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Incidence and predictors of cognitive impairment and dementia in Aboriginal Australians: A follow‐up study of 5 years
Author(s) -
Lo Giudice Dina,
Smith Kate,
Fenner Stephen,
Hyde Zoë,
Atkinson David,
Skeaf Linda,
Malay Roslyn,
Flicker Leon
Publication year - 2016
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2015.01.009
Subject(s) - dementia , incidence (geometry) , confidence interval , head injury , medicine , cognition , pediatrics , cognitive impairment , cognitive decline , gerontology , population , demography , psychology , psychiatry , disease , physics , environmental health , sociology , optics
Aboriginal Australians are reported to develop dementia earlier than the general population. The causes remain unknown. Methods This was a longitudinal study of 363 participants aged ≥45 years. Consensus diagnoses were established for cognitive impairment or dementia. Results At follow‐up, 189 people (mean ± standard deviation age, 65.4 ± 10.3 years) participated, as 109 (30%) had died and 65 (18%) were unavailable. The incidence of cognitive impairment or dementia was 52.6 (95% confidence interval 33.9, 81.5) per 1000 person‐years (380.3 total person‐years) and for dementia was 21.0 (10.5, 42.1) per 1000 person‐years (380.3 person‐years total) over the age 60 years. Longitudinal risk factors associated with a decline from normal cognition to impairment were age and head injury. Other associations with cognitive decline were stroke, head injury, nonaspirin analgesics, lower BMI, and higher systolic BP. Discussion Dementia incidence in Aboriginal Australians is among the highest in the world, and is associated with age and head injury.