Yıl: 2013 Cilt: 16 Sayı: 2 Sayfa Aralığı: 135 - 141 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey

Öz:
Giriş: Demans sıklığı tüm dünyada artmaktadır. Araştırmanın amacı toplum içinde yaşayan yaşlılarda demans sıklığı ve risk faktörlerini saptamaktır.Gereç ve Yöntem: Kesitsel bir araştırma yapılmış ve yöntem olarak kümelenme yöntemi kullanılmıştır. Demans tanısı klinik olarak konulmuştur. Demans varlığını etkileyen etmenler Ki kare testi, ϕ katsayısı ve lojistik regresyon modeliyle çözümlenmiştir.Bulgular: Araştırmaya dahil edilen 490 yaşlının ortalama yaşı 71.8'dir. Yaşlıların %34.7'si oku-yazar değildir ve %12'si yalnız yaşamaktadır. Demans sıklığı %12.9 bulunmuştur. º katsayısı kullanarak yapılan logistik regresyon çözümlemesine göre ilerlemiş yaş ve serebrovasküler hastalıklar demans sıklığını artırmaktadır.Sonuç: Toplumda demans sıklığı yüksektir. Demans sıklığının yüksek olmasında olumsuz sosyoekonomik koşullar, kötü sağlık durumu ve düşük eğitim düzeyi gibi etmenlerin katkısı olduğunu düşünmekteyiz.
Anahtar Kelime:

