As circulating IGF-I receptor stimulating activity is only modestly correlated to total serum IGF-I and IGF-I/IGFBP-3 ratio (Brugts et al., 2008), comparison to other studies on serum total IGF-I, measured by immunoassays, and dementia risk, described by Ostrowski et al. (2016) is difficult. Here, IGF1 is linked to dementia.