia.  The association between memory dysfunction and CAD was
                                        evaluated through regression analysis. Definite memory dysfunction was found in
            Citation: Singh RB, Niaz MA,
            Agarwal A, et al. Dementia as a risk   4.54% of participants, with a higher prevalence in men than in women, and was more
            factor for coronary artery disease.   common than possible memory dysfunction. Regression analysis, after adjusting for
            Brain & Heart. 2025;3(3):8426.   age and body mass index, revealed that dementia scores were significantly associated
            doi: 10.36922/bh.8426
                                        with CAD risk (p<0.001) in both men (odds ratio [OR]: 0.90, 95% confidence interval
            Received: January 6, 2025   [CI]: 0.82 – 0.98) and women (OR: 0.88, CI: 0.81 – 0.96). Similarly, diabetes mellitus scores
            Revised: March 28, 2025     were strongly associated with CAD risk (p<0.001) in men (OR: 0.76, CI: 0.68 – 0.87)
                                        and women (OR: 0.77, CI: 0.77 – 0.87). Sedentary behavior and tobacco use were also
            Accepted: April 10, 2025
                                        positively associated with CAD in both genders (p<0.05), whereas alcoholism showed
            Published online: June 10, 2025  a modest positive association with CAD risk in men but not in women. These findings
            Copyright: © 2025 Author(s).   suggest a potential association between dementia and CAD risk across genders.
            This is an Open-Access article   However, larger cohort studies are needed to confirm these results.
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   Keywords: Memory dysfunction; Memory impairment; Neuronal damage; Brain; Heart
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   There is growing evidence that behavioral risk factors, such as unhealthy diet, sedentary
            affiliations.               behavior, tobacco use, alcoholism, mental health disorders, and sleep disturbances,


            Volume 3 Issue 3 (2025)                         1                                doi: 10.36922/bh.8426
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