Chronic Pain Increases Risk of Alzheimer’s: Study Reveals

Published on September 28, 2023

Imagine chronic pain as an unwelcome neighbor barging into your home. This persistent discomfort has been found to be a potential risk factor for the development of Alzheimer’s disease and related dementias (ADRD). A recent study, using national healthcare administrative data, examined the impact of chronic pain on the incidence of ADRD. The researchers followed a large group of individuals over 9 to 13 years and found that those with chronic pain had a higher risk of developing ADRD compared to those without chronic pain. Interestingly, the incidence of ADRD in the chronic pain population was higher for women and increased with age. This study emphasizes the importance of addressing and managing chronic pain in the elderly population to potentially reduce their risk of dementia. To delve deeper into this fascinating research, click on the link below!

IntroductionChronic pain (CP) is one of the most disabling conditions in the elderly and seems to be a risk factor for the development of Alzheimer’s disease and related dementias (ADRD). Only one study, using national administrative health databases, assessed and demonstrated that chronic pain (all types of pain) was a risk factor for dementia, but without assessing the impact of pain medications.MethodTo assess the impact of all types of chronic pain and the long-term use of pain medications on the person-years incidence of ADRD, a retrospective nationwide healthcare administrative data study was performed using the national inter-regime health insurance information system (SNIIRAM) to the French national health data system (SNDS). Incident people >50 years old with chronic pain, defined by at least 6-months duration analgesics treatment or by a diagnosis/long-term illness of chronic pain between 2006 and 2010, were included. Chronic pain individuals were matched with non-CP individuals by a propensity score. Individuals were followed up from 9 to 13 years to identify occurrences of ADRD from 2006.ResultsAmong 64,496 French individuals, the incidence of ADRD was higher in the chronic pain population than control (1.13% vs. 0.95%, p <0.001). Chronic pain increases the risk of ADRD (HR = 1.23) and the incidence of ADRD was higher for women and increased significantly with age.DiscussionOur study highlights the importance of prevention, diagnosis, and management of chronic pain in elderly to reduce the risk of development and/or worsening of dementia.

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