Who Does Alzheimer’s Disease Affect

Can You Prevent Alzheimers Disease

There is no sure way to prevent Alzheimers disease. However, you can reduce the risk of Alzheimers disease by caring for your health:

• your heart whats good for your heart is good for your brain so stick to a healthy diet and dont smoke
• your body regular physical activity increases blood flow to the brain so maintain an active lifestyle
• your mind an active mind helps build brain cells and strengthens their connections so socialise, do things such as puzzles and crosswords, and learn new things, such as a language

Learn more about the risk factors associated with Alzheimers and other types of dementia, and what you can do to reduce your risk:

Also Check: Does Medicare Cover Nursing Home For Dementia

Active Management Of Alzheimer’s Dementia

• Appropriate use of available treatment options.
• Effective management of coexisting conditions.
• Providing family caregivers with effective training in managing the day-to-day life of the care recipient.
• Coordination of care among physicians, other health care professionals and lay caregivers.
• Participation in activities that are meaningful to the individual with dementia and bring purpose to his or her life.
• Having opportunities to connect with others living with dementia support groups and supportive services are examples of such opportunities.
• Becoming educated about the disease.
• Planning for the future.

To learn more about Alzheimer’s disease, as well as practical information for living with Alzheimer’s and being a caregiver, visit alz.org.

How Does Alzheimers Affect The Nervous System

The nervous system is the center of all mental activity including thought, learning and memory. It works with the endocrine system to regulate and maintain homeostasis in the body.

Alzheimers disease leads to issues in the nervous system including cognitive function such as problems with memory, thinking or behavior as well as confusion and judgement. People with Alzheimers may have trouble doing familiar tasks and often misplace things.

Alzheimers disease mostly affects the brain and nervous system progressively getting worse over time.

Also Check: Does Neil Diamond Have Alzheimer’s

What Is Alzheimers Disease

• Alzheimers disease is the most common type of dementia.
• It is a progressive disease beginning with mild memory loss and possibly leading to loss of the ability to carry on a conversation and respond to the environment.
• Alzheimers disease involves parts of the brain that control thought, memory, and language.
• It can seriously affect a persons ability to carry out daily activities.

Avoidable Use Of Health Care And Long

6.5.1 Preventable hospitalizations

Preventable hospitalizations are one common measure of health care quality. Preventable hospitalizations are hospitalizations for conditions that could have been avoided with better access to, or quality of, preventive and primary care. Unplanned hospital readmissions within 30 days are another type of hospitalization that potentially could have been avoided with appropriate post-discharge care. In 2013, 21% of hospitalizations for fee-for-service Medicare enrollees with Alzheimer’s or other dementias were either for unplanned readmissions within 30 days or for an ambulatory care sensitive condition . The total cost to Medicare of these potentially preventable hospitalizations was $4.7 billion . Of people with dementia who had at least one hospitalization, 18% were readmitted within 30 days. Of those who were readmitted within 30 days, 27% were readmitted two or more times. Ten percent of Medicare enrollees had at least one hospitalization for an ambulatory care-sensitive condition, and 14% of total hospitalizations for Medicare enrollees with Alzheimer’s or other dementias were for ambulatory care sensitive conditions.

FIGURE 16

Also Check: What Color Ribbon Is Alzheimer’s

How Does Alzheimer’s Disease Progress

The rate of progression of the disease varies from person to person.

However, the disease does lead eventually to complete dependence and finally death, usually from another illness such as pneumonia. A person may live from three to twenty years with Alzheimer’s disease, with the average being seven to ten years.

What Is Alzheimer Disease

Alzheimer disease, which affects some older people, is different from everyday forgetting. It is a condition that permanently affects the brain. Over time, the disease makes it harder to remember even basic stuff, like how to tie a shoe.

Eventually, the person may have trouble remembering the names and faces of family members or even who he or she is. This can be very sad for the person and his or her family.

It’s important to know that Alzheimer disease does not affect kids. It usually affects people over 65 years of age. Researchers have found medicines that seem to slow the disease down. And there’s hope that someday there will be a cure.

