Sökning: onr:"swepub:oai:prod.swepub.kib.ki.se:1954829" > Incidence and risk ...
Fältnamn | Indikatorer | Metadata |
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000 | 03248naa a2200325 4500 | |
001 | oai:prod.swepub.kib.ki.se:1954829 | |
003 | SwePub | |
008 | 241008s2004 | |||||||||||000 ||eng| | |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:19548292 URI |
024 | 7 | a https://doi.org/10.1159/0000763562 DOI |
040 | a (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Tervo, S4 aut |
245 | 1 0 | a Incidence and risk factors for mild cognitive impairment: a population-based three-year follow-up study of cognitively healthy elderly subjects |
264 | c 2004-03-17 | |
264 | 1 | b S. Karger AG,c 2004 |
520 | a <i>Background: </i>Mild cognitive impairment (MCI) has attracted considerable interest as a potential predictor of Alzheimer’s disease (AD). Both the apolipoprotein E (ApoE) Ε4 allele and vascular factors have been associated with a higher risk for AD, recently they have also been linked to the risk of MCI. <i>Objectives: </i>To estimate the incidence of MCI among cognitively healthy elderly subjects during a 3-year follow-up, and to evaluate the impact of demographic and vascular factors as well as the ApoE Ε4 allele on the conversion to MCI. <i>Methods: </i>At baseline, the cognitive abilities of 806 out of 1,150 eligible subjects (aged 60–76 years) from a population-based sample were examined. Cognitively intact subjects (n = 747) were followed for an average of 3 years. <i>Results: </i>66 subjects (8.8%) had converted to MCI. The global incidence rate of MCI was 25.94/1,000 person-years. Persons with higher age (OR 1.08, 95% CI 1.01–1.16), ApoE Ε4 allele carriers (OR 2.04, 95% CI 1.15–3.64) and persons with medicated hypertension (OR 1.86, 95% CI 1.05–3.29) were more likely to convert to MCI than those individuals of lower age and without an ApoE Ε4 allele or medicated hypertension. Persons with high education (OR 0.79, 95% CI 0.70–0.89) were less likely to convert to MCI than persons with low or no education. In subjects with both the ApoE Ε4 allele and medicated hypertension, the crude OR for conversion was 3.92 (95% CI 1.81–8.49). In subjects with cardiovascular disease, the crude OR for conversion was 2.13 (95% CI 1.26–3.60). Gender, elevated blood pressure, diabetes or cerebrovascular disease had no significant effect on the conversion to MCI. <i>Conclusion:</i> Higher age, the presence of at least one ApoE Ε4 allele and medicated hypertension are independent risk factors, but high education is a protective factor for MCI. The results suggest that vascular factors may have an important role in the pathogenesis of MCI. | |
700 | 1 | a Kivipelto, Mu Karolinska Institutet4 aut |
700 | 1 | a Hanninen, T4 aut |
700 | 1 | a Vanhanen, M4 aut |
700 | 1 | a Hallikainen, M4 aut |
700 | 1 | a Mannermaa, A4 aut |
700 | 1 | a Soininen, H4 aut |
710 | 2 | a Karolinska Institutet4 org |
773 | 0 | t Dementia and geriatric cognitive disordersd : S. Karger AGg 17:3, s. 196-203q 17:3<196-203x 1420-8008x 1421-9824 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:1954829 |
856 | 4 8 | u https://doi.org/10.1159/000076356 |
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