Health
Study Links High BMI to Increased Risk of Vascular Dementia
Being overweight significantly raises the likelihood of developing vascular dementia, a progressive brain disease caused by reduced blood flow to the brain, according to a large study conducted by researchers in the United Kingdom and Denmark. The condition is the second most common form of dementia after Alzheimer’s disease, the Alzheimer’s Society in the UK reports, and leads to nerve cell damage, memory loss, and cognitive decline.
Obesity has long been associated with higher dementia risk, but until now, it was unclear whether excess weight directly contributes to the disease or merely reflects other underlying health conditions. Researchers analysed data from more than 500,000 participants across the two countries and found a clear causal link between higher body mass index (BMI) and vascular dementia.
The team employed a method called Mendelian randomisation, which compares individuals born with genes that predispose them to higher BMI with those who are not. Their findings showed that people with a genetically higher BMI had a substantially increased risk of vascular-related dementia. High blood pressure was identified as a major factor explaining much of this risk.
“This study shows that high body weight and high blood pressure are not just warning signs, but direct causes of dementia,” said Ruth Frikke-Schmidt, the study’s lead author and professor at the University of Copenhagen, who also serves as chief physician at Copenhagen University Hospital. She noted that maintaining a healthy weight and controlling blood pressure could be important steps in reducing the risk of dementia later in life.
Frikke-Schmidt added that while recent studies of weight-loss medications have not shown a benefit in halting cognitive decline in early Alzheimer’s, it remains to be tested whether early interventions—before the onset of cognitive symptoms—could protect against vascular dementia. “Our present data would suggest that early weight-loss interventions would prevent dementia, and especially vascular-related dementia,” she said.
Globally, dementia remains a major public health challenge, with nearly 10 million new cases reported each year, according to the World Health Organization. People living with dementia experience severe declines in memory, thinking, reasoning, and daily functioning, placing significant burdens on patients, families, and healthcare systems.
The study highlights the importance of early prevention, particularly through weight management and blood pressure control. As evidence grows linking lifestyle factors to dementia risk, experts say interventions targeting obesity and hypertension could provide a critical opportunity to reduce the future global burden of vascular dementia.
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