You May Like: What Color Ribbon Is Alzheimer’s

How Is Alzheimers Diagnosed And Treated

Doctors may ask questions about health, conduct cognitive tests, and carry out standard medical tests to determine whether to diagnose a person with Alzheimers disease. If a doctor thinks a person may have Alzheimers, they may refer the person to a specialist, such as a neurologist, for further assessment. Specialists may conduct additional tests, such as brain scans or lab tests of spinal fluid, to help make a diagnosis. These tests measure signs of the disease, such as changes in brain size or levels of certain proteins.

There is currently no cure for Alzheimers, though there are several medicines approved by the U.S. Food and Drug Administration that can help manage some symptoms of the disease along with coping strategies to manage behavioral symptoms. In 2021, FDA provided accelerated approval for a new medication, aducanumab, that targets the protein beta-amyloid, which accumulates abnormally in the brains of people with Alzheimers. The new medication helps to reduce amyloid deposits, but has not yet been shown to affect clinical symptoms or outcomes, such as progression of cognitive decline or dementia.

Most medicines work best for people in the early or middle stages of Alzheimers. Researchers are exploring other drug therapies and nondrug interventions to delay or prevent the disease as well as treat its symptoms.

What Are The Symptoms Of Early

For most people with early-onset Alzheimer disease, the symptoms closely mirror those of other forms of Alzheimer disease.

Early symptoms:

• Withdrawal from work and social situations

• Changes in mood and personality

Later symptoms:

• Severe mood swings and behavior changes

• Deepening confusion about time, place, and life events

• Suspicions about friends, family, or caregivers

• Trouble speaking, swallowing, or walking

• Severe memory loss

Don’t Miss: What Color Ribbon Is Alzheimer’s

Risk Factors For Alzheimer’s Dementia

The vast majority of people who develop Alzheimer’s dementia are age 65 or older. This is called late-onset Alzheimer’s. Experts believe that Alzheimer’s, like other common chronic diseases, develops as a result of multiple factors rather than a single cause. Exceptions are cases of Alzheimer’s related to uncommon genetic changes that increase risk.

2.7.1 Age, genetics and family history

The greatest risk factors for late-onset Alzheimer’s are older age,, genetics, and having a family history of Alzheimer’s.-

Age

Age is the greatest of these three risk factors. As noted in the Prevalence section, the percentage of people with Alzheimer’s dementia increases dramatically with age: 3% of people age 65-74, 17% of people age 75-84 and 32% of people age 85 or older have Alzheimer’s dementia. It is important to note that Alzheimer’s dementia is not a normal part of aging, and older age alone is not sufficient to cause Alzheimer’s dementia.

Genetics

• One in 10 people age 65 and older has Alzheimer’s dementia.,,
• The percentage of people with Alzheimer’s dementia increases with age: 3% of people age 65-74, 17% of people age 75-84, and 32% of people age 85 and older have Alzheimer’s dementia. People younger than 65 can also develop Alzheimer’s dementia, but it is much less common and prevalence is uncertain.

3.1.1 Underdiagnosis of Alzheimer’s and other dementias in the primary care setting

3.1.2 Prevalence of subjective cognitive decline

How Does Alzheimer’s Disease Affect The Brain

Scientists continue to unravel the complex brain changes involved in Alzheimers disease. Changes in the brain may begin a decade or more before symptoms appear. During this very early stage of Alzheimers, toxic changes are taking place in the brain, including abnormal buildups of proteins that form amyloid plaques and tau tangles. Previously healthy neurons stop functioning, lose connections with other neurons, and die. Many other complex brain changes are thought to play a role in Alzheimers as well.

The damage initially appears to take place in the hippocampus and the entorhinal cortex, which are parts of the brain that are essential in forming memories. As more neurons die, additional parts of the brain are affected and begin to shrink. By the final stage of Alzheimers, damage is widespread and brain tissue has shrunk significantly.

Don’t Miss: What Is The Difference Between Dementia And Senility

Questions To Ask Your Doctor

• How would I recognize signs of dementia in myself?
• Is being forgetful a sign of Alzheimer Dementia?
• How does Alzheimer Dementia affect my ability to care for myself or a loved one?
• What are the pros and cons of participating in clinical trials?
• Can brain games help your memory after youve been diagnosed with Alzheimer Dementia?
• If I am caring for a loved one with Alzheimer Dementia, how can I reduce my stress levels?

What Will The Doctor Do

It can be hard for a doctor to diagnose Alzheimer disease because many of its symptoms can be like those of other conditions affecting the brain. The doctor will talk to the patient, find out about any medical problems the person has, and will examine him or her.

The doctor can ask the person questions or have the person take a written test to see how well his or her memory is working. Doctors also can use medical tests to take a detailed picture of the brain. They can study these images and look for signs of Alzheimer disease.

When a person is diagnosed with Alzheimer disease, the doctor may prescribe medicine to help with memory and thinking. The doctor also might give the person medicine for other problems, such as depression . Unfortunately, the medicines that the doctors have can’t cure Alzheimer disease they just help slow it down.

Don’t Miss: Dementia Alzheimer’s Elephant Tattoo

Stage : Moderate Dementia

When a person has moderate dementia due to Alzheimers disease, they become increasingly confused and forgetful. They may need help with daily tasks and with looking after themselves. This is the longest stage and often lasts around 24 years.

Symptoms of moderate dementia due to Alzheimers disease include:

• losing track of the location and forgetting the way, even in familiar places
• wandering in search of surroundings that feel more familiar
• failing to recall the day of the week or the season
• confusing family members and close friends or mistaking strangers for family
• forgetting personal information, such as their address
• repeating favorite memories or making up stories to fill memory gaps
• needing help deciding what to wear for the weather or season
• needing assistance with bathing and grooming
• occasionally losing control of the bladder or bowel
• becoming unduly suspicious of friends and family
• seeing or hearing things that are not there
• becoming restless or agitated
• having physical outbursts, which may be aggressive

As Alzheimers progresses, a person may start to feel more restless toward evening and have difficulty sleeping. This is sometimes called sundowners syndrome.

During this stage, physical and mental functioning continue to decline.

If a person has severe dementia during the later stages of Alzheimers disease, they might:

Other common causes of death among people with Alzheimers disease include dehydration, malnutrition, and other infections.

What Does This Project Involve

The researchers on this project are hoping to understand more about the role of the immune system in Alzheimers disease to find out if there is a way to target the microglia more effectively with treatments. The team have previously used cutting-edge imaging techniques in fruit flies that have shown that immune cells will travel to areas of the brain where the amyloid protein is present. It is thought that the microglia travel to the amyloid in order to remove it from the brain, but if they become overactive they may end up damaging the brain cell in the process. The researchers will therefore use this imaging technique to understand how the cells travel during the disease process and what the relationship is between the microglia and the amyloid protein. They will then unpick the genetic and molecular aspects that control this behaviour.

Also Check: Does Meredith Grey Have Alzheimers

Read Also: Does Andrea Mitchell Have Dementia

How Do Plaques Affect Brain Functioning

Plaques choke up the gap between two nerve cells. Through this gap, two neurons communicate with each other by passing electrical signals.

Neurons get isolated and their ability to function as a group and pass information gets affected, hence the brain does not function properly.

As the person showing symptoms get older, more plaques are formed and his/her condition gets worse and worse.

Due to a chemical imbalance in tau protein , they get entangled with other tau protein molecules and form tangles.

These tangles destroy microtubules and prevent necessary nutrients from reaching nerve endings of neurons, thus causing the entire cell to become dysfunctional.

This causes memory loss which can affect the Alzheimers disease patients ability to perform tasks needing intelligence like forming a sentence, reading a newspaper, typing an email on the computer, etc.

Total Cost Of Health Care And Long

Table reports the average annual per-person payments for health care and long-term care services for Medicare beneficiaries age 65 and older with and without Alzheimer’s or other dementias. Total per-person health care and long-term care payments in 2019 from all sources for Medicare beneficiaries with Alzheimer’s or other dementias were over three times as great as payments for other Medicare beneficiaries in the same age group .,

• * Payments from sources do not equal total payments exactly due to the effects of population weighting. Payments for all beneficiaries with Alzheimer’s or other dementias include payments for community-dwelling and facility-dwelling beneficiaries.
• Created from unpublished data from the Medicare Current Beneficiary Survey for 2011.

Also Check: Did Ronald Reagan Have Alzheimer

What Is Mild Cognitive Impairment

Mild cognitive impairment, or MCI, is a condition in which people have more memory problems than normal for their age but are still able to carry out their normal daily activities. A doctor can do thinking, memory, and language tests to see if a person has MCI. People with MCI are at a greater risk for developing Alzheimers disease, so its important to see a doctor or specialist regularly if you have this condition.

Symptoms Of Alzheimers Disease

Alzheimers disease typically starts slowly and the symptoms can be very subtle in the early stages. As the disease progresses, symptoms become more noticeable and interfere with daily life. The disease affects each person differently and the symptoms vary.Common symptoms include:

• persistent and frequent memory loss, especially of recent events
• vagueness in everyday conversation
• being less able to plan, problem-solve, organise and think logically
• language difficulties such as finding the right word and understanding conversations
• apparent loss of enthusiasm for previously enjoyed activities
• taking longer to do routine tasks
• becoming disoriented, even in well-known places
• inability to process questions and instructions
• deterioration of social skills
• emotional unpredictability
• changes in behaviour, personality and mood.

Symptoms vary as the disease progresses and different areas of the brain are affected. A persons abilities may fluctuate from day to day, or even within the one day, and can become worse in times of stress, fatigue or ill health.The stages of Alzheimers disease progress from mild Alzheimers disease to moderate Alzheimers disease and then severe Alzheimers disease. During severe Alzheimers disease, people need continuous care. The rate of progression between these stages differs between people.

Read Also: What Color Is The Alzheimer’s Ribbon

Use And Costs Of Health Care And Long

Among Medicare beneficiaries with Alzheimer’s or other dementias, black/African Americans had the highest Medicare payments per person per year, while whites had the lowest payments . The largest difference in payments was for hospital care, with black/African Americans incurring 1.7 times as much in hospital care costs as whites .

• Created from unpublished data from the National 5% Sample Medicare Fee-for-Service Beneficiaries for 2014.

In a study of Medicaid beneficiaries with a diagnosis of Alzheimer’s dementia that included both Medicaid and Medicare claims data, researchers found significant differences in the costs of care by race/ethnicity. These results demonstrated that black/African Americans had significantly higher costs of care than whites or Hispanics/Latinos, primarily due to more inpatient care and more comorbidities. These differences may be attributable to later-stage diagnosis, which may lead to higher levels of disability while receiving care delays in accessing timely primary care lack of care coordination duplication of services across providers or inequities in access to care. However, more research is needed to understand the reasons for this health care disparity.

What Is The Burden Of Alzheimers Disease In The United States

• Alzheimers disease is one of the top 10 leading causes of death in the United States.2
• The 6th leading cause of death among US adults.
• The 5th leading cause of death among adults aged 65 years or older.3

In 2020, an estimated 5.8 million Americans aged 65 years or older had Alzheimers disease.1 This number is projected to nearly triple to 14 million people by 2060.1

In 2010, the costs of treating Alzheimers disease were projected to fall between $159 and $215 billion.4 By 2040, these costs are projected to jump to between $379 and more than $500 billion annually.4

Death rates for Alzheimers disease are increasing, unlike heart disease and cancer death rates that are on the decline.5 Dementia, including Alzheimers disease, has been shown to be under-reported in death certificates and therefore the proportion of older people who die from Alzheimers may be considerably higher.6

Aging

Read Also: Etiology Of Alzheimers