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Introduction:
Alzheimer's disease is a neurological disorder in which the death of brain cells causes
memory loss and cognitive decline. A neurodegenerative type of dementia, the disease
starts mild and gets progressively worse. Alzheimer's disease is the most common type
of dementia. The term "dementia" describes a loss of mental ability associated with
gradual death of brain cells
BODY
CAUSES:
1. Age
Age is the single most significant factor in the development of Alzheimer's disease. The likelihood
of developing the condition doubles every five years after you reach 65 years of age. However, it
is not just older people who are at risk of developing Alzheimer's disease. Around 1 in 20 people
with the condition are under 65. This is called early-onset Alzheimer's disease and it can affect
people from around 40 years of age.
2.Family history
The genes you inherit from your parents can contribute to your risk of developing Alzheimer's
disease, although the actual increase in risk is small if you have a close family member with the
condition. However, in a few families, Alzheimer's disease is caused by the inheritance of a
single gene, and the risks of the condition being passed on are much higher. If several of your
family members have developed dementia over the generations, it may be appropriate to seek
genetic counselling for information and advice about your chances of developing Alzheimer's
disease when you are older.
3.Down's syndrome
People with Down's syndrome are at a higher risk of developing Alzheimer's disease. This is
because the genetic fault that causes Down's syndrome can also cause amyloid plaques to build
up in the brain over time, which can lead to Alzheimer's disease in some people. Whiplash and
head injuries People who have had a severe head injury or severe whiplash (a neck injury
caused by a sudden movement of the head) have been found to be at higher risk of developing
Alzheimer's disease.
4.Cardiovascular disease
Research shows that several lifestyle factors and conditions associated with cardiovascular
disease can increase the risk of Alzheimer's disease. These include: smoking obesity diabetes
high blood pressure high cholesterol
Research studies have indicated that that the following factors may play an important role in the
development of the condition: Genetic factors, such as the presence of, or changes to, certain
genes. Environmental factors, such as long term exposure to some environmental solvents eg:
pesticides, glues and paints. The role of autoimmune factors and certain viruses are also being
studied. There is some evidence of a slightly higher prevalence of Alzheimer's disease in females
than males, but this may be a reflection of their longer life expectancy.
Symptoms
Risk Factors
Some things are more commonly associated with Alzheimer's disease - not seen so often in
people without the disorder.
These factors may therefore have some direct connection. Some are preventable or modifiable
factors (for example, reducing the risk of diabetes or heart disease may in turn cut the risk of
dementia). If researchers gain more understanding of the risk factors, or scientifically prove any
"cause" relationships for Alzheimer's, this could help to find ways to prevent it or develop
treatments.
Risk factors associated with Alzheimer's disease include:
Unavoidable risk factors
1.Age - the disorder is more likely in older people, and a greater proportion of over-85-year-olds
have it than of over-65.
2. Family history (inheritance of genes) - having Alzheimer's in the family is associated with
higher risk. This is the second biggest risk factor after age. Having a certain gene (the
apolipoprotein E or APOE gene) puts a person, depending on their specific genetics, at three to
eight times more risk than a person without the gene. Numerous other genes have been found to
be associated with Alzheimer's disease.
Diagnosis
There is a no single test to diagnose Alzheimers disease. Diagnosis involves a full assessment
of medical and psychiatric history to rule out other possible causes. Therefore a variety of tests
are required to obtain a conclusive diagnosis, which may include:
A neurological and physical examination
Blood and urine tests
Brain scans
Mental status assessment to determine the level of mental deterioration
Caregiver interview to determine the level of dependency
Scans to check brain structure and function may be recommended. The different types of
scans used may include CT scanning (computerised tomography) and MRI (magnetic
resonance imaging).
Drug therapy
There are no disease-modifying drugs available for Alzheimer's disease but some options may
reduce its symptoms and help improve quality of life. There are four drugs in a class called
cholinesterase inhibitor approved for symptomatic relief in the US: Donepezil (brand name
Aricept) Alantamine (Reminyl) Rivastigmine (Exelon) Tacrine (Cognex) A different kind of drug,
memantine (Namenda), an NMDA receptor antagonist, may also be used, alone or in
combination with a cholinesterase inhibitor. Other therapy As with other types of dementia and
neurodegenerative disease, a major part of therapy for patients with Alzheimer's comes from the
support given by healthcare workers to provide dementia quality-of-life care, which becomes
more important as needs increase with declining independence.
Lower your risk from getting Alzheimer's by:
1.Diet - Foods that are high in omega-3 fatty acids and vitamins C, B, D, E improve mental
ability.
2.Exercise - People who are fit and exercise regularly during middle age are less likely to
develop dementia later on.
2. Keep your mind active - Writing, reading and engaging in brain-stimulating activities help
preserve memory in old age.
3. Get plenty of sleep - the amount of sleep people get may later influence memory function
and Alzheimer's risk.
4. Quit smoking - Heavy smoking raises Alzheimer's risk by 157% and vascular dementia by
172%, a study carried out by experts at Kaiser Permanente and published in Archives of
Internal Medicine (October 2010) found. The authors emphasized that the "heavy
smoking" relates to when it occurs in midlife.
Conclusion:
In conclusion, we can reduce the risk of developing Alzheimer's or dementia by:
Not smoking Maintaining a healthy body weight
Eating a well-balanced diet that includes plenty of fruit and vegetables
Keeping your mind active
Doing regular physical exercise
Get ting plenty of good quality sleep
Maintaining healthy blood cholesterol levels
Controlling our blood pressure