title: Cognitive test scores in young men and subsequent risk of type 2 diabetes, cardiovascular morbidity, and death.
abstract: BACKGROUND
  The association between cognitive scores in young adulthood and long-term cardiometabolic risks remains unclear.
  
  
  METHODS
  Using population-based registries, we followed 6502 military conscripts from their 22nd birthday until death, emigration, or 55 years of age. We calculated risks and hazard ratios (HRs) associating quartiles of cognitive scores (very high, high, moderate, and low) with type 2 diabetes, hypertension, myocardial infarction, stroke, venous thromboembolism, and death before age 55 years.
  
  
  RESULTS
  The 33-year risk of the combined outcome was inversely associated with cognitive scores (26% for low and 16% for very high scores). Compared with very high scores, the HR for the combined outcome was 1.20 (95% confidence interval = 1.02, 1.41) for high, 1.43 (1.22, 1.68) for moderate, and 1.67 (1.43, 1.95) for low scores. Similar HRs were observed for individual outcomes.
  
  
  CONCLUSIONS
  Low cognitive score in young adulthood was a strong predictor for type 2 diabetes, cardiovascular morbidity, and death before 55 years of age.
authors.affiliation: Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. morten.schmidt@dce.au.dk
authors.forename: Morten
authors.initials: M
authors.lastname: Schmidt
authors.forename: Sigrun A
authors.initials: SA
authors.lastname: Johannesdottir
authors.forename: Stanley
authors.initials: S
authors.lastname: Lemeshow
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Lash
authors.forename: Sinna P
authors.initials: SP
authors.lastname: Ulrichsen
authors.forename: Hans Erik
authors.initials: HE
authors.lastname: Bøtker
authors.forename: Henrik Toft
authors.initials: HT
authors.lastname: Sørensen
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D003071:Cognition / Q000502:physiology*; D003643:Death; D003718:Denmark / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012042:Registries; D012306:Risk; D055815:Young Adult