{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:55:29Z","timestamp":1791910529375,"version":"4.3.4"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,19]],"date-time":"2021-09-19T00:00:00Z","timestamp":1632009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000629","name":"Age UK","doi-asserted-by":"publisher","award":["Disconnected Mind"],"award-info":[{"award-number":["Disconnected Mind"]}],"id":[{"id":"10.13039\/501100000629","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007155","name":"Medical Research Council Canada","doi-asserted-by":"publisher","award":["MR\/R024065\/1"],"award-info":[{"award-number":["MR\/R024065\/1"]}],"id":[{"id":"10.13039\/501100007155","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG054628"],"award-info":[{"award-number":["R01AG054628"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["108890\/Z\/15\/Z"],"award-info":[{"award-number":["108890\/Z\/15\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brit J Clinical Pharma"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of prescription drugs with anticholinergic properties has been associated with multiple negative health outcomes in older people. Moreover, recent evidence suggests that associated adverse effects may occur even decades after stopping anticholinergic use. Despite the implicated importance of examining longitudinal patterns of anticholinergic prescribing for different age groups, few such data are available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed an age\u2010period\u2010cohort (APC) analysis to study trends in an aggregate measure of anticholinergic burden between the years 1990 and 2015, utilising data from &gt;220\u2009000 UK Biobank participants with linked prescription data from primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Anticholinergic burden in the sample increased up to 9\u2010fold over 25\u2009years and was observed for both period and age effects across most classes of drugs. The greatest increase was seen in the prescribing of antidepressants. Female sex, lower education and greater deprivation were associated with greater anticholinergic burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The increase in anticholinergic prescribing is mostly due to an increase in polypharmacy and is attributable to both ageing of participants and period\u2010related changes in prescribing practices. Research is needed to clarify the implications of rising anticholinergic use for public health and to contextualise this rise in light of other relevant prescribing practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bcp.15045","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T03:06:03Z","timestamp":1629342363000},"page":"983-993","source":"Crossref","is-referenced-by-count":26,"title":["Increase in anticholinergic burden from 1990 to 2015: Age\u2010period\u2010cohort analysis in UK biobank"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0103-5139","authenticated-orcid":false,"given":"Jure","family":"Mur","sequence":"first","affiliation":[{"name":"Lothian Birth Cohorts Group, Department of Psychology University of Edinburgh  Edinburgh UK"},{"name":"Centre for Genomic and Experimental Medicine, Institute of Genetics and Molecular Medicine University of Edinburgh  Edinburgh 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