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알츠하이머 치매 환자에서 성별에 따라 교육 성취도가 영역별 인지기능에 미치는 영향 : A Clinical Research Center for Dementia of South Korea Study

Gender-Specific Influence of Education in Cognitive Subdomains in Alzheimer’s Disease : A Clinical Research Center for Dementia of South Korea Study

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초록

Objective:We aimed to find the sex differences of the way how educational attainment influence on cognitive function in patients with Alzheimer’s disease (AD). Methods:We recruited 424 patients with AD from a large hospital-based multi-center cohort. We evaluated cognitive subdomains using the Seoul Neuropsychological Screening Battery-Dementia version. We employed multiple linear regression analysis to compare the score of cognitive subdomains between the groups with high versus low educational attainment based on the high school graduate. Interaction between educational attainment and sex was also included in the analysis. Results:High and low educational attainment group had 33.0% and 67.0% of patients in the study population. In the multiple regression analysis, score of all cognitive subdomains were significantly higher in the high educational attainment group. The score of attention was also significantly affected by interaction between educational attainment and sex. This result may be helpful to develop cognitive intervention therapy. Conclusion:In the female patients with AD, educational attainment showed higher influence on the attention score.

Abstract

Objective:We aimed to find the sex differences of the way how educational attainment influence on cognitive function in patients with Alzheimer’s disease (AD). Methods:We recruited 424 patients with AD from a large hospital-based multi-center cohort. We evaluated cognitive subdomains using the Seoul Neuropsychological Screening Battery-Dementia version. We employed multiple linear regression analysis to compare the score of cognitive subdomains between the groups with high versus low educational attainment based on the high school graduate. Interaction between educational attainment and sex was also included in the analysis. Results:High and low educational attainment group had 33.0% and 67.0% of patients in the study population. In the multiple regression analysis, score of all cognitive subdomains were significantly higher in the high educational attainment group. The score of attention was also significantly affected by interaction between educational attainment and sex. This result may be helpful to develop cognitive intervention therapy. Conclusion:In the female patients with AD, educational attainment showed higher influence on the attention score.

참고문헌 (26)

  1. "Status of dementia"[URL]
  2. "Dementia prevalence rate and incidence rate"[URL]
  3. Katzman R, "Alzheimer’s disease: basic and clinical advances", J Am Geriatr Soc, 39, pp.516~525 (1991)
  4. Stern Y, "Cognitive reserve and Alzheimer’s disease", Alzheimer’s Dis Assoc Disord, 20, pp.112~117 (2006)
  5. Satz P, "Brain reserve capacity on symptom onset after brain injury:a formulation and review of evidence for threshold theory", Neuropsychol, 7, pp.273~295 (1993)
  6. Stern Y, "Cognitive reserve in ageing and Alzheimer’s’s disease", Lancet Neurol, 11, pp.1006~1012 (2012)
  7. Albert SM, "Reading ability, education, and cognitive status assessment among older adults in Harlem, New York City", Am J Public Health, 89, pp.95~97 (1999)
  8. Scarmeas N, "Influence of leisure activity on the incidence of Alzheimer’s disease", Neurology, 57, pp.2236~2242 (2001)
  9. Staff RT, "What provides cerebral reserve?", Brain, 127(Pt 5), pp.1191~1199 (2004)
  10. Caamaño-Isorna F, "Education and dementia: a meta-analytic study", Neuroepidemiology, 26, pp.226~232 (2006)
  11. Prencipe M, "Prevalence of dementia in an elderly rural population: effects of age, sex, and education", J Neurol Neurosurg Psychiatry, 60, pp.628~633 (1996)
  12. Mielke MM, "Clinical epidemiology of Alzheimer’s disease: assessing sex and gender differences", Clin Epidemiol, 6, pp.37~48 (2014)
  13. Gabelli C, "Gender differences in cognitive decline and Alzheimer’s disease", Ital J Gender-Specific Med, 1, pp.21~28 (2015)
  14. 박희경, "Clinical Characteristics of a Nationwide Hospital-based Registry of Mild-to-Moderate Alzheimer’s Disease Patients in Korea: A CREDOS (Clinical Research Center for Dementia of South Korea) Study", Journal of Korean Medical Science, 26(9), pp.1219~1226 (2011), 대한의학회
  15. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)" (2000), American Psychiatric Association
  16. Moon SY, "Impact of white matter changes on activities of daily living in mild to moderate dementia", Eur Neurol, 65, pp.223~230 (2011)
  17. Cosgrove KP, "Evolving knowledge of sex differences in brain structure, function, and chemistry", Biol Psychiatry, 62, pp.847~855 (2007)
  18. Hogervorst E, "The nature of the effect of female gonadal hormone replacement therapy on cognitive function in post-menopausal women: a meta-analysis", Neuroscience, 101, pp.485~512 (2000)
  19. Musicco M, "Gender differences in the occurrence of Alzheimer’s disease", Funct Neurol, 24, pp.89~92 (2009)
  20. Shumaker SA, "Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women: the Women’s Health Initiative Memory Study: a randomized controlled trial", JAMA, 289, pp.2651~2662 (2003)
  21. Barnes LL, "Sex differences in the clinical manifestations of Alzheimer’s disease pathology", Arch Gen Psychiatry, 62, pp.685~691 (2005)
  22. Laws KR, "Sex differences in cognitive impairment in Alzheimer’s disease", World J Psychiatry, 6, pp.54~65 (2016)
  23. Garibotto V, "Education and occupation provide reserve in both ApoE ε4 carrier and noncarrier patients with probable Alzheimer’s disease", Neurol Sci, 33, pp.1037~1042 (2012)
  24. Christensen H, "Education and decline in cognitive performance:compensatory but not protective", Int J Geriatr Psychiatry, 12, pp.323~330 (1997)
  25. Scarmeas N, "Cognitive reserve: implications for diagnosis and prevention of Alzheimer’s disease", Curr Neurol Neurosci Rep, 4, pp.374~380 (2004)
  26. Sharp ES, "Relationship between education and dementia:an updated systematic review", Alzheimer’s Dis Assoc Disord, 25, pp.289~304 (2011)

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