Cargando…

Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?

Many factors associated with a patient's lifestyle may disrupt timely access to dementia diagnosis and management. The aim of this study was to compare characteristics of lifestyle factors at the time of initial evaluation for dementia across degrees of dementia, and to identify risk factors re...

Descripción completa

Detalles Bibliográficos
Autores principales: Moon, Yeonsil, Lee, Heeyoung, NamGung, Ok-Kyoung, Han, Seol-Heui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999408/
https://www.ncbi.nlm.nih.gov/pubmed/27550494
http://dx.doi.org/10.3346/jkms.2016.31.10.1635
_version_ 1782450112152207360
author Moon, Yeonsil
Lee, Heeyoung
NamGung, Ok-Kyoung
Han, Seol-Heui
author_facet Moon, Yeonsil
Lee, Heeyoung
NamGung, Ok-Kyoung
Han, Seol-Heui
author_sort Moon, Yeonsil
collection PubMed
description Many factors associated with a patient's lifestyle may disrupt timely access to dementia diagnosis and management. The aim of this study was to compare characteristics of lifestyle factors at the time of initial evaluation for dementia across degrees of dementia, and to identify risk factors relating to late detection of dementia, in order to understand the various lifestyle barriers to timely recognition of the disease. We reviewed medical records of 1,409 subjects who were diagnosed as dementia among 35,723 inhabitants of Gwangjin-gu. Dementia severity was divided into three degrees. Age, sex, education, income, smoking, heavy drinking, physical activity, religion, and living conditions were evaluated. There was a significantly greater proportion of individuals who were old age, female, less educated, who had never smoked or drank heavily, without physical activity, with no religious activity and living with family other than spouse in the severe dementia group. The lifestyle risks of late detection were old age, lower education, less social interactions, less physical activity or living with family. We can define this group of patients as the vulnerable stratum to dementia evaluation. Health policy or community health services might find ways to better engage patients in this vulnerable stratum to dementia.
format Online
Article
Text
id pubmed-4999408
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher The Korean Academy of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-49994082016-10-01 Which Stratum of Urban Elderly Is Most Vulnerable for Dementia? Moon, Yeonsil Lee, Heeyoung NamGung, Ok-Kyoung Han, Seol-Heui J Korean Med Sci Original Article Many factors associated with a patient's lifestyle may disrupt timely access to dementia diagnosis and management. The aim of this study was to compare characteristics of lifestyle factors at the time of initial evaluation for dementia across degrees of dementia, and to identify risk factors relating to late detection of dementia, in order to understand the various lifestyle barriers to timely recognition of the disease. We reviewed medical records of 1,409 subjects who were diagnosed as dementia among 35,723 inhabitants of Gwangjin-gu. Dementia severity was divided into three degrees. Age, sex, education, income, smoking, heavy drinking, physical activity, religion, and living conditions were evaluated. There was a significantly greater proportion of individuals who were old age, female, less educated, who had never smoked or drank heavily, without physical activity, with no religious activity and living with family other than spouse in the severe dementia group. The lifestyle risks of late detection were old age, lower education, less social interactions, less physical activity or living with family. We can define this group of patients as the vulnerable stratum to dementia evaluation. Health policy or community health services might find ways to better engage patients in this vulnerable stratum to dementia. The Korean Academy of Medical Sciences 2016-10 2016-07-27 /pmc/articles/PMC4999408/ /pubmed/27550494 http://dx.doi.org/10.3346/jkms.2016.31.10.1635 Text en © 2016 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moon, Yeonsil
Lee, Heeyoung
NamGung, Ok-Kyoung
Han, Seol-Heui
Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title_full Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title_fullStr Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title_full_unstemmed Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title_short Which Stratum of Urban Elderly Is Most Vulnerable for Dementia?
title_sort which stratum of urban elderly is most vulnerable for dementia?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999408/
https://www.ncbi.nlm.nih.gov/pubmed/27550494
http://dx.doi.org/10.3346/jkms.2016.31.10.1635
work_keys_str_mv AT moonyeonsil whichstratumofurbanelderlyismostvulnerablefordementia
AT leeheeyoung whichstratumofurbanelderlyismostvulnerablefordementia
AT namgungokkyoung whichstratumofurbanelderlyismostvulnerablefordementia
AT hanseolheui whichstratumofurbanelderlyismostvulnerablefordementia