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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7452 p578
19 May 2007

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Aspirin use does not slow cognitive decline

Ramona Heim/iStockPhoto.com

Elderly woman

Elderly women took low-dose aspirin

Long-term aspirin use does not slow cognitive decline in women aged 65 years and over, a study published in BMJ Online First suggests (27 April 2007).

Researchers in the US conducted a trial involving 6,377 women participating in the Women’s Health Study (a trial of low-dose aspirin for the primary prevention of cardiovascular disease and cancer). The women received either low-dose aspirin (100mg on alternate days) or placebo for a mean of 9.6 years. Their cognitive function was tested via three telephone assessments at two-year intervals, beginning 5.6 years after randomisation. Five tests were used to measure general cognition, verbal memory and category fluency (naming as many animals as possible in one minute).

Cognitive performance at the initial assessment was similar between the aspirin and placebo groups, say the researchers. In addition, no mean difference in global score (composite of five tests) was observed between the groups at each follow-up.

The researchers note that women in the aspirin group were 20 per cent less likely to develop substantial decline in performance on category fluency than those in the placebo group (relative risk 0.80, 95 per cent confidence interval 0.67–0.97; P=0.02). They say that, because category fluency partially assesses executive function (a cognitive system that is influenced by vascular disease), it is plausible that low-dose aspirin may specifically help preserve executive function. More studies are needed to confirm this, they caution.

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