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These 4 Tests May Reveal Dementia Risk 18 Years Before Diagnosis

These 4 Tests May Reveal Dementia Risk 18 Years Before Diagnosis
Person taking testThe number of people with dementia in the UK is expected to rise to 1.4 million in 2040, Alzheimer’s Society writes. As it stands, almost a million of us have the condition (982,000). Still, the condition often goes undiagnosed. A 2018 study found that among older adults with likely dementia, 58.7% were either undiagnosed (39.5%) or unaware of the diagnosis (19.2%).One in four adults with suspected dementia wait for two years before getting help, the NHS writes, which is a shame as “an accurate and early diagnosis can have many benefits.” So it’s no wonder Dr Doug Brown, Director of Research and Development at Alzheimer’s Society, was intrigued by a 2015 paper which linked the results of memory and cognition tests to increased dementia risk 18 years before diagnosis.“This could mean there is a long window of opportunity for treatment in which we could one day halt or slow dementia,” he stated. What were the tests? The study, published in the journal Neurology, looked at 2,125 participants over 18 years. Participants, whose average age was 73, were given four memory and thinking tests at the start of the study and every three years ’til the research ended.They were also tested for clinical dementia, which included participants’ medical history, a neurological examination, and 19 cognitive function tests. These were used to diagnose dementia directly, but were separate from the cognitive function tests scientists ran to check on people’s memory and thinking skills.The first two of the memory and thinking tests involved an exam called Immediate And Delayed Recall Of The East Boston Story, in which participants were told a short story verbally and asked to recall details twice (right after, then later). This tested their episodic memory.Another, the Symbol Digits Modalities Test, which asks people to link symbols to digits, tested their executive function. The fourth, called a Mini-Mental State Examination, was a 33-question form (available here). This checked their general orientation and global cognition. The average of these tests was calculated with different weighting for each exam, the researchers say.None of the participants had dementia at the start of the research. By the end, 21% (442 participants) developed clinical dementia. Researchers found that scoring one unit lower on overall cognitive testing, 13 and 18 years before the end of the study, was associated with an 85% greater risk of developing dementia. “While that risk is lower than the same one unit lower performance when measured in the year before dementia assessment, the observation that lower test scores 13 to 18 years later indicates how subtle declines in cognitive function affect future risk,” study author Dr Kumar B Rajan said.Does scoring low on these tests definitely mean I’ll get dementia?No, not definitely. This study only found a link and not a cause. Still, as Dr Brown told Alzheimer’s Society, “Dementia often causes changes in the brain years before the symptoms become apparent. This study shows that there may be subtle indications of Alzheimer’s disease in thinking and memory as many as 18 years before a formal diagnosis could take place.” And Dr Rajan told Rush University, which was involved with the study: “The changes in thinking and memory that precede obvious symptoms of Alzheimer’s disease begin decades before.“Efforts to successfully prevent the disease may well require a better understanding of these processes near middle age.” Related...The Nutrient Linked To Lower Cancer, Heart Disease, And Dementia RiskThis Eating Change May Be A Sign Of Dementia Among Under-65sDementia Is The UK's Leading Cause Of Death, But How Does It Actually Kill?

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