Table 1.
Study/ Authors |
Outcome | Data Source |
Key Findings | Factors |
---|---|---|---|---|
Manton et al. (USA) |
Severe cognitive impairment prevalence |
National long- term care survey interviews 1982– 1999 |
Decline in dementia prevalence in > 65 year olds: 5.7% to 2.9% |
Higher education, decline in strokes |
Langa et al. (USA) |
Cognitive impairment prevalence |
US Health and Retirement Study |
Cognitive impairment in ≥70-year-olds: 12.2% in 1993 8.7% in 2002 |
Education; combination of medical, lifestyle, demographic, and social factors |
Schrijvers et al. (Rotterdam) |
Dementia incidence |
Population-based cohort aged 55+ in 1990 extended in 2000 |
Incidence rate ratios = 6.56 per 1,000 person years in 1990 vs 4.92 in 2000. |
Education, reduction in vascular risk, decline in strokes |
Qiu et al. (Stockholm) |
DSMIII-R dementia prevalence |
Cross-sectional survey of 75- year-olds, 1987– 89 and 2001–04 |
Age- and sex- standardized dementia prevalence: 17.5% in 1987–89 and 17.9% in 2001–04. Lower death hazard rate in later cohort suggests decreased dementia incidence |
Favorable changes in risk factors especially vascular risk, and healthier lifestyles |
Matthews et al. (CFAS I and II) (England) |
Dementia prevalence in 3 regions |
Survey interviews of ≥65-year-olds, 1989–94 and 2008–11 |
Dementia prevalence 8.3% in CFAS I and 6.5% in CFAS II |
Higher education, better prevention of vascular disease |