June 10, 2026 · Neurology · DOI: 10.1212/WNL.0000000000218127

Frailty as a Modifier of the Associations Between Vascular Risk Factors and Incident Dementia

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The authors aimed to investigate how frailty modifies the relationship between late-life vascular risk factors, specifically hypertension, diabetes, and smoking, and the risk of developing dementia in older adults. Their findings revealed that hypertension was associated with a higher dementia risk in robust individuals, while prefrail/frail participants showed a lower relative risk, suggesting that blood pressure management may need to consider an individual's functional status to support brain health.

Jason R Smith, A Richey Sharrett, James Russell Pike, Rebecca F Gottesman, David S Knopman, B Gwen Windham, Pamela L Lutsey, Priya Palta, Josef Coresh, Karen Bandeen-Roche, Alden L Gross, Jennifer A Deal

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