Incidence of and Risk Factors for Alzheimer's Disease and Mild Cognitive Impairment in Korean Elderly

被引:87
作者
Bae, Jong Bin [1 ]
Kim, You Joung [2 ]
Han, Ji Won [1 ]
Kim, Tae Hui [3 ]
Park, Joon Hyuk [4 ]
Lee, Seok Bum [5 ]
Lee, Jung Jae [5 ]
Jeong, Hyun Ghang [9 ]
Kim, Jeong Lan [6 ]
Jhoo, Jin Hyeong [7 ]
Yoon, Jong Chul [8 ]
Kim, Ki Woong [1 ,2 ,10 ,11 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Neuropsychiat, Songnam 463707, Gyeonggido, South Korea
[2] Natl Inst Dementia, Songnam, South Korea
[3] Wonju Severance Christian Hosp, Dept Psychiat, Wonju, South Korea
[4] Jeju Natl Univ Hosp, Dept Neuropsychiat, Cheju, South Korea
[5] Dankook Univ Hosp, Dept Psychiat, Cheonan, South Korea
[6] Chungnam Natl Univ Hosp, Dept Psychiat, Taejon, South Korea
[7] Kangwon Natl Univ Hosp, Dept Neuropsychiat, Chunchon, South Korea
[8] Kyunggi Prov Hosp Elderly, Dept Neuropsychiat, Yongin, South Korea
[9] Korea Univ, Guro Hosp, Dept Neuropsychiat, Seoul, South Korea
[10] Seoul Natl Univ, Coll Med, Dept Psychiat, Seoul, South Korea
[11] Seoul Natl Univ, Coll Med, Dept Brain & Cognit Sci, Seoul, South Korea
关键词
Alzheimer's disease; Mild cognitive impairment; Epidemiology; Incidence; Risk factors; Korea; DEPRESSIVE SYMPTOMS; DEMENTIA; PREVALENCE; POPULATION; PROGRESSION; MORTALITY; DIAGNOSIS; LITERACY; VALIDITY; SUBTYPES;
D O I
10.1159/000366555
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
Background/Aims: Knowledge of incidence rates and risk factors is essential for the development of strategies to treat patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI). Methods: A subpopulation of the Nationwide Survey on Dementia Epidemiology (460 Korean subjects aged years from 2 rural and 2 urban districts) was followed up for 3.5 years. The age-specific incidence was estimated and risk factors were identified. Results: The age-standardized incidence of AD and MCI was 7.9 and 28.1 cases per 1,000 person-years, respectively. MCI was associated with a 6-fold increased risk of AD. Depression was a risk factor for AD with MCI. Age, lack of formal education, illiteracy, rural residence, and marital status were associated with the risk of AD. Conclusion: Strategies to control modifiable risk factors should be implemented to decrease the incidence of AD. (C) 20140, Karger AG, Basel.
引用
收藏
页码:105 / 115
页数:11
相关论文
共 52 条
[1]   The diagnosis of mild cognitive impairment due to Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease [J].
Albert, Marilyn S. ;
DeKosky, Steven T. ;
Dickson, Dennis ;
Dubois, Bruno ;
Feldman, Howard H. ;
Fox, Nick C. ;
Gamst, Anthony ;
Holtzman, David M. ;
Jagust, William J. ;
Petersen, Ronald C. ;
Snyder, Peter J. ;
Carrillo, Maria C. ;
Thies, Bill ;
Phelps, Creighton H. .
ALZHEIMERS & DEMENTIA, 2011, 7 (03) :270-279
[2]  
[Anonymous], 2013, Policy brief for heads of government
[3]  
Bureau of Statistics, 2006, LONG TERM POP PROJ K
[4]   Severity of depression and risk for subsequent dementia: cohort studies in China and the UK [J].
Chen, Ruoling ;
Hu, Zhi ;
Wei, Li ;
Qin, Xia ;
McCracken, Cherie ;
Copeland, John R. .
BRITISH JOURNAL OF PSYCHIATRY, 2008, 193 (05) :373-377
[5]  
Ding D, 2014, ALZHEIMERS DEMENT
[6]   Influence of social network on occurrence of dementia: a community-based longitudinal study [J].
Fratiglioni, L ;
Wang, HX ;
Ericsson, K ;
Maytan, M ;
Winblad, B .
LANCET, 2000, 355 (9212) :1315-1319
[7]   Mild Cognitive Impairment, Incidence, Progression, and Reversion: Findings from a Community-Based Cohort of Elderly African Americans [J].
Gao, Sujuan ;
Unverzagt, Frederick W. ;
Hall, Kathleen S. ;
Lane, Kathleen A. ;
Murrell, Jill R. ;
Hake, Ann M. ;
Smith-Gamble, Valerie ;
Hendrie, Hugh C. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2014, 22 (07) :670-681
[8]   Do depressive symptoms predict Alzheimer's disease and dementia? [J].
Gatz, JL ;
Tyas, SL ;
St John, P ;
Montgomery, P .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2005, 60 (06) :744-747
[9]   History of depression, depressive symptoms, and medial temporal lobe atrophy and the risk of Alzheimer disease [J].
Geerlings, M. I. ;
den Heijer, T. ;
Koudstaal, P. J. ;
Hofman, A. ;
Breteler, M. M. B. .
NEUROLOGY, 2008, 70 (15) :1258-1264
[10]   Depression and risk of cognitive decline and Alzheimer's disease -: Results of two prospective community-based studies in The Netherlands [J].
Geerlings, MI ;
Schoevers, RA ;
Beekman, ATF ;
Jonker, C ;
Deeg, DJH ;
Schmand, B ;
Adèr, HJ ;
Bouter, LM ;
Van Tilburg, W .
BRITISH JOURNAL OF PSYCHIATRY, 2000, 176 :568-575