Using Multistate Observational Studies to Determine Role of Hypertension and Diabetes as Risk Factors for Dementia
Open Access
- 1 December 2016
- journal article
- research article
- Published by Scientific Scholar in Journal of Neurosciences in Rural Practice
- Vol. 07 (S 01), S003-S006
- https://doi.org/10.4103/0976-3147.196462
Abstract
Background: Evidence suggests that modifiable risk factors which can be targeted by prevention are vascular diseases, such as diabetes, midlife hypertension (HTN), midlife obesity, midlife cholesterol, mid- and late-life depression as well as lifestyle factors such as smoking, physical inactivity, and poor diet. Methods: A comprehensive search of the National Library of Medicine's PubMed database and Google Scholar was conducted. A combinations of medical subject headings and free text words that included search terms related to the exposure (e.g., prevalence, HTN, raised BP, high BP, diabetes, high blood sugar, DM, India, state), were combined with search terms related to the outcomes (e.g., prevalence, disease burden, estimate, dementia, India). The filters included were English for the language category and humans for the study category. Results: The PubMed search initially identified 269 references, and a total of 204 abstracts were screened by inclusion criteria. Full-text assessment of 136 articles on prevalence of dementia resulted in 20 relevant articles from which the different regions of the country were identified. Based on the search conducted according to the regions; 287abstracts of the prevalence of HTN and 577 on the prevalence of diabetes mellitus were screened. There were 43 full-text articles on the prevalence of HTN and diabetes from the regions where the prevalence of dementia was available. Of these potentially relevant articles were 14 in number. Conclusion: Despite the uncertainty in the role, the data analysis, therefore, points to a role in the prevention of HTN and diabetes to prevent dementia.Keywords
This publication has 23 references indexed in Scilit:
- A clinico-epidemiological study of cognitive function status of community-dwelling elderlyIndian Journal of Psychiatry, 2014
- Prevalence of Diabetes Mellitus and Its Risk Factors among Permanently Settled Tribal Individuals in Tribal and Urban Areas in Northern State of Sub-Himalayan Region of IndiaInternational Journal of Chronic Diseases, 2014
- Prevalence of psychiatric morbidity amongst the community dwelling rural older adults in northern India2013
- Diabetes mellitus: A risk factor for cognitive impairment amongst urban older adultsIndustrial Psychiatry Journal, 2012
- Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdia DIABetes (ICMR–INDIAB) studyDiabetologia, 2011
- An epidemiological study of dementia under the aegis of mental health program, Maharashtra, Pune chapterIndian Journal of Psychiatry, 2010
- Diabetes mellitus and dementiaDiabetes & Metabolism, 2006
- Neurovascular regulation in the normal brain and in Alzheimer's diseaseNature Reviews Neuroscience, 2004
- Hypertension and dementiaCurrent Cardiology Reports, 2003
- Untreated Blood Pressure Level Is Inversely Related to Cognitive Functioning: The Framingham StudyAmerican Journal of Epidemiology, 1993