Evidence that age-associated memory impairment is not a normal variant of aging

被引:54
作者
Goldman, WP
Morris, JC
机构
[1] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63108 USA
[2] Washington Univ, Dept Pathol, St Louis, MO 63130 USA
[3] Washington Univ, Alzheimers Dis Res Ctr, St Louis, MO USA
关键词
age-associated memory impairment; dementia; aging;
D O I
10.1097/00002093-200104000-00006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The concept of age-associated memory impairment (AAMI) suggests that clinically recognized memory dysfunction can be a feature of normal aging. To determine whether AAMI represents a variant of normal aging, we longitudinally studied individuals meeting AAMI criteria for development of dementia. Two hundred two community-living individuals (mean age, 77 years) with or without mild memory impairment were assessed annually for an average of 3 years at the Washington University Alzheimer's Disease Research Center. At baseline, no individual was unequivocally demented, as defined by a Clinical Dementia Rating (CDR) score of 1 or greater. Modified National Institute of Mental Health criteria were used to identify individuals with AAMI who otherwise met a criterion for cognitive normality. The Short Blessed Test (SBT) was used as a measure of general cognitive function; conservative (SBT = 5) and permissive (SBT = 10) cutoff scores were used as indicators of cognitive normality. With the more permissive measure of cognitive normality, 59 (29%) of the 202 individuals mel AAMI criteria. Progression to dementia by 3 years occurred in 42% of AAMI individuals versus 16% of the individuals who did not meet AAMI criteria. With the more restrictive SET cutoff of 5, 22% of individuals met AAMI criteria: progression to dementia occurred in 31% of these individuals versus 9% of the individuals without AAMI. Survival times to dementia differed significantly between AAMI and non-AAMI groups defined by either cutoff score. Our findings indicate that individuals with AAMI have a three-fold greater risk for development of dementia than individuals who do not meet AAMI criteria. Hence, AAMI may represent a dementia prodrome rather than a benign variant of aging.
引用
收藏
页码:72 / 79
页数:8
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