Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Aging
  4. Traumatic Spinal Cord Injury and Risk of Early and Late Onset Alzheimer’s Disease and related Dementia: Large Longitudinal Study

Traumatic Spinal Cord Injury and Risk of Early and Late Onset Alzheimer’s Disease and related Dementia: Large Longitudinal Study

Arch Phys Med Rehabil, 2021 · DOI: 10.1016/j.apmr.2020.12.019 · Published: June 1, 2021

AgingNeurologyRehabilitation

Simple Explanation

This study looked at whether people with traumatic spinal cord injuries (TSCI) are more likely to develop Alzheimer's disease and related dementia (ADRD). Researchers used a large database of insurance claims to compare the risk of ADRD in adults with and without TSCI. The study found that adults with TSCI had a higher risk of developing ADRD, especially early-onset ADRD (before age 65). This increased risk may be due to nerve damage, inflammation, and other health problems that are more common in people with TSCI. The findings suggest that doctors should screen people with TSCI for cognitive problems and provide early interventions to help preserve brain function. Further research is needed to understand how to reduce the risk of ADRD in this population.

Study Duration
2007–2017
Participants
Adults 45+ with TSCI (n=7,019) and without TSCI (n=916,516)
Evidence Level
Cohort Study

Key Findings

  • 1
    Adults with TSCI had higher incident ADRD compared to those without TSCI.
  • 2
    Adults with TSCI had a greater hazard for ADRD among both 45–64 years old and 65+ years old age groups.
  • 3
    Secondary comorbid conditions that are more prevalent among people with TSCI may also increase the risk of incident ADRD.

Research Summary

This study examined the risk of TSCI on incident ADRD, comparing unmatched and matched cohorts of adults with and without TSCI among two different age groups of 45–64 and 65+. Risk of incident ADRD is substantially and significantly higher among persons with TSCI compared to those without. TSCI approximately doubles the risk of early onset ADRD (among people 45–64 years old).

Practical Implications

Clinical Screening

Improved clinical screening for ADRD in adults with TSCI is needed.

Early Interventions

Early interventions aiming to preserve cognitive function are of paramount importance for this patient cohort.

Preventative Services

Further research is needed on healthy lifestyle choices, leisure cognitive activities, and preventative services to reduce the risk of ADRD among people with TSCI.

Study Limitations

  • 1
    Unable to distinguish between incident and prevalent TSCI.
  • 2
    Confirmatory identification of TSCI may not always be accurate.
  • 3
    No measure of the neurological classification.

Your Feedback

Was this summary helpful?

Back to Aging