Title | Trends in the incidence and prevalence of Alzheimer's disease, dementia, and cognitive impairment in the United States. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Rocca, WA, Petersen, RC, Knopman, DS, Hebert, L, Evans, DA, Hall, KS, Gao, S, Unverzagt, FW, Langa, KM, Larson, EB, White, LR |
Journal | Alzheimers Dement |
Volume | 7 |
Issue | 1 |
Pagination | 80-93 |
Date Published | 2011 Jan |
ISSN Number | 1552-5279 |
Call Number | newpubs20110328_Rocca.pdf |
Keywords | Age Factors, Alzheimer disease, Cognition Disorders, Cohort Studies, Community Health Planning, Dementia, Humans, Incidence, Prevalence, Residence Characteristics, Retrospective Studies, Time Factors, United States |
Abstract | Declines in heart disease and stroke mortality rates are conventionally attributed to reductions in cigarette smoking, recognition and treatment of hypertension and diabetes, effective medications to improve serum lipid levels and to reduce clot formation, and general lifestyle improvements. Recent evidence implicates these and other cerebrovascular factors in the development of a substantial proportion of dementia cases. Analyses were undertaken to determine whether corresponding declines in age-specific prevalence and incidence rates for dementia and cognitive impairment have occurred in recent years. Data spanning 1 or 2 decades were examined from community-based epidemiological studies in Minnesota, Illinois, and Indiana, and from the Health and Retirement Study, which is a national survey. Although some decline was observed in the Minnesota cohort, no statistically significant trends were apparent in the community studies. A significant reduction in cognitive impairment measured by neuropsychological testing was identified in the national survey. Cautious optimism appears justified. |
DOI | 10.1016/j.jalz.2010.11.002 |
User Guide Notes | |
Endnote Keywords | Alzheimers disease/Dementia/Cognitive impairment/Prevalence/Incidence/Time trends |
Endnote ID | 24610 |
Alternate Journal | Alzheimers Dement |
Citation Key | 7567 |
PubMed ID | 21255746 |
PubMed Central ID | PMC3026476 |
Grant List | R03 AG029652 / AG / NIA NIH HHS / United States R01 AG009956-19 / AG / NIA NIH HHS / United States R01 AG019805 / AG / NIA NIH HHS / United States R01 AG015911-05 / AG / NIA NIH HHS / United States K08 AG019180 / AG / NIA NIH HHS / United States R01 AG027010-03 / AG / NIA NIH HHS / United States R01 AG017155-05S1 / AG / NIA NIH HHS / United States R03AG029652 / AG / NIA NIH HHS / United States U01 AG006781 / AG / NIA NIH HHS / United States U01AG009740 / AG / NIA NIH HHS / United States R01AG019805 / AG / NIA NIH HHS / United States R01 AG011101-16 / AG / NIA NIH HHS / United States R01AG011101 / AG / NIA NIH HHS / United States R01 AG034676 / AG / NIA NIH HHS / United States U01 AG009740 / AG / NIA NIH HHS / United States K08 AG019180-05 / AG / NIA NIH HHS / United States R01 AG009956 / AG / NIA NIH HHS / United States K08AG019180 / AG / NIA NIH HHS / United States R01AG015911 / AG / NIA NIH HHS / United States U01AG019349 / AG / NIA NIH HHS / United States U01 AG006781-18 / AG / NIA NIH HHS / United States R01AG027010 / AG / NIA NIH HHS / United States R01AG009956 / AG / NIA NIH HHS / United States R01 AG019805-03S2 / AG / NIA NIH HHS / United States U01AG06786 / AG / NIA NIH HHS / United States U01 AG019349 / AG / NIA NIH HHS / United States U01AG006781 / AG / NIA NIH HHS / United States U01 AG019349-06A1 / AG / NIA NIH HHS / United States R01 AG015911 / AG / NIA NIH HHS / United States U01 AG006786-14 / AG / NIA NIH HHS / United States U01AG017155 / AG / NIA NIH HHS / United States R01 AG027010 / AG / NIA NIH HHS / United States R03 AG029652-02 / AG / NIA NIH HHS / United States U01 AG017155 / AG / NIA NIH HHS / United States R01 AG011101 / AG / NIA NIH HHS / United States R01AG034676 / AG / NIA NIH HHS / United States R01 AG034676-45 / AG / NIA NIH HHS / United States R01 AG017155 / AG / NIA NIH HHS / United States U01 AG006786 / AG / NIA NIH HHS / United States U01 AG009740-21 / AG / NIA NIH HHS / United States |