Addiction

Cannabis-induced hospital visits linked to higher dementia rate

Cannabis-induced hospital visits linked to higher dementia rate
Despite some positives, a new study adds to the growing data that suggests too much cannabis is bad for your health
Despite some positives, a new study adds to the growing data that suggests too much cannabis is bad for your health
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Despite some positives, a new study adds to the growing data that suggests too much cannabis is bad for your health
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Despite some positives, a new study adds to the growing data that suggests too much cannabis is bad for your health

Consuming cannabis can certainly be a way to deal with some health conditions like chronic pain or insomnia. But when a user goes too far and winds up in the hospital, the negative consequences can reach far into the future, says a new study.

While the Grateful Dead once sang "too much of everything is just enough," that certainly doesn't seem to be the case with a substance well-known to many a Deadhead: cannabis. Though the psychoactive plant has been linked to plenty of health benefits including better sleep, putting the brakes on melanoma growth, and improving a range of quality-of-life factors, excessive use of the drug has been shown to spike coronary artery disease risk and impair brain function in young users.

Now a team of Canadian researchers has added another warning to partaking too vigorously in cannabis: dementia.

In reaching their conclusions, scientists from institutes across Canada looked at a database consisting of six million adults aged 45 or older, none of whom had a history of dementia. They then found 16,275 individuals who had gone to the hospital from cannabis overuse.

Of that subgroup, 5% were diagnosed with dementia within five years, while 19% were diagnosed with the condition within 10 years. That represented a 23% greater risk in a dementia diagnosis over those who had received acute care for any other condition, and a whopping 72% higher risk than those in the general population.

Brain change

“Long-term and heavy cannabis use has been associated with memory problems in midlife along with changes in brain structure associated with dementia,” says study lead author Daniel Myran. “We set out to estimate the risk of being diagnosed with dementia in a group of people whose cannabis use resulted in a visit to the emergency room or required a hospitalization for treatment.” Myran is an Adjunct Scientist at the Institute for Clinical Evaluative Sciences in Ottowa, where the medical data used in the study was compiled.

Digging into the data further, the researchers say they also saw a five-fold increase in first-time acute care visits from cannabis use between 2008 and 2021.

The scientists also issued a couple of cautions with their study. First, they say, because the study only looked at hospital admissions from cannabis overuse, there's no way of telling how those who abuse the drug but have never gone to the hospital for it may or may not develop dementia in the future.

Secondly, they say that the study does not indicate that cannabis causes dementia – only that a relationship between the two has been discovered by combing through vast amounts of data.

As for why that link might exist, study co-author Colleen Webber has a theory.

“Regular cannabis use might directly increase the risk of dementia through changes in brain structure," she said. "It’s also possible that regular cannabis use increases the risk of other established risk factors for dementia, including high blood pressure, head trauma and other injuries, and a higher risk for depression and social isolation.”

"While we collectively need more research to better understand potential risks of regular cannabis use on cognition and dementia, we hope these findings can inform discussion between patients and healthcare providers,” concluded Myran.

The study results have been published in the journal JAMA Neurology.

Source: Institute for Clinical Evaluative Sciences via EurekAlert

4 comments
4 comments
White Rabbit
"Figures lie and liars figure" is an old adage about the use of numbers out of context. This article provides no rationale for any of the numbers cited and avoids those that might actually be useful. The authors of the study claim to have revealed a "relationship" between cannabis and dementia. In the next sentence this relationship becomes a link and when asked what that link *might* be, can only say "Regular cannabis use *might* directly increase the risk of dementia through changes in brain structure." No evidence is provided for these changes, nor their cause. Ms. Webber goes on to say "It’s also *possible* that regular cannabis use increases the risk of other established risk factors for dementia, including high blood pressure, head trauma and other injuries..." Notice that NO evidence is offered to support the rather odd suggestion that cannabis use leads to head trauma, or any other injuries, only that it's *possible*. Unsubstantiated possibility reminds me of another old adage - "and pigs *might* fly." One correlation that it clear is that 16,275 people went to hospital and were later diagnosed with dementia. Did the study consider the possibility that hospital visits *might* be related to dementia? Michael, this kind of "research" is expensive and doesnt just happen. Who thought it worthwhile to propose this study, and who funded it? Answers to these questions should come long before the "results" are reported.
Venetian
Who ran the numbers here? There are so many glaring flaws in this study that a proper analysis of results is required.
⚠️ METHODOLOGICAL FLAWS / LIMITATIONS:
Selection Bias:
Hospitalized cannabis users likely represent extreme cases (acute psychosis, overdose, concurrent mental health issues), not average cannabis users. These individuals may also have co-occurring risk factors: alcohol use, poverty, schizophrenia spectrum, etc.
Confounding:
No mention of controlling for known dementia risk factors: education, cardiovascular health, depression, traumatic brain injury, social isolation. People hospitalized for cannabis overuse may have more severe underlying psychiatric or neurological profiles.
Reverse Causality Risk:
In prodromal dementia, behavior changes (e.g., increased impulsivity, poor judgment) can increase risky behavior like heavy cannabis use. This means early brain changes could lead to cannabis misuse—not the other way around.
Diagnostic Bias:
Patients with psychiatric hospitalization histories are more likely to be monitored and screened, increasing detection likelihood of dementia compared to the general population.
Lack of Exposure Definition:
“Cannabis overuse” isn’t clearly defined: how many grams, what THC concentration, frequency, synthetic vs. natural, etc. No dose-response data provided.
Generalization:
Findings based on hospitalizations shouldn’t be generalized to recreational or medicinal users not ending up in acute care. The 72% increase vs. general population makes a dramatic headline but oversimplifies the nuance.
Comparative Baseline Ambiguity:
The “general population” used for comparison may differ drastically from the cannabis-hospitalized cohort in demographics and health status.
So a great clickbait for anti cannabis activists implying a nearly doubling of the risk for users but a fail on the scientists conducting and publishing the study.
Karmudjun
Thanks Michael! Your synopsis seems to have opened a "can of worms". The authors of this longitudinal cohort study (6 million+) found a correlation between cannabis overuse/overdose & risk of dementia. Since these researchers were mining data linked to the cohort follow-up, they were neither predicting nor correlating dementia diagnosis through the mining of data. In finding this ASSOCIATION the dearth of research upon cannabis consumption and onset of delirium or dementia may now occur. This topic lacks worthwhile scientific research on the impact of ongoing cannabis consumption regarding dementia. Lets not go all Dunning-Kruger on this!
DG50282
These cannabis studies that have been coming out in the news are the worst. They ignore other drug use and a whole other multitude of variables to focus on extreme cases to sell the dangers of cannabis. Maybe a cannabis user that is so abusive of the substance that they require a hospital visit because of how much they overdo it, isn't a prime example of health. How many other illicit substances do they abuse to get to the point of "overdosing" on cannabis? Sounds like a study funded by the alcohol or tobacco industry.