Session Title: Alzheimer's Disease (AD) including Non-Cognitive Aspects
Presentation Date: Friday, March 14 – Saturday, March 15, 2009
IDENTIFYING A HIDDEN PROBLEM-DEMENTIA- IN ELDERLY PEOPLE LIVING IN OLD-AGE HOMES
M. Khan, N. Pavitra, S. Lakshmi
Mysore Medical College & Research Institute, Comunity Medicine, MYSORE, India
Background: India is a developing country with a population of 1028.7 millions among which 7.5% (76.6 millions) are of Geriatric age group. This would increase to 12.3% (108 million) by 2025 and 240 million by 2050.
Aim and objectives: To identify dementia in the elderly inhabitants living in old-age homes, study the risk factors and create awareness among caretakers about dementia and to provide moral support and care to the demented individuals.
Material & methods: Eight old-age homes in Mysore City, India were selected at random. 100 inmates of these old-age homes aged above 60 years and having stayed in the old-age home for at least 2 months were included in the study.
Collection of data:-Mini Mental State Examination (MMSE) was done for assessing cognitive function and documenting subsequent decline to screen the subjects (n=100) and those with score < 23 were considered to have dementia (n=24).To these 24 subjects Blessed Dementia Rating Scale was used.
Conclusions: Among the 100 subjects studied 24 were found to have dementia, with higher incidence in females. Occurrence of dementia increased with age and it was higher in female subjects with both diabetes mellitus and hypertension.
- Females (29.4%) showed more signs of dementia than males (12.5%)(P< 0.05).
- More people in the age group 71-80 years had dementia (20% of males,46.2% of females) (P< 0.001).
- Females who had both hypertension and diabetes mellitus showed dementia in more number(50% being affected).
Keywords: Dementia, Elderly, Old-age homes, MMSE.