The Cretan Aging Cohort: Cohort Description and Burden of Dementia and Mild Cognitive Impairment

被引:23
作者
Zaganas, Ioannis V. [1 ]
Simos, Panagiotis [2 ,3 ]
Basta, Maria [2 ]
Kapetanaki, Stefania [1 ]
Panagiotakis, Symeon [4 ]
Koutentaki, Irini [2 ]
Fountoulakis, Nikolaos [4 ]
Bertsias, Antonios [5 ]
Duijker, George [5 ]
Tziraki, Chariklia [6 ]
Scarmeas, Nikolaos [7 ]
Plaitakis, Andreas [8 ]
Boumpas, Dimitrios [9 ]
Lionis, Christos [5 ]
Vgontzas, Alexandros N. [2 ]
机构
[1] Univ Crete, Med Sch, Neurol Dept, Iraklion 71003, Crete, Greece
[2] Univ Crete, Med Sch, Psychiat Dept, Iraklion, Crete, Greece
[3] Fdn Res & Technol, Inst Comp Sci, Iraklion, Greece
[4] Univ Crete, Med Sch, Internal Med Dept, Iraklion, Crete, Greece
[5] Univ Crete, Med Sch, Clin Social & Family Med, Iraklion, Crete, Greece
[6] Community Elders Club, Res Dept, Jerusalem, Israel
[7] Univ Athens, Dept Social Med Psychiat & Neurol, Neurol Clin 1, Aiginit Hosp, Athens, Greece
[8] Mt Sinai Sch Med, Neurol Dept, New York, NY USA
[9] Univ Athens, Med Sch, Internal Med Dept, Athens, Greece
来源
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2019年 / 34卷 / 01期
关键词
dementia; education and dementia; mild cognitive impairment; dementia burden; CARDIOVASCULAR RISK-FACTORS; DIAGNOSTIC-CRITERIA; ALZHEIMERS-DISEASE; GENERAL-PRACTICE; FOLLOW-UP; PREVALENCE; EDUCATION; POPULATION; DECLINE; EUROPE;
D O I
10.1177/1533317518802414
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Our aim was to explore the burden of dementia in the Cretan Aging Cohort, comprised of 3140 persons aged >= 60 years (56.8% women, 5.8 +/- 3.3 years formal education, 86.2% living in rural areas) who attended selected primary health-care facilities on the island of Crete, Greece. In the first study phase, a formal diagnosis of dementia had been reached in 4.0% of the participants. However, when selected 505 participants underwent thorough neuropsychiatric evaluation in the second phase of this study (344 with Mini-Mental State Examination [MMSE] <24 and 161 with MMSE >= 24), and results were extrapolated to the entire cohort, the prevalence of dementia and mild cognitive impairment was estimated at 10.8% (9.7%-11.9%) and 32.4% (30.8%-34.0%), respectively. Using both the field diagnostic data and the extrapolated data, the highest dementia prevalence (27.2%) was found in the 80- to 84-year-old group, who also showed the lowest educational level, apparently due to lack of schooling during World War II.
引用
收藏
页码:23 / 33
页数:11
相关论文
共 79 条
  • [1] Albisseti J, 2010, SECONDARY ED W WORLD
  • [2] Cardiovascular risk factors and dementia mortality: 40 years of follow-up in the Seven Countries Study
    Alonso, Alvaro
    Jacobs, David R., Jr.
    Menotti, Alessandro
    Nissinen, Aulikki
    Dontas, Anastasios
    Kafatos, Anthony
    Kromhout, Daan
    [J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 2009, 280 (1-2) : 79 - 83
  • [3] American Psychiatric Association, 1994, DSM 4 CRIT DIAGN STA
  • [4] Mediterranean diet and cognitive health: Initial results from the Hellenic Longitudinal Investigation of Ageing and Diet
    Anastasiou, Costas A.
    Yannakoulia, Mary
    Kosmidis, Mary H.
    Dardiotis, Efthimios
    Hadjigeorgiou, Giorgos M.
    Sakka, Paraskevi
    Arampatzi, Xanthi
    Bougea, Anastasia
    Labropoulos, Ioannis
    Scarmeas, Nikolaos
    [J]. PLOS ONE, 2017, 12 (08):
  • [5] Andersen K, 1997, ACTA NEUROL SCAND, V96, P82
  • [6] [Anonymous], 1999, American Journal of Alzheimer's Disease
  • [7] [Anonymous], 2001, INSIDE HITLERS GREEC
  • [8] [Anonymous], 2011, GREEK MEMORY SCALE R
  • [9] A systematic review of the quality of studies on dementia prevalence in Italy
    Bruti G.
    Cavallucci E.
    Mancini M.
    Bitossi A.
    Baldereschi M.
    Sorbi S.
    [J]. BMC Health Services Research, 16 (1) : 1 - 10
  • [10] PRESENILE DEMENTIA - CLINICAL ASPECTS AND EVALUATION OF CEREBROSPINAL-FLUID DYNAMICS
    COBLENTZ, JM
    MATTIS, S
    ZINGESSER, LH
    KASOFF, SS
    WISNIEWSKI, HM
    KATZMAN, R
    [J]. ARCHIVES OF NEUROLOGY, 1973, 29 (05) : 299 - 308