Title |
Anticholinergic drug use and risk for dementia: target for dementia prevention
|
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Published in |
European Archives of Psychiatry and Clinical Neuroscience, October 2010
|
DOI | 10.1007/s00406-010-0156-4 |
Pubmed ID | |
Authors |
Frank Jessen, Hanna Kaduszkiewicz, Moritz Daerr, Horst Bickel, Michael Pentzek, Steffi Riedel-Heller, Michael Wagner, Siegfried Weyerer, Birgitt Wiese, Hendrik van den Bussche, Karl Broich, Wolfgang Maier |
Abstract |
An increasing number of longitudinal cohort studies have identified a risk increase for dementia by the chronic use of drugs with anticholinergic properties. The respective data from the German Study on Aging, Cognition and Dementia in Primary Care Patients (AgeCoDe) also showing risk increase (hazard ratio = 2.081) are reported here. The mechanisms by which the risk increase is transported are still unknown. Irritation of compensated alterations of cholinergic transmission at the pre-dementia stage of Alzheimer's disease (AD) or acceleration of neuroinflammation by disturbance of the anti-inflammatory effect of cholinergic innervation are discussed. In terms of dementