Dementia before death in ageing societies—The promise of prevention and the reality
2006

Dementia Before Death in Ageing Societies

Sample size: 12387 publication 10 minutes Evidence: moderate

Author Information

Author(s): Carol Brayne, Lu Gao, Michael Dewey, Fiona E. Matthews

Primary Institution: Medical Research Council Cognitive Function and Ageing Study

Hypothesis

Can we prevent, delay, or shorten the course of dementia?

Conclusion

The study found that the prevalence of dementia at death was 30%, and as populations age, the number of people dying with dementia is likely to increase.

Supporting Evidence

  • The overall prevalence of dementia at death was found to be 30%.
  • Individuals aged 95 and above had a 58% chance of dying with dementia.
  • Higher education and social class were associated with slightly lower dementia prevalence before death.
  • Women had a higher prevalence of dementia before death compared to men.
  • Preventive efforts may not fully counteract the effects of aging on dementia prevalence.

Takeaway

As people get older, they are more likely to have dementia when they die, and even with prevention efforts, many will still experience it.

Methodology

The study analyzed data from the Medical Research Council Cognitive Function and Ageing Study, focusing on individuals aged 65 and over, using logistic regression to estimate dementia prevalence.

Potential Biases

Potential bias from attrition and misclassification of dementia status.

Limitations

The study may underestimate dementia prevalence due to dropout rates and misclassification of cognitive status.

Participant Demographics

Participants were aged 65 and over, with a mix of urban and rural backgrounds across six study centers in the UK.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 25%–61%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030397

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