The Prevalence of Dementia in an Urban Turkish Population

Gürvıt, Hakan; Emre, Murat; Tinaz, Sule; Bılgıç, Başar; Hanağası, Haşmet; Şahin, Hüseyin; Gurol, M. Edip; Kvaløy, Jan Terje; Harmancı, Hande

doi:10.1177/1533317507310570

Cited by 90 publications

(71 citation statements)

References 47 publications

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“…Although mean MMSE score was found to be 26.2 and the frequency of CImp was 26.1% in comparison of the distribution of CImp between certain age groups, the odds ratio of CImp after 75 years was higher than that between 60 and 64 years ( Table 2). CImp risk increases with age and it is more prevalent in females compared with males (1,19,20,25,(33)(34)(35). Our results confirm this finding from other studies, and although the rate of CImp in females is similar, prevalence of CImp in our study is higher than other studies in both sexes (males: 20.6%, females: 31.5%).…”

Section: Discussionsupporting

confidence: 86%

Prevalence of cognitive impairment and related risk factors incommunity-dwelling elderly in Kayseri, Turkey

Arguvanli¹,

Akın²,

Şafak³

et al. 2015

Turk J Med Sci

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Background/aim: The increased rate of elderly individuals in the general population leads to functional decline because of cognitive impairment (CImp). We aimed to detect the prevalence of CImp and related risk factors in community-dwelling elders living in an urban area (Kayseri, Turkey).Materials and methods: This is a cross-sectional, population-based study conducted in a sample of 900 community-dwelling elders aged 60 years and older. Cognitive status and depressive symptoms were assessed by standardized Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS), respectively. Results:The mean age of the participants was 71.6 ± 0.18 years, of whom 47.9% were female. Prevalences of CImp and depressive symptoms were 26.1% and 24.9%, respectively. Female sex, illiteracy, low income, increased age, being a housewife, being a nonsmoker, being depressive, being single, and having more than four children were significantly related with CImp based on univariate logistic regression analysis. However, in multivariate logistic regression analysis, it was found that being illiterate, being depressive, and having an increased number of children were determinants of CImp in the elderly. Self-reported chronic diseases were not detected as risk factors for CImp. Conclusion:Increasing socioeconomic status and education levels and preventing depression should be accepted as primary protective measures for CImp.

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Section: Discussionsupporting

confidence: 86%

Prevalence of cognitive impairment and related risk factors incommunity-dwelling elderly in Kayseri, Turkey

Arguvanli¹,

Akın²,

Şafak³

et al. 2015

Turk J Med Sci

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“…In 2003, Cankurtaran et al (15) identified that from a total of 1255 elderly, 14.4% had dementia. Gurvit et al (16) reported that the prevalence of dementia in people aged >70 years living in İstanbul was 20%. The worldwide incidence of dementia in people aged >65 years is 10%-15%, and it is 30%-50% in people aged >80 years (17).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Cognitive Functions and Daily Living Activities of Elderly Diabetics under Intensive Insulin Therapy

Karabulut¹,

Basat²,

Basat³

2015

JAREM

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Objective: Our aim was to evaluate the cognitive functions and daily living activities of the elderly diabetics who were under a basal-bolus intensive insulin therapy.Methods: Our study included 108 patients admitted to our outpatient clinic who are over 65 years of age and under an intensive insulin therapy. Minimental state examination (MMSE), activities of daily living (ADL), and instrumental activities of daily living (IADL) scales were used to evaluate cognitive functions and daily living activities. Fasting glucose and HbA1c levels were measured and history of hypoglycemia was recorded.Results: MMSE revealed 24 patients (22.2%) with impaired cognitive functions. Patients with impaired cognitive functions were significantly prone to more hypoglycemic episodes and lower functionality. Conclusion:Due to the complexity of intensive insulin therapy regimen, cognitive functions and functionality of the elderly diabetics should be carefully examined before deciding on intensive insulin therapy. (JAREM 2015; 5: 47-51)

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“…Türkiye'de ve dünyada çok sayıda genel populasyonda demans prevelansını ortaya koyan çalışmalar yapılmıştır. Bu çalışmalara göre genel populasyonda demans sıklığı %2.4 ten %22.9'a kadar değişmektedir (14)(15)(16)(17). Ülkemiz doğu bölgesinde Bulut ve arkadaşlarının yaptığı saha çalışmasında 65 yaş üstü kişilerde bilişsel yetmezlik oranının %10 olduğu ortaya çıkmıştır (18).…”

Section: Discussionunclassified

Cognitive Profile of Inpatients

Yaman¹,

Demirbaş²,

Arslan³

et al. 2012

Balkan Med J

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ÖZETAmaç: Bilişsel bozulma hastaların hastanede yatış sürelerini olumsuz etkilemektedir. Hastaların bilişsel özelliklerinin önceden tanınması, tedavi başarısını etkiler. Biz hastanemizde yatan hastaların kognitif profillerini ortaya koymak istedik. Results: Fifty-seven (%53.7) of 106 patients took 24, under 24 score from MMSE. 30 patients (28.3%) of 106 had mild cognitive deficiency. 8 patients (7.5%) had primary dementia syndrome. When groups with and without cognitive deterioration were examined, there was no difference in gender and family history (p=0.48, p=0.58). The mean age of the group with cognitive deterioration was higher, but lower educational level (p=0.008, p=0.006). MMSE scores were orderly 18.7±2.3, 25.5±2.2 (p<0.001). Interestingly, complaints of forgetfulness were higher than normal in the patients (33%, 67%). 71% of patients believed that forgetfullness is not a disease and could not be treated. Conclusion:Cognitive failure are seen more frequently in inpatients. Relatives, responsible for the patient and medical staff are not aware of failure.Key Words: Inpatient, cognitive failure, frequency : 27.02.2011: 27.02. Accepted: 04.05.2011 Giriş Demans; kognitif yıkım başta olmak üzere kişilik deği-şiklikleri, psikiyatrik ve davranışsal semptomlar ile kendini gösteren bir sendromdur (1). Avrupa kıtasında 1996 yılın-da 65 yaş üzeri nüfusun %15'e yükseldiği bunun üçte biri 75 yaş üzeri olduğu belirtilmektedir. Önümezdeki yüzyılda tüm dünyada yaşam süresinin daha da uzayacağı beklentisi, kognitif yıkımla seyreden hastalıklarda artış olacağını dü-şündürmektedir (2). Amerika Birleşik Devletleri'nde 65 yaş üzerinde %5 oranında şiddetli, %15 oranında ise hafif derecede demans bulunduğu ve yaşın ilerlemesiyle birlikte bu oranların hızla arttığı belirtilmektedir (3). Dünyada olduğu gibi Türkiye'de de yaşlı nüfus sayısı giderek artmaktadır. Bu oranlar göz önüne alındığında kognitif yetmezliğin yaşlanan nüfusumuzda şimdi ve gelecekte önemli bir halk sağlığı sorunu olduğu açıktır. Bilişsel yıkımla giden hastalıklarda son on yıllardaki bu artışa mukabil bizim kültürümüzde ise unutkanlık bir hastalık gözüyle değil de yaşın getirdiği doğal bir durum olarak algılanmaktadır. ReceivedBilişsel yetmezliği olan yatan hastaların bilişsel yönden normal hastalara göre yatış sürelerinin daha uzun olduğu, daha fazla olumsuzluklar yaşandığı tespit edilmiştir. Bu hastaların hemşire bakımı ve tedavi takiplerinde zorluklar yaşan-maktadır (4, 5). Kognitif yetmezliği olan hastalarda mevcut hastalığının yanı sıra ek olarak düşmeler, ağrılar, idrar inkon-

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The Prevalence of Dementia in an Urban Turkish Population

Cited by 90 publications

References 47 publications

Prevalence of cognitive impairment and related risk factors incommunity-dwelling elderly in Kayseri, Turkey

Prevalence of cognitive impairment and related risk factors incommunity-dwelling elderly in Kayseri, Turkey

Evaluation of Cognitive Functions and Daily Living Activities of Elderly Diabetics under Intensive Insulin Therapy

Cognitive Profile of Inpatients

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