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
  • [31] Prognosis of Mild Cognitive Impairment in General Practice: Results of the German AgeCoDe Study
    Kaduszkiewicz, Hanna
    Eisele, Marion
    Wiese, Birgitt
    Prokein, Jana
    Luppa, Melanie
    Luck, Tobias
    Jessen, Frank
    Bickel, Horst
    Moesch, Edelgard
    Pentzek, Michael
    Fuchs, Angela
    Eifflaender-Gorfer, Sandra
    Weyerer, Siegfried
    Koenig, Hans-Helmut
    Brettschneider, Christian
    van den Bussche, Hendrik
    Maier, Wolfgang
    Scherer, Martin
    Riedel-Heller, Steffi G.
    [J]. ANNALS OF FAMILY MEDICINE, 2014, 12 (02) : 158 - 165
  • [32] Performance of Greek Demented and Nondemented Subjects on the Greek Version of the Mattis Dementia Rating Scale. A Validation Study
    Katsarou, Zoe
    Bostantjopoulou, Sevasti
    Zikouli, Argyro
    Kazazi, Eleni
    Kafantari, Anna
    Tsipropoulou, Virginia
    Kourtesi, Georgia
    Peitsidou, Eleni
    [J]. INTERNATIONAL JOURNAL OF NEUROSCIENCE, 2010, 120 (11) : 724 - 730
  • [33] Older Adults With Limited Literacy Are at Increased Risk for Likely Dementia
    Kaup, Allison R.
    Simonsick, Eleanor M.
    Harris, Tamara B.
    Satterfield, Suzanne
    Metti, Andrea L.
    Ayonayon, Hilsa N.
    Rubin, Susan M.
    Yaffe, Kristine
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2014, 69 (07): : 900 - 906
  • [34] Early educational milestones as predictors of lifelong academic achievement, midlife adjustment, and longevity
    Kern, Margaret L.
    Friedman, Howard S.
    [J]. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY, 2009, 30 (04) : 419 - 430
  • [35] THE DIET AND 15-YEAR DEATH RATE IN THE 7 COUNTRIES STUDY
    KEYS, A
    MENOTTI, A
    KARVONEN, MJ
    ARAVANIS, C
    BLACKBURN, H
    BUZINA, R
    DJORDJEVIC, BS
    DONTAS, AS
    FIDANZA, F
    KEYS, MH
    KROMHOUT, D
    NEDELJKOVIC, S
    PUNSAR, S
    SECCARECCIA, F
    TOSHIMA, H
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1986, 124 (06) : 903 - 915
  • [36] The assessment of cognitive impairment suspected of dementia in Polish elderly people: results of the population-based PolSenior Study
    Klich-Raczka, Alicja
    Piotrowicz, Karolina
    Mossakowska, Malgorzata
    Skalska, Anna
    Wizner, Barbara
    Broczek, Katarzyna
    Katarzyna Wieczorowska-Tobis
    Grodzicki, Tomasz
    [J]. EXPERIMENTAL GERONTOLOGY, 2014, 57 : 233 - 242
  • [37] Spectrum of cognition short of dementia Framingham Heart Study and Mayo Clinic Study of Aging
    Knopman, David S.
    Beiser, Alexa
    Machulda, Mary M.
    Fields, Julie
    Roberts, Rosebud O.
    Pankratz, V. Shane
    Aakre, Jeremiah
    Cha, Ruth H.
    Rocca, Walter A.
    Mielke, Michelle M.
    Boeve, Bradley F.
    Devine, Sherral
    Ivnik, Robert J.
    Au, Rhoda
    Auerbach, Sanford
    Wolf, Philip A.
    Seshadri, Sudha
    Petersen, Ronald C.
    [J]. NEUROLOGY, 2015, 85 (19) : 1712 - 1721
  • [38] Reversion from mild cognitive impairment to normal or near-normal cognition
    Koepsell, Thomas D.
    Monsell, Sarah E.
    [J]. NEUROLOGY, 2012, 79 (15) : 1591 - 1598
  • [39] The verbal fluency task in the Greek population: Normative data, and clustering and switching strategies
    Kosmidis, MH
    Vlahou, CH
    Panagiotaki, P
    Kiosseoglou, G
    [J]. JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2004, 10 (02) : 164 - 172
  • [40] A Comparison of the Prevalence of Dementia in the United States in 2000 and 2012
    Langa, Kenneth M.
    Larson, Eric B.
    Crimmins, Eileen M.
    Faul, Jessica D.
    Levine, Deborah A.
    Kabeto, Mohammed U.
    Weir, David R.
    [J]. JAMA INTERNAL MEDICINE, 2017, 177 (01) : 51 - 58