Konular: Cerrahi

İzmir'de yaşayan yaşlılarda demans sıklığı ve risk etmenleri

Öz:
Introduction: The prevalence of dementia is increasing worldwide. The aim of this study was to determine the prevalence and risk factors of dementia among community-dwelling elderly population.Materials and Method: A cross-sectional study utilizing cluster sampling method was performed. Diagnosis of dementia was made clinically. The parameters effecting the presence of dementia were determined by Chi square test, ϕ coefficient and logistic regression model.Results: The mean age of the total 490 elderly subjects was 71.8. 34.7% of the elderly were illiterate and 12% were living alone. Prevalence of dementia was found to be 12.9%. According to logistic regression analysis with ϕ coefficient, advanced age and cerebrovascular disease increased the prevalence of dementia in the elderly people.Conclusion: Prevalence of dementia among community-dwelling elderly people is relatively high. We suggest that occurence of a high rate of dementia in the study population may be due to the cumulative effect of several unfavourable risk factors such as poor socioeconomic conditions and poor health status and low level of education.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 11. Ferri CP, Prince M, Brayne C, et al; Alzheimer’s Diseases International . Global prevalence of dementia: a Delphi consen- sus study. Lancet 2005;366(9503):2212-7. (PMID:16360788).
  • 2. Berr C, Wancata J, Ritchie K. Prevalence of dementia in the elderly in Europe. Eur Neuropsychopharmacol 2005;15(4):463–71. (PMID:15955676).
  • 3. de Rijk MC, Launer LJ, Berger K, et al. Prevalence of dementia and major subtypes in Europe: A collaborative study of popula- tion-based cohorts. Neurologic Diseases in the Elderly Research Group. Neurology 2000;54(11 Suppl 5):S21-3. (PMID:10854357).
  • 4. Waite LM, Broe GA, Grayson DA, Creasey H. The incidence of dementia in an Australian community population: the Sidney Older Persons Study. Int J Geriatr Psychiatry 2001;16(7):680- 9. (PMID:11466746).
  • 5. Lopez-Pousa S, Vilalta-Franch J, Llinas-Regla J, Garre-Olmo J, Roman GC. Incidence of dementia in a rural community in Spain: the Girona study. Neuroepidemiol 2004;2384):170-7. (PMID:15272219).
  • 6. Scazufca M, Menezes PR, Vallada HP, et al. High Prevalence of dementia among older adults from poor socioeconomic back- grounds in Sao Paulo, Brazil. Int Psychogeriatr 2008;20(2):394-405. (PMID:17559708).
  • 7. Bulut S, Ekici ‹, Polat A, Berilgen MS, Gönen M, Da¤ E, Demir CF. Elaz›¤ ‹li Abdullahpafla bölgesinde demans prevalans› ve demans altgruplar›. Demans Dergisi 2002;2(4):105-10.
  • 8. Keskinoglu P, Giray H, P›cakc›efe M, Bilgic N, Ucku R. The prevalence and risk factors of dementia in the elderly population in a low socio-economic region of Izmir, Turkey. Arch Gerontol Geriatr 2006;43(1):93-100. (PMID:16274758).
  • 9. Diker J, Etiler N, Y›ld›z M, fieref B. Altm›fl befl yafl üzerindeki kiflilerde biliflsel durumun günlük yaflam aktiviteleri, yaflam kalitesi ve demografik de¤iflkenlerle iliflkisi: Bir alan araflt›rmas›. Anadolu Psikiyatri Dergisi 2001;2(2):79-86.
  • 10. Anstey KJ, von Sanden C, Salim A, O’Kearney R. Smoking as a risk factor for dementia and cognitive decline: a meta-analysis of prospective studies. Am J Epidemiol 2007;166(4):367-78. (PMID:17573335).
  • 11. Chodosh J, Kado DM, Seman TE, Karlamangla KS. Depressive symptoms as a predictor of cognitive decline: MacArthur stud- ies of successful ageing. Am J Geriatr Psychiatry 2007;15(5):406-15. (PMID:17353297).
  • 12. Lang I, Wallace RB, Huppert FA, Melzer D. Moderate alcohol consumption in older adults is associated with better cognition and well-being than abstinence. Age Ageing 2007;36(3):256–61. (PMID:17353234).
  • 13. American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), fourth ed. APA Pres, Washington DC, 1994.
  • 14. The Barthel Index.[Internet] Available from: http://www.strokecenter.org/trials/scales/barthel.pdf. Accessed on: 19.06.2011.
  • 15. Almeida OP, Almeida SA. Short versions of the geriatric depression scale. a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM- IV. Int J Geriatr Psychiatry 1999;14(10):858-65. (PMID:10521885).
  • 16. Fleiss JL. Sampling Methods I. Naturalistic or cross sectional. In: Fleiss JL (Ed). Statistical Methods for Rates and Proportions. Second edition, J Wiley and Sons, New York;1981, pp 56-80.
  • 17. Dülgero¤lu D, Aybay C, Tunç H, Kurtaran A, Ça¤lar H, Özel S. Rehabilitasyon klini¤imizde yatarak tedavi olan geriatrik olgular›n klinik özellikleri. Turkish Journal of Geriatrics 2002;5(1):11-5.
  • 18. Scazufka M, Menezes PR, Araya R, et al; Sao Paulo Ageing and Health Study. Risk factors across the life course and dementiain a Brazilian population: results from the Sao Paulo Ageing and Health Study (SPAH). Int J Epidemiol 2008;37(4):879-90. (PMID:18583392).
  • 19. Kalaria RN, Maestre GE, Arizaga R, et al; World Federation of Neurology Dementia Research Group. Alzheimer’s disease and vascular dementia in developing countries: Prevalence, manage- ment, and risk factors. Lancet Neurol 2008;7(9):812-26. (PMID:18667359).
  • 20. Vincze G, Almos P, Boda K,et al. Risk factors of cognitive decline in residential care in Hungary. Int J Geriatr Psychiatry 2007;22(12):1208-16. (PMID:17562518).
  • 21. Yip AG, Brayne C, Matthews FE, MRC Cognitive Function and Ageing Study. Risk factors for incident dementia in England and Wales. The Medical Research Council Cognitive Function and Ageing Study. A population-based nested case- control study. Age Ageing 2006;35(2):154-60. (PMID:16414964).
  • 22. Simons LA, Simons J, McCallum J, Friedlander Y. Lifestyle fac- tors and risk of dementia: Dubbo Study of the elderly. Med J Australia 2006;184(2):68-70. (PMID:16411871).
  • 23. Anttila T, Helkala EL, Viitanen M, et al. Alchohol drinking in middle age and subsequent risk of mild cognitive impairment and dementia in old age: a prospective population based study. BMJ 2004;329(7465):539-42. (PMID:15304383).
  • 24. Weuve J, Kang JH, Manson JE, Breteler MM, Ware JH, Grodstein F. Physical activity, including walking, and cogni- tive function in older women. JAMA 2004;292(12):1454-61. (PMID:15383516).
  • 25. Chen R, Hu Z, Wei L, Quin X, McCracken C, Copeland JR. Severity of depression and risk for subsequent dementia: cohort studies in China and the UK. Br J Psychiatr 2008;193(5):373- 7. (PMID:18978315).
APA keskinoglu p, Yaka E, UÇKU Ş, Yener G, KURT P (2013). Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. , 135 - 141.
Chicago keskinoglu pembe,Yaka Erdem,UÇKU Şerife Reyhan,Yener Görsev G.,KURT Pınar Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. (2013): 135 - 141.
MLA keskinoglu pembe,Yaka Erdem,UÇKU Şerife Reyhan,Yener Görsev G.,KURT Pınar Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. , 2013, ss.135 - 141.
AMA keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. . 2013; 135 - 141.
Vancouver keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. . 2013; 135 - 141.
IEEE keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P "Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey." , ss.135 - 141, 2013.
ISNAD keskinoglu, pembe vd. "Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey". (2013), 135-141.
APA keskinoglu p, Yaka E, UÇKU Ş, Yener G, KURT P (2013). Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. Türk Geriatri Dergisi, 16(2), 135 - 141.
Chicago keskinoglu pembe,Yaka Erdem,UÇKU Şerife Reyhan,Yener Görsev G.,KURT Pınar Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. Türk Geriatri Dergisi 16, no.2 (2013): 135 - 141.
MLA keskinoglu pembe,Yaka Erdem,UÇKU Şerife Reyhan,Yener Görsev G.,KURT Pınar Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. Türk Geriatri Dergisi, vol.16, no.2, 2013, ss.135 - 141.
AMA keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. Türk Geriatri Dergisi. 2013; 16(2): 135 - 141.
Vancouver keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey. Türk Geriatri Dergisi. 2013; 16(2): 135 - 141.
IEEE keskinoglu p,Yaka E,UÇKU Ş,Yener G,KURT P "Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey." Türk Geriatri Dergisi, 16, ss.135 - 141, 2013.
ISNAD keskinoglu, pembe vd. "Prevalecence and risk factoes d f dementia among community dwelling elderly people in Izmir, Turkey". Türk Geriatri Dergisi 16/2 (2013), 135-141.