In what extent anemia coexists with cognitive impairment in elderly: A cross-sectional study in Greece

被引:38
作者
Argyriadou S. [1 ,2 ]
Vlachonikolis I. [3 ]
Melisopoulou H. [1 ]
Katachanakis K. [3 ]
Lionis C. [2 ]
机构
[1] Health Centre of Chrisoupolis (HCC), Chrissoupolis 64 200, Macedonia
[2] Clinic of Social and Family, School of Medicine, University of Crete, Heraklion, Crete
[3] Laboratory of Biostatistics, School of Medicine, University of Crete, Heraklion, Crete
关键词
Cognitive Impairment; Folate; Elderly People; Mini Mental State Examination; Mini Mental State Examination Score;
D O I
10.1186/1471-2296-2-5
中图分类号
学科分类号
摘要
Background: A project aimed at studying the frequency of dementia and depression in the catchment area of the Health Centre of Chrissoupolis (HCCh), Northern Greece, was carried out. This paper reports the association between AD and anemia among the elderly participants in this Greek study. Methods: Eligible participants were people 65 years or over who were (a) living in the Elderly People's Home (all 48 subjects included); (b) visiting the Open Center for Elderly People during a 20 workday period (75 subjects) and (c) visiting the HCCh for routine medical care. The Mini Mental State Examination (MMSE) was used in assessing the cognitive capacity of the participants. Blood was drawn for serum hematocrit, vitamin B12 and folate determination. Results: The prevalence proportions of possible cognitive impairment among anemic and non-anemic males were 55.6% and 34.4%, respectively (X2 = 5.8, d.f. = 1, p = 0.016). The corresponding proportions in females were 47.5% and 40.1% (X2 = 1.1, d.f. = 1, p = 0.305). Using logistic (regression analysis, age-group (≥ 80 yrs), type of Institute, vitamin B12 and anemia had significant independent associations with possible cognitive impairment. Conclusions: Anemia is a frequent finding in elderly and it may be a risk factor for dementia, but the extent of the associated deterioration of cognitive impairment or the relation with AD is not known. GPs should be aware of this coexistence and recommend for screening, assaying and treating elderly people.
引用
收藏
页码:1 / 6
页数:5
相关论文
共 30 条
  • [1] Jorm A.F., Korten A.E., Henderson A.S., The prevalence of dementia: A quantitative integration of the literature. Application of a new method for making projections, Ada Psychiatr Scand, 78, pp. 493-500, (1987)
  • [2] Olafsdottir M., Marcusson J., Skoog I., Mental disorders among elderly people in primary care: The Linkoping study, Ada Psychiatr Scand, 104, pp. 12-18, (2001)
  • [3] Kalaria R.N., Ballard C., Stroke and cognition, Curr Atherosder Rep, 3, pp. 334-339, (2001)
  • [4] Honig L.S., Mayeux R., Natural history of Alzheimer's disease, Aging, 13, pp. 171-182, (2001)
  • [5] Mant A., Eyland E.A., Pond D.C., Saunders N.A., Chancellor A.H., Recognition of dementia in general practice: Comparison of general practitioners' opinions with assessments using the mini-mental state examination and the Blessed dementia rating scale, Fam Pract, 5, pp. 184-188, (1998)
  • [6] Lionis C., Tzagournissakis M., Iatraki E., Kozyraki M., Antonakis N., Plaitakis A., Are primary care physicians able to assess dementia? An estimation of their capacity after a short-term training program in rural Crete, Am J Geriatr Psychiatry, 9, (2001)
  • [7] Fylkesnes S.I., Nygaard H.A., Dementia and hypothyroidism, Tidsskr Nor Laegeforen, 120, pp. 905-907, (2000)
  • [8] Burke D., Sengoz A., Schwartz R., Potentially reversible cognitive impairment in patients presenting to a memory disorders clinic, J Clin Neurosci, 7, pp. 120-123, (2000)
  • [9] Beard C.M., Kokmen E., O'Brien P.C., Ania B.J., Melton III L.J., Risk of Alzheimer's disease among elderly patients with anemia: Population-based investigations in Olmsted Country, Minnesota, Ann Epidemiol, 7, pp. 219-224, (1997)
  • [10] Rabins P., Pernicious anemia and reversible dementia: Strachan and Henderson 30 years later, Int J Geriatr Psychiatry, 13, pp. 139-140, (1998)