Featured ArticleAnxiety is associated with increased risk of dementia in older Swedish twins

IntroductionWe asked whether anxiety is associated with prospective risk of dementia, and the extent to which genetic influences mediate this association.MethodsNondemented twins (n = 1082) from the Swedish Adoption Twin Study of Aging completed an assessment of anxiety symptoms in 1984 and were followed for 28 years.ResultsBaseline anxiety score, independent of depressive symptoms, was significantly associated with incident dementia over follow-up (hazard ratio [HR] = 1.04; 95% confidence interval [CI] = 1.01-1.06). There was 48% increased risk of becoming demented for those who had experienced high anxiety at any time compared with those who had not. In co-twin analyses, the association between anxiety symptoms and dementia was greater for dizygotic (HR = 1.11; 95% CI = 1.02-1.20) compared with monozygotic twins (HR = 1.06; 95% CI = 0.95-1.20), indicating genetic mediation.DiscussionAnxiety symptoms were associated with increased risk of dementia. Genetic factors common to dementia and anxiety partially mediated this association.