W1 Flashcards
what kind of decline do aging-related trajectories show?
modest and gradual
at what age does normal to gradual decline usually start at?
30-40
at what age does significant impairment levels and rapid decline to dementia start at?
40-50
AD
Alzheimer’s disease
ADRD
AD and Related Disorders
NDD
Neurodegenerative disease
NA
normal aging
MCI
mild cog impairment
BCA/BCAD
brain, cog, aging, dementia
NIH
US National Institutes of Health
CIHR
Canadian Institutes of Health Research
CCNA
Canadia Consortium on Neurodegeneration in Aging
ASC
Alzheimer Society of Canada
what are the 4 transitional “phenotypes” of BCA?
- healthy/exceptional brain/cog aging
- normal/typical brain/cog aging
- impaired/preclinical brain/cog aging
- diagnosed NDD and Dementia
how many years prior to diagnosis can NDD start?
5-10 yrs
what is the purpose of risk factors?
support trajectories direction
what is the trajectory and outcome for normal unimpaired BCA?
- NA and CU
- maintenance and typical decline
what is the trajectory and outcome for MCI?
- at-risk state
- potential transitional to NDD
what is the trajectory and outcome of NDD?
- AD and Demntia
which group is exceptional brain grouped with?
normal cog aging - just diff phenotype
what is the trajectory and outcome of exceptional brain and cog aging?
sustained lvls into late life
what is the avg age of decline?
75
what was the groundbreaking lecture?
1906
- Dr. Alois Alzheimer identified “unusual disease of cerebral cortex”
-> identified in 55 yr old woman who died
what did Dr. Alz discover in the tissue?
many globs of sticky proteins in spaces b/w neurons and tangled bundle of fibrils within neurons
- beta-amyloid plaques
- neurofibrillary tangles
what was the hallmark of AD?
plaques and tangles
who was Frau August D?
51 yr old lady with serious memory problems, sus behavior (thought ppl were conspiring against her), language problems
what was the trajectory for Frau Auguste D?
rapid degeneration of all symptoms
spreading decline across other domains
bedridden
ich habe mich verloren
i have lost myself
- identity and memory
what did Frau’s autopsy show?
AD observed - dramatic shrinkage in cerebral cortex
- abnormal deposits in and around cells
- fatty deposits in small blood cells
risk factor
increases risk of disease/condition
protection factor
decreases risk of disease/condition
incidence
number/rate of disease in time frame
prevalence
total number of cases at specified time
- larger than incidence
what was Dr.Goldman’s rationale?
dementia is the greatest health challenge of Canada’s aging. we don’t know the scale of the challenge and the impact on Canadians
how many Canadians have dementia?
600,000
what are the 5 main goals of the Landmark study?
- clarify the path forward: update public knowledge and how we expect numbers to change over next 30 yrs
- improve knowledge: break down complexity and highlight key areas of risk reduction
- advocate: many ppl support ppl w dementia and provide formal and informal care
- create action: inspire many type of ppl including gov’t to support and work towards programs and policies to promote better brain health
- push for change: need for action -> funding, changes, reduce stigma and stereotypes and implement solutions
how many ppl each day in 2022 were diagnosed with dementia?
over 350
how many hours per week does someone spend taking take of a person with dementia?
26 hours a week
what are the key gaps needed to be addressed?
- incomplete understanding of risk and protective factors
- home care and long-term care sys -> under strain and facing crises, need a remodel of care sys
- the challenges associated with providing care (financial, burnout, depression, isolation)
how many cases between 2020-2049?
6,328.200
what is the major risk factor for dementia?
age
who is more likely to get dementia?
F
what 4 provinces have the highest number of cases?
ontario
quebec
bc
ab
-> fastest growing provinces
t or f: the project prevalence and incidence for AB citizens is consistent
t
what is Alz Association motto?
our vision is a world without Alz disease
what is the 6th leading cause of death?
Alz
how much could ADRD cost by 2050?
1.1 trillion
how many Americans will have AD by 2050?
14 M
what did Dr.Khachaturian do?
discovered a crucial historical link in emergence of AD public awareness, scientific research and intervention efforts