Current trends and challenges on dementia management and research in Latin America

In these studies, incidence was similar [17,19] or higher in LA countries than in Western countries [18]. Besides age, other risk factors included markers of low cognitive reserve [18], poor cardiovascular health [20], and being a carrier of at least one APOE-ϵ 4 allele [19]. Joint efforts of clinic...

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Published inJournal of global health Vol. 10; no. 1; p. 010362
Main Authors Nitrini, Ricardo, Barbosa, Maira Tonidandel, Dozzi Brucki, Sonia Maria, Yassuda, Mônica Sanches, Caramelli, Paulo
Format Journal Article
LanguageEnglish
Published Scotland Edinburgh University Global Health Society 01.06.2020
International Society of Global Health
Subjects
Biomedical Research - trends
Cardiovascular diseases
Dementia
Dementia - therapy
Dementia disorders
Diabetes
Education
Epidemiology
GDP
Global health
GNI
Gross Domestic Product
Gross National Income
Humans
Illiteracy
Latin America
Life expectancy
Literacy
Nutritional status
Older people
Population growth
Purchasing power parity
Risk factors
Rural areas
Socioeconomic factors
Systematic review
Viewpoints
Womens health
Latin America
Brazil
Argentina
United States > US
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Summary:In these studies, incidence was similar [17,19] or higher in LA countries than in Western countries [18]. Besides age, other risk factors included markers of low cognitive reserve [18], poor cardiovascular health [20], and being a carrier of at least one APOE-ϵ 4 allele [19]. Joint efforts of clinicians and epidemiologists would be essential to improve the quality of epidemiological data on dementia in LA. Besides the high overall prevalence of dementia reported in most studies, prevalence among younger elderly (ie, 65-69 years) was found to be 2.4%, exactly twice the rate reported by a systematic review of 21 studies conducted in Europe [8]. [...]low education might increase dementia risk by limiting adequate diagnosis and treatment of comorbidities, particularly cardiovascular diseases and diabetes mellitus, as well as being commonly associated with impaired nutritional status. [...]low educational attainment is also associated with low cognitive reserve [21], thus possibly leading to the earlier manifestation of dementia symptoms. [...]the illiteracy rate among the elderly population is high, currently at 21%. [...]at least in Brazil, there is an unequal distribution of literacy rates, with lower figures in specific regions (North and Northeast) and rural areas of the country.
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ISSN:2047-2978
2047-2986
DOI:10.7189/JOGH.10.010362