Tobacco use and dementia: evidence from the 1066 dementia population‐based surveys in Latin America, China and India

Ferri, Cleusa P.; West, Robert; Moriyama, Tais; Acosta, Daisy; Guerra, Mariella; Huang, Yueqin; Jacob, K. S.; Ribeiro, Wagner Silva; Rodríguez, Juan J. Llibre; Sosa, Ana Luisa; Williams, Joseph; Acosta, Isaac; Liu, Zhaorui; Hernández, Milagros A. Guerra; Prince, Martin

doi:10.1002/gps.2661

Cited by 20 publications

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References 32 publications

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“…While the 10/66 Dementia Research Group estimated dementia prevalence and incidence, studied risk factors and predictors of dementia, disability, dependence and mortality across several LMIC of Latin America (Cuba, Dominican Republic, Puerto-Rico, Peru, Mexico, Venezuela), India and China (Llibre Rodriguez et al 2008; Jotheeswaran et al 2010; Sousa et al 2009; Sousa et al 2010; Ferri et al 2011; Albanese et al 2013; Prince et al 2012), dementia is still understudied in sub-Saharan Africa. In the 90s in Nigeria, the Indianapolis-Ibadan Dementia Project estimated the age-adjusted prevalence of dementia (according to DSM-IV/ICD-10 criteria) at 2.3% in the Yorubas aged 65 and over living in Ibadan, and the prevalence of AD at 1.4% (Hendrie et al 1995).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of dementia in Central Africa (EPIDEMCA): protocol for a multicentre population-based study in rural and urban areas of the Central African Republic and the Republic of Congo

et al. 2014

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BackgroundThe worldwide population is ageing and the proportion of elderly aged 60 and over is expected to dramatically rise in Low and Middle Income Countries (LMIC). The epidemic of dementia will not spare those countries, where the largest increases in numbers of people affected are estimated. Besides, dementia is still understudied in sub-Saharan Africa (SSA) compared to other regions. This paper describes the protocol for the ‘Epidemiology of Dementia in Central Africa’ population-based study, which aims at estimating the prevalence of dementia in two countries of Central Africa and investigating possible risk factors.Methods/DesignA multicenter population-based study was carried out in Central African Republic and Republic of Congo between 2011 and 2012 including both urban and rural sites in each country. Around 2000 participants aged ≥65 years old were interviewed in total using the Community Screening Interview for Dementia (CSI-D), the GMS-AGECAT and the CERAD’s 10-word list. Elderly with low performance to the cognitive part of the CSI-D (COGSCORE ≤ 24.5) were then clinically assessed by neurologists and underwent further psychometrical tests. DSM-IV and NINCDS-ADRDA criteria were required for dementia and Alzheimer’s disease (AD) diagnoses respectively. The algorithmic 10/66 dementia diagnosis was also determined. Petersen’s criteria were required for the diagnosis of Mild Cognitive Impairment. Sociodemographic, and environmental factors including vascular, nutritional, biological, psychosocial and lifestyle factors were collected in each setting in order to investigate factors associated with dementia. Blood sampling was realized to investigate genetic variations that could modify the risk of dementia.DiscussionFor now, no large epidemiological study has been undertaken to compare the prevalence of dementia in both rural and urban areas within SSA countries. This programme will provide further evidence regarding the prevalence of dementia in SSA, and also the possible rural/urban disparities existing with associated factors. Furthermore, the genetics of AD in those populations will be addressed.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of dementia in Central Africa (EPIDEMCA): protocol for a multicentre population-based study in rural and urban areas of the Central African Republic and the Republic of Congo

et al. 2014

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“…[1][2][3][4] Vascular dementia is the second most prevalent dementia 5,6 and the commonest type of preventable dementia. While several factors like hypertension, diabetes, dyslipidaemia, coronary artery disease and nicotine dependence 7 have been known to contribute to vascular dementia, it is nicotine use which is a completely preventable risk factor and should be a focus of clinical intervention as well as public health campaigns.…”

