The prevalence of dementia and its main subtypes in subjects older than 65 years: impact of occupation and education. The Toledo Study

Medicina clínica
F J García GarcíaG Gutierrez Avila

Abstract

To assess the prevalence of dementia and its subtypes in a population with a low level of education, and to determine whether there is any association between occupation, education and dementia. Cross-section study of the population, with a sample of 3,214 individuals representative of the population of Toledo, Spain, aged 65 years and older. The Mini-Mental State Examination (MMSE) was used in the first phase of the study to detect those individuals with cognitive deterioration. The second phase consisted of a semi-structured clinical interview and neuropsychological evaluation. Dementia and sub-types of dementia were determined using well-established diagnostic criteria. The process was applied using an algorithm to optimise diagnostic agreement. The overall prevalence of dementia, Alzheimer's disease and vascular dementia amounted to 7.6, 4.6 and 1.8%, respectively. A direct relationship was detected between these three entities and age. The prevalence of dementia was greater in women, illiterate persons and occupations which require less skill. Once adjustment had been made for other socio-demographic variables, only age was associated with the presence of dementia. The overall prevalence of dementia, Alzheimer's type demen...Continue Reading

Citations

Jun 20, 2006·BMC Public Health·Aurea Redondo-SendinoFernando Rodríguez-Artalejo
Oct 29, 2008·Current Medical Research and Opinion·Ernest VinyolesDiego Gonzalez-Segura
Oct 17, 2008·BMC Neurology·Manuel Fernández MartínezJuan José Zarranz Imirizaldu
Jul 1, 2010·Dementia & Neuropsychologia·Sonia Maria Dozzi Brucki
Oct 17, 2009·Acta Neurologica Scandinavica·D GavrilaC Navarro
Aug 21, 2013·Age·Cristina Alonso-BouzónLeocadio Rodríguez-Mañas
Jul 15, 2015·Age and Ageing·Amelia Guadalupe-GrauFrancisco José García-García
Jun 29, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Larry W Baum
Nov 28, 2012·European Journal of Clinical Pharmacology·Pilar Avila-CastellsUNKNOWN Registry Dementia of Girona Study Group
Jun 12, 2018·Journal of Aging Research·Luis Miguel Rondón García, Jose Manuel Ramírez Navarrro
Jan 20, 2007·International Journal of Geriatric Psychiatry·Juan Castilla-RiloRocío Trincado
Dec 14, 2011·The Journal of Nutrition, Health & Aging·F J Garcia-GarciaUNKNOWN Toledo Study Group
May 25, 2015·Journal of Neuroengineering and Rehabilitation·Alicia Martínez-RamírezMikel Izquierdo
May 15, 2015·Biogerontology·Carmen CastilloFrancisco J García-García
May 20, 2020·Alzheimer's Research & Therapy·Anna PonjoanRafel Ramos
Jan 5, 2021·Aging Clinical and Experimental Research·Jimmy M Gonzales-TurínLeocadio Rodríguez-Mañas
Nov 9, 2007·Revista clínica española·F FormigaUNKNOWN Grupo de Trabajo de Demencia de la Sociedad Catalana de Geriatría y Gerontología

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