Prevalence of Dementia in the Elderly of an Urban Community in Korea / 예방의학회지
Korean Journal of Preventive Medicine
; : 306-316, 1999.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-159157
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVES:
In Korea, as in most countries, there will be a sharp increase in the number of dementia patients in the near future. However basic data on dementia prevalence, which is important in defining epidemiologic characteristics and in implementing preventive strategy, are limited. This study was conducted to estimate the prevalence rate of dementia in the urban elderly aged 65 or older in Kwangmyung, Korea.METHODS:
A two phase design was used for case finding and case identification. In phase I, a representative sample aged 65 or older was selected and interviewed by door-to-door survey with a Korean version of the Mini-Mental State Examination (K-MMSE). In phase II, Of the 946 subjects interviewed in phase I, 356 elderly were randomly selected disproportionately according to K-MMSE score. Of these elderly, 223 (61.5%) underwent standardized clinical evaluations, including psychiatric interview, neurological examination, and neuropsychological assessment. Dementia was diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. The diagnosis of Alzheimer's disease (AD) was made by National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association(NINCDS-ADRDA) criteria and vascular dementia (VD) by DSM-IV.RESULTS:
The overall weighted prevalence rate of all dementia among Kwangmyung residents aged 65 or older was 12.8%(age-adjusted rate 13.0%, 95% Confidence Interval[CI] 10.6-15.3%). Women had much higher prevalence rate than men even when age was controlled(15.9%[95% CI 12.6-19.2%] vs 7.5%[95% CI 4.6-10.4%]). The rates of dementia were 5.2%, 12.2%, 17.0%, and 34.3% for the age groups of 65-69, 70-74, 75-79 and 80 and over, respectively. The rate of AD appeared to be slightly higher than that of VD(5.2% vs 4.8%), though not statistically significant. Most of the cases(69%) were mild dementia according to CDR(<1) in these subjects.CONCLUSIONS:
These results showed that the prevalence rate of dementia among urban elderly in Korea appears to be higher than those of other Asian countries.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença de Alzheimer e outras Demências
/
Doença Cardiovascular
/
Doença Cerebrovascular
/
Saúde Mental e Transtornos do Comportamento
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Demência Vascular
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Prevalência
/
Estudos Transversais
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Transtornos da Comunicação
/
Demência
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Manual Diagnóstico e Estatístico de Transtornos Mentais
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Povo Asiático
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Diagnóstico
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Doença de Alzheimer
/
Coreia (Geográfico)
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
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Estudo observacional
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Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Preventive Medicine
Ano de publicação:
1999
Tipo de documento:
Artigo