Apolipoprotein E status as a predictor of the development of Alzheimer's disease in memory-impaired individuals
Article Abstract:
Elderly people with mild cognitive impairment (MCI) who have the apolipoprotein E 4 (apo E 4) allele may be more likely to progress to Alzheimer's disease than those who have other forms of the apo E gene. Researchers administered cognitive tests to 66 elderly patients with MCI at 18-month intervals to observe the progression of cognitive impairment. Investigators took blood samples from the patients to study the relationship between apo E status and disease progression. At the 18-month follow-up, 24% of patients had progressed to dementia. Of those who had subsequent follow-ups, 44% progressed to dementia in an average of 36 months and 55% progressed to dementia in an average of 54 months. Those who carried the apo E 4 allele were more than four times more likely to develop dementia than patients who had other forms of the apo E gene.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1995
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Prevalence of parkinsonian signs and associated mortality in a community population of older people
Article Abstract:
Parkinsonism occurs commonly among the aged and people who have it may have twice the risk of dying than people who do not. Parkinsonism is characterized by symptoms such as tremor, rigid muscles, abnormal gait, and slow movement. Researchers performed neurologic exams on 467 people in a community who were aged 65 and older. Parkinsonism occurred in 159 of these people and its prevalence increased with age. The prevalence ranged from 15% among people aged 65 to 74, to 52% among people aged over 85. During an average follow-up of 9.2 years, the mortality rate was 78% among people with parkinsonism and 49% among people without it. When a statistical adjustment was made for age and sex, parkinsonism appeared to double the risk of death.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
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Apolipoprotein E epsilon4 and incidence of Alzheimer disease in a community population of older persons
Article Abstract:
The apolipoprotein E (APOE) epsilon4 gene appears to be linked to a very small percentage of cases of Alzheimer's disease. In a study of 578 residents of East Boston, 88 were diagnosed with probable Alzheimer's disease. However, of the 85 people in the entire group who had one copy of the APOE epsilon4 gene, only 17 were diagnosed with Alzheimer's disease. Of the 6 people with two copies of the gene, only 2 were diagnosed with Alzheimer's disease. Most of the people with Alzheimer's disease in this population did not have the APOE epsilon4 gene. This indicates that other factors may be responsible for the disease.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1997
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