Section: Introductionmentioning

confidence: 99%

Assessment of nicotine dependence in subjects with vascular dementia

Chandra

Anand

2015

Int J Res Med Sci

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INTRODUCTIONNicotine dependence has been known to contribute to cognitive decline in non-demented elderly, Alzheimer's disease as well as vascular dementia.1-4 Vascular dementia is the second most prevalent dementia 5,6 and the commonest type of preventable dementia. While several factors like hypertension, diabetes, dyslipidaemia, coronary artery disease and nicotine dependence 7 have been known to contribute to vascular dementia, it is nicotine use which is a completely preventable risk factor and should be a focus of clinical intervention as well as public health campaigns.Nicotine dependence has been postulated to increase the risk of vascular dementia through several mechanisms like by affecting blood coagulation mechanisms, causing atherosclerotic damage, and by increasing the likelihood of other vascular risk factors like hypertension, coronary heart disease, diabetes and homocysteine level as well as silent infarcts and white matter hyperintensities. [8][9][10][11][12][13][14][15][16] It also results in neuronal injury due to oxidative stress, ABSTRACT Background: Nicotine dependence is an important public health issue. Nicotine dependence is a risk factor for vascular diseases like myocardial infarction and vascular dementia. The rate of nicotine dependence in Indian subjects with vascular dementia is not known. Hence we decided to assess nicotine dependence in subjects with vascular dementia. Methods: Nicotine dependence in subjects with vascular dementia was assessed among subjects presenting to memory clinic of a tertiary care hospital over a period of 16 months. Data regarding sociodemographic profile and severity of nicotine dependence as per Fagerstrom nicotine dependence scale for smoking and smokeless tobacco was analysed using SPSS version 17. Results: Our study shows that in 159 subjects with vascular dementia continuing nicotine dependence was seen in nearly 12% of the subjects. Though the rates are less than the population prevalence for India, it is still relevant as nicotine is not just a risk factor for development of vascular dementia but severe nicotine dependence and longer duration of nicotine use were found to be poor prognostic factors associated with severe dementia. Further as all subjects continued to be nicotine dependent despite having been advised to quit tobacco, suggesting the need for a more comprehensive tobacco cessation intervention be offered to subjects with vascular dementia to improve outcomes. Conclusion: In subjects with vascular dementia continuing nicotine dependence is an important risk factor which must be addressed.

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“…International studies [14] show that taking psychoactive substances containing nicotine has a limiting influence upon dementia processes and the Alzheimer disease. Therefore, it may improve the driver's memory and concentration.…”

Section: Discussionmentioning

confidence: 99%

Psychophysiological determinants of drivers’ condition

Różanowski

Piotrowski

Bernát

2013

Modelling in Medicine and Biology X

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The psychophysiological state of vehicle drivers is of key importance for road safety and for the life and health of other users of the transport infrastructure. A number of external factors may contribute to gradual deterioration of the driver's condition and undiagnosed illness may result in abrupt health disorders.The objective of this paper is to establish, on the basis of tests, surveys, and measurements, an index reflecting the psychophysiological state of a vehicle driver.The research was based on a database of results for a group of 15 rested volunteer drivers. The results were classified into two subgroups corresponding to two components of the index: physiological and psychological.On the basis of arranged data, a method was proposed to calculate the FIZ and PSY indices.As a result of the research, we have obtained determinants of the psychophysiological condition of the subject drivers and a group of correlated indices. They are candidate items (inter alia) of a short survey aimed to verify the short-term condition of a driver.

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Tobacco use and dementia: evidence from the 1066 dementia population‐based surveys in Latin America, China and India

Abstract: Dementia in developing countries appears to be positively associated with history of tobacco smoking but not smokeless tobacco use. Selective quitting in later life may bias estimation of associations.

Cited by 20 publications

References 32 publications

Epidemiology of dementia in Central Africa (EPIDEMCA): protocol for a multicentre population-based study in rural and urban areas of the Central African Republic and the Republic of Congo

Epidemiology of dementia in Central Africa (EPIDEMCA): protocol for a multicentre population-based study in rural and urban areas of the Central African Republic and the Republic of Congo

Assessment of nicotine dependence in subjects with vascular dementia

Psychophysiological determinants of drivers’ condition

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