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Verfasst von:Verdelho, Ana [VerfasserIn]   i
 Madureira, Sofia [VerfasserIn]   i
 Ferro, José M. [VerfasserIn]   i
 Basile, Anna-Maria [VerfasserIn]   i
 Chabriat, Hugues [VerfasserIn]   i
 Erkinjuntti, Timo [VerfasserIn]   i
 Fazekas, Franz [VerfasserIn]   i
 Hennerici, Michael G. [VerfasserIn]   i
 O'Brien, John [VerfasserIn]   i
 Pantoni, Leonardo [VerfasserIn]   i
 Salvadori, Emilia [VerfasserIn]   i
 Scheltens, Philip [VerfasserIn]   i
 Visser, Marieke C. [VerfasserIn]   i
 Wahlund, Lars-Olof [VerfasserIn]   i
 Waldemar, Gunhild [VerfasserIn]   i
 Wallin, Anders [VerfasserIn]   i
 Inzitari, Domenico [VerfasserIn]   i
Titel:Differential impact of cerebral white matter changes, diabetes, hypertension and stroke on cognitive performance among non-disabled elderly
Titelzusatz:the LADIS study
Verf.angabe:Ana Verdelho, Sofia Madureira, José M. Ferro, Anna-Maria Basile, Hugues Chabriat, Timo Erkinjuntti, Franz Fazekas, Michael Hennerici, John O'Brien, Leonardo Pantoni, Emilia Salvadori, Philip Scheltens, Marieke C. Visser, Lars-Olof Wahlund, Gunhild Waldemar, Anders Wallin, Domenico Inzitari, on behalf of the LADIS study
E-Jahr:2007
Jahr:30 April 2007
Umfang:6 S.
Fussnoten:Gesehen am 26.03.2021
Titel Quelle:Enthalten in: Journal of neurology, neurosurgery, and psychiatry
Ort Quelle:London : BMJ Publishing Group, 1944
Jahr Quelle:2007
Band/Heft Quelle:78(2007), 12, Seite 1325-1330
ISSN Quelle:1468-330X
Abstract:BACKGROUND AND PURPOSE: Age related white matter changes (ARWMC) are frequent in non-demented old subjects and are associated with impaired cognitive function. Our aim was to study the influence of vascular risk factors and ARWMC on the neuropsychological performance of an independent elderly population, to see if vascular risk factors impair cognition in addition to the effects of ARWMC. - METHODS: Independent subjects, aged 65-84 years, with any degree of ARWMC were assessed using a comprehensive neuropsychological battery including the Mini-Mental State Examination (MMSE), VADAS-Cog (Alzheimer's disease assessment scale) and the Stroop and Trail Making test. Vascular risk factors were recorded and ARWMC (measured by MRI) were graded into three classes. The impact of vascular risk factors and ARWMC on neuropsychological performance was assessed by linear regression analyses, with adjustment for age and education. - RESULTS: 638 patients (74.1 (5) years old, 55% women) were included. Patients with severe ARWMC performed significantly worse on global tests of cognition, executive functions, speed and motor control, attention, naming and visuoconstructional praxis. Diabetes interfered with tests of executive function, attention, speed and motor control, memory and naming. Arterial hypertension and stroke influenced executive functions and attention. The effect of these vascular risk factors was independent of the severity of ARWMC, age and education. - CONCLUSION: ARWMC is related to worse performance in executive function, attention and speed. Diabetes, hypertension and previous stroke influenced neuropsychological performance, independently of the severity of ARWMC, stressing the need to control vascular risk factors in order to prevent cognitive decline in the elderly.
DOI:doi:10.1136/jnnp.2006.110361
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1136/jnnp.2006.110361
 DOI: https://doi.org/10.1136/jnnp.2006.110361
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Activities of Daily Living
 Aged
 Aged, 80 and over
 Alcohol Drinking
 Alzheimer Disease
 Blood Glucose
 Brain
 Cerebrovascular Circulation
 Cognition Disorders
 Diabetes Mellitus, Type 2
 Disability Evaluation
 Female
 Humans
 Hypertension
 Hypoglycemic Agents
 Magnetic Resonance Imaging
 Male
 Mass Screening
 Neuropsychological Tests
 Prevalence
 Risk Factors
 Severity of Illness Index
 Stroke
 Surveys and Questionnaires
 Trail Making Test
K10plus-PPN:1752604970
Verknüpfungen:→ Zeitschrift

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