Ghasemzadeh H, Akbari Kamrani A, Abolfathi Momtaz Y, Rassafiani M, Nourhashemi F, Sahaf R. Medical Risk Factors for Dementia; A Case-Control Study. Iranian Rehabilitation Journal 2019; 17 (4) :377-384
URL:
http://irj.uswr.ac.ir/article-1-993-en.html
1- Department of Ageing, Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Occupational Therapy, Faculty of Allied Health Sciences, Kuwait University, Kuwait.
Abstract: (3754 Views)
Objectives: Dementia is the fifth cause of death in older adults with the most significant financial, social, and caring burden on health systems across the world. The aim of this study was to determine the most common medical risk factors for dementia in the retired population.
Methods: A case-control methodology was used for this study, within which 180 patients with dementia were compared to 371 controls for medical risk factors in the National Iranian Oil Company (NIOC) in 2017. Participants in the case and control groups were matched in terms of age, educational level, and sex. The logistic regression was employed to estimate Odds Ratios (OR), using SPSS software.
Results: The majority of the participants were male (55%) and married (69%) with a mean age of 73.14 (SD=9.11) and high school education (38%). The results of the adjusted logistic regression showed a significant association among dementia and chronic and acute vitamin D3 deficiency (more and less than 1 year) (OR=4.73, P<0.001, OR=7.50, P<0.001, respectively), cancer history (OR=15.31, P<0.001), and chronic anemia (OR=5.95, P<0.001).
Discussion: The results of this study suggest vitamin D3 deficiency, cancer, and anemia history as probable risk factors for dementia. Thus, managing or controlling these risk factors may effectively delay or prevent the onset of dementia for the individuals.
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● Severe vitamin D3 deficiency, cancer, and anemia history can increase the risk of dementia.
● The risk of dementia in individuals with chronic vitamin D deficiency was lower than the ones with acute vitamin D deficiency.
Plain Language Summary
The fifth cause of death in older adults, dementia, is a neurodegenerative disease, causing memory loss and functional impairment. The massive financial burden of care for patients with dementia and the lack of an effective treatment for postponing or stopping dementia make it an indispensable task to identify and manage preventable medical risk factors. In a case-control study, we compared 180 patients with dementia with 371 non-demented controls for medical risk factors. Among the surveyed medical risk factors, only acute and chronic vitamin D3 deficiency, anemia, and cancer history increased the risk of dementia for the individuals. Thus, managing or preventing these risk factors can be an effective preventive measure against dementia.
Article type:
Original Research Articles |
Subject:
Aging Studies Received: 2019/01/25 | Accepted: 2019/06/1 | Published: 2019/12/29
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