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Worry about memory predicts Alzheimer’s risk

VANDERBILT (US) — Seniors with concerns about memory have a double risk of progression to dementia or mild cognitive impairment, and a four-fold risk if a loved one has noticed, as well.

A study of cognitive complaints in older adults showed that memory concerns from both the patient and an informant was most predictive of converting to Alzheimer’s disease or dementia within three years.

“We’re interested in how we can detect unusual or unhealthy brain changes at their earliest stage, and we found that people who have mutual sources of complaint, from both themselves and a loved one, are at a great risk of developing mild cognitive impairment or Alzheimer’s disease over an approximate two-year period,” says Katherine Gifford, neuropsychology fellow in the Vanderbilt University Memory & Alzheimer’s Center and lead author of the study.

Researchers leveraged the National Alzheimer’s Coordinating Center’s database of information collected from 34 current and previously funded national Alzheimer’s Disease Centers, supported by the National Institute on Aging. The study includes more than 6,000 participants age 55-90 evaluated from 2005-2012.

The analysis reveals that, among the cognitively normal, a combination of both self and informant cognitive complaints was associated with a fourfold risk of progression to dementia or mild cognitive impairment, the earliest clinical stage of dementia. A self complaint or informant complaint alone conferred a twofold increased risk of progression.

Among those with mild cognitive impairment at initial assessment, a combination of both self and informant cognitive complaints was associated with a threefold risk of converting to dementia.

“Ninety-five percent of older adults have some sort of cognitive complaint, so a lot of people will go to their doctor worried but may be dismissed as normal aging,” Gifford says. “I think the results show that a cognitive complaint should be taken seriously, particularly with a mutual complaint. That’s certainly a time when further follow-up or referral to a specialist is warranted.”

Angela Jefferson, director of the Vanderbilt Memory & Alzheimer’s Center, says this research parallels the work of colleagues to identify more effective therapeutic interventions for Alzheimer’s disease.

“Once these treatments are available, we think they’ll be more effective early in the disease course, so we’re looking at early identification markers.

“There’s an enormous emphasis on biomarkers, but cerebrospinal fluid involves a somewhat invasive lumbar puncture and PET imaging costs thousands of dollars,” Jefferson says.

“We think there needs to be more cost-efficient, easily implemented tools to identify people who are at greatest risk, and this research is a great complementary piece of information.”

To participate in research studies, visit www.vanderbiltmemory.com or contact Outreach and Recruitment Coordinator Stephanie Mayers, Ed.M., at 875-3175 or stephanie.mayers@vanderbilt.edu.

The National Alzheimer’s Coordinating Center, Alzheimer’s Association, and National Institutes of Health supported the study, which appears in the journal Alzheimer’s & Dementia.

Source: Vanderbilt University

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3 Comments

  1. Jeff

    Seeing as Alzheimer’s is a progressive disease, getting worse over time and often the onset is due to decades of accumulated toxins within the brain. A mild cognitive impairment is a clear indication of brain degeneration and while a certain degree is expected with old age, a vast majority of it is perfectly preventable through natural antioxidants and healthy lifestyle choices leading up to old age. Dealing with the problem when it arises is often too late, while a certain amount is treatable, it is far easier and more effective to prevent this harmful disease.

  2. Samudra

    The problem with this is the positive predictive value is the most important factor in whether this simple clinical question can be used to risk-stratify people for dementia and/or Alzheimer’s Disease. In my experience, there are plenty of senior citizens who encounter changes or problems with their memory, but many of them never progress to dementia or Alzheimer’s. If there is a high pre-test probability, this might still be a useful question to ask, but I’d love to know about its utility as a screening tool for the general geriatric population.

  3. Dorothy Harriman

    the onset is due to decades of accumulated toxins within the brain.and more studies show more and more that copper is being blamed.

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