GERD Increases Risk of Dementia: Insights from Real-World Data

Published on April 4, 2022

It’s like finding out that people who love spicy food are more likely to become expert salsa dancers! A study analyzed data from the Longitudinal Health Insurance Database in Taiwan to investigate whether individuals with gastroesophageal reflux disease (GERD) have a higher risk of developing dementia. After matching patients based on gender, age, and other factors, it was found that those with GERD had a 34% increased risk of developing dementia compared to those without GERD. The risk was even higher among elderly GERD patients, with a 34% increase in dementia risk. This real-world evidence suggests a potential association between GERD and dementia, leading to the need for clinicians to be aware of this link and develop strategies for both managing GERD and preventing dementia. Now, imagine enjoying your favorite spicy meal while learning some salsa moves – but keep in mind the importance of further research on this topic to uncover more about the underlying mechanisms and potential interventions.

BackgroundWhether or not patients with gastroesophageal reflux disease (GERD) have a higher risk of developing subsequent dementia remains unknown, and no observational evidence from population-based data is available. This study was to determine whether patients with GERD have a higher future risk of developing dementia.MethodsFor the period 2000–2012, datasets from the Longitudinal Health Insurance Database (LHID, subset of National Health Insurance Research Database in Taiwan) were analyzed. Definition of GERD was based on ICD-9-CM codes 530.11 and 530.81 and prescriptions for PPIs. After matching gender, age, index year, and comorbidities, each GERD patient was matched with four control patients without GERD. Future risk of dementia was evaluated, and sensitivity analysis of subgroups was conducted to clarify the potential association.ResultsIn the present study, 13,570 patients were included in the GERD cohort and 54,280 patients were included in the control cohort. Patients with GERD showed higher risk developing dementia than control group, with an aHR of 1.34 (95% C.I., 1.07, 1.67). In GERD patients between above 70 years old, the risk of developing dementia was higher than that of the control groups (aHR = 1.34; 95% C.I., 1.01, 1.77).ConclusionPatients with GERD showed higher incidence of dementia, and elder patients had the highest risk of developing dementia. Clinicians should be concern of the association between GERD and dementia and should develop strategies to prevent dementia while managing patients with GERD.

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