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Understanding Alzheimer’s disease: The Basics of Memory Decline

  • Author by admin
  • Reviewed By admin
  • Last Edited : August 4, 2024
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Alzheimer’s disease is a neurodegenerative condition defined by a gradual loss of cognitive skills coupled with behavioral abnormalities and functional impairment. The illness also causes functional disability. Alzheimer’s is the type of dementia which refers to a collection of signs and symptoms resulting in a decline in cognitive abilities. Numerous disorders can lead to dementia, with Alzheimer’s being the most prevalent.

Some of the most common cognitive symptoms of Alzheimer’s disease are memory loss, trouble planning or solving problems, trouble understanding visual images and spatial connections, and trouble doing everyday tasks. Look through the symptoms and signs section for further information.

The most important thing in figuring out the diagnosis and stage of an illness is still the patient’s medical history, especially the evaluation of cognitive function. Recent improvements in imaging studies that map amyloid and genetic testing show promise for finding the disease early and telling it apart from other neurodegenerative disorders.

  • Alzheimer’s disease doubles in incidence every five years after age 70.
  • Women make up about 67% of Alzheimer’s patients, partly due to biological factors.
  • Early-onset Alzheimer’s affects only 5–6% of all Alzheimer’s cases and occurs before age 65.
  • Alzheimer’s is linked to protein buildup, particularly amyloid and tau, in the brain.
  • APOE4 allele is the most significant genetic risk factor for Alzheimer’s, though not definitive.
  • Approximately 25% of people over 65 and over half of those over 85 are affected by Alzheimer’s.
  • Neuropsychiatric symptoms like apathy and hallucinations often worsen as Alzheimer’s progresses.

Epidemiology of Alzheimer’s Disease

An important question is how common is Alzheimer’s disease? The most significant risk factor for Alzheimer’s is getting older in later years. It has been shown that the incidence and frequency of Alzheimer’s disease doubles every five years beyond the age of 70 and that most individuals with the condition are over 75.

  • About two-thirds of the patients are women (67%), which is a factor in both higher biological variables and better survival rates.
  • When a person reaches the age of 65, the total chance of being diagnosed with Alzheimer’s is 21.1 percent for females (women), whereas the risk is just 11.6 percent for males (men). 
  • Early-onset Alzheimer’s disease is a subtype of Alzheimer’s in people under 65. Early-onset Alzheimer’s disease accounts for just 5–6 percent of all Alzheimer’s disease cases.
  • It is anticipated that the number of people living with Alzheimer’s disease will grow threefold by the year 2050 as a result of the rising life expectancy of the general population.

Causes of Alzheimer’s Disease

The buildup of proteins known as amyloid and tau in the brain is an integral part of the pathophysiology behind Alzheimer’s disease. Alzheimer’s disease is thought to be caused by several factors, even though age is the leading risk factor for getting the disease.

Other risk factors for Alzheimer’s disease (insomnia and obstructive sleep apnea syndrome) include 

  • Having one or more E4 alleles of the apolipoprotein gene (APOE4)
  • Not getting enough education
  • Having a family history of Alzheimer’s disease
  • Having a severe head injury
  • Having trouble sleeping.

More and more research shows that vascular risk factors must be treated early and proactively to prevent cognitive decline. In terms of genetics, the APOE genotype, the E4 allele, is the most significant risk factor. On the other hand, it’s not used often in clinical practice because it’s a risk factor and doesn’t tell you anything.

When analyzing a patient with Alzheimer’s, there is always a fear that the patient may have a family form of the illness. This is especially true if the condition starts before a person is 65 years old. On the other hand, the disease will appear in most of these people unexpectedly. Even though mutations with autosomal dominant inheritance have been found in three genes, they only make up 0.6% of Alzheimer’s patients worldwide.

Symptoms of Alzheimer’s Disease

It is essential to recognize the signs and symptoms that people with Alzheimer’s disease show to diagnose and treat them. Signs and symptoms can be broken down into cognitive, neuropsychiatric, and neurologic examination results.

Cognitive symptoms

Memory loss is the most distinctive mental sign of Alzheimer’s disease. But there may be other early and limited cognitive signs, such as:

  • Problems with language
  • Apathy
  • Personality changes
  • Trouble planning
  • Solving problems

In the early stages of the illness, episodic memory from the recent past is most affected, while memory from the farther past is primarily unaffected. All parts of episodic memory get impaired as the illness worsens and continues to advance. Memory tasks that need working memory, like semantic memory, stay mostly the same until the disease worsens.

Language problems, especially not finding the right words to describe oneself, are a common early sign, but they are sometimes more expressive. One of the first signs of autism is often the inability to plan and find solutions to problems. This differs from the later issue of needing help to find visual pictures and their spatial connections.

Neuropsychiatric symptoms

Patients who have Alzheimer’s disease exhibit a diverse collection of neuropsychiatric symptoms. If they manifest, they become more severe as the illness advances. Because of the significant consequences of these symptoms for caregiver burnout and because they are a common reason for institutionalization, diagnosis and treatment are necessary.

Early behavioural changes that may happen are:

  • Apathy
  • Sadness
  • Anxiety
  • irritability

Later neuropsychiatric symptoms include:

  • Changes in appetite
  • Trouble sleeping
  • Lack of inhibition
  • Hallucinations (changes in perception)
  • Delirium. 

Anosognosia is another symptom that can appear early and is hard to treat. It is a loss of awareness and a denial of the illness and its limits. This symptom can also occur in the early stages.

Findings from the neurological examination

When a person has Alzheimer’s disease, a neurological exam is often expected to figure out how their mind is doing. In some cases, the onset of Parkinsonian symptoms comes after the progression of the illness. Reflexes that manifest later in the course of the disease are referred to as “primitive reflexes”. Their presence indicates damage to the brain.

Is Alzheimer’s Disease Genetic?

Yes, Alzheimer’s disease has a genetic component. While the majority of Alzheimer’s cases are not solely caused by genetics, there are certain genetic factors that can increase the risk of developing the disease. Lifestyle factors, such as diet, exercise, cognitive stimulation, and managing other health conditions like diabetes and hypertension, also play a significant role in reducing the risk of developing Alzheimer’s disease or delaying its onset.

Takeaway

Alzheimer’s disease is a degenerative disease of the brain that affects nearly 25% of people over 65 and over half of the people over 85. It is the most common cause of dementia, which is when a person’s mental abilities gradually decrease as they get older. It can eventually lead to death. It is important to recognize that many people with dementia are not suffering from Alzheimer’s disease. The best way to know the difference is to get a thorough evaluation from someone who is familiar with the condition.

Understanding Alzheimer’s disease: The Basics of Memory Decline

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