Dairy intake and dementia risk in Malmö Diet and Cancer cohort

Clinical Score: 0.950 Price: $0.50 Alzheimer's disease Swedish community-based adults, mean age 58.1 years, 61% female Status: proposed

What This Experiment Tests

Clinical experiment designed to assess clinical efficacy targeting APOE in Swedish community-based adults, mean age 58.1 years, 61% female. Primary outcome: All-cause dementia incidence

Description

This prospective cohort study examined the association between high-fat and low-fat dairy product consumption and dementia risk using data from the Malmö Diet and Cancer cohort in Sweden. The study followed 27,670 community-based participants for a median of 25 years (1991-2020). Dietary intake was assessed at baseline using a comprehensive diet history method combining a 7-day food diary, food frequency questionnaire, and dietary interview. Dementia cases were identified through the Swedish National Patient Register. The study specifically examined different dairy products including high-fat cheese (>20% fat), low-fat cheese, high-fat cream (>30% fat), low-fat cream, milk, fermented milk, and butter. Cox proportional hazard regression models were used to estimate hazard ratios and 95% confidence intervals. The study also examined effect modification by APOE ε4 status. Results showed that consumption of ≥50 g/d of high-fat cheese was associated with reduced risk of all-cause dementia (HR 0.87) and vascular dementia (HR 0.71). High-fat cream consumption ≥20 g/d was associated with 16% lower risk of all-cause dementia (HR 0.84).

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TARGET GENE
MODEL SYSTEM
Swedish community-based adults, mean age 58.1 years, 61% female
ESTIMATED COST
$0
TIMELINE
0 months
PATHWAY
lipid metabolism, neuroinflammation
SOURCE
extracted_from_pmid_41406402
PRIMARY OUTCOME
All-cause dementia incidence

Scoring Dimensions

Info Gain 0.00 (25%) Feasibility 0.00 (20%) Hyp Coverage 0.00 (20%) Cost Effect. 0.00 (15%) Novelty 0.00 (10%) Ethical Safety 0.00 (10%) 0.950 composite

📖 Wiki Pages

APOE — Apolipoprotein EgeneAPOE Genotyping for Neurodegenerative Disease RiskdiagnosticAPOE-Expressing AstrocytescellAPOE - Apolipoprotein Escidex_docsAPOE Lipid Metabolism Pathway in Alzheimer's DiseamechanismAPOE contributes to Alzheimer's disease by regulathypothesisAPOE contributes to Alzheimer's disease by regulathypothesisapoe-genotype-guided-preventiontherapeuticAPOE Lipid Dysregulation Causal Chain in ADmechanismCancerdiseaseEarly-Onset Alzheimer's Disease (EOAD)diseaseInvestment Landscape: Alzheimer's DiseasediseasePreclinical Alzheimer's DiseasediseaseProdromal Alzheimer's DiseasediseasePSEN1 Mutations in Alzheimer's Diseasedisease

Protocol

Prospective cohort study with comprehensive dietary assessment at baseline (7-day food diary, food frequency questionnaire, dietary interview), dementia case identification through Swedish National Patient Register, Cox proportional hazard regression analysis with adjustment for confounders, stratification by APOE ε4 status

Expected Outcomes

Investigation of differential associations between high-fat vs low-fat dairy products and dementia risk, with hypothesis that dairy products may have protective effects

Success Criteria

Significant hazard ratios indicating protective or harmful associations between dairy consumption categories and dementia incidence

Related Hypotheses (6)

Selective APOE4 Degradation via Proteolysis Targeting Chimeras (PROTACs)0.795
Competitive APOE4 Domain Stabilization Peptides0.784
APOE4-Specific Proteolytic Fragment Inhibition Therapy0.777
APOE4 Allosteric Rescue via Small Molecule Chaperones0.765
APOE Isoform Expression Across Glial Subtypes0.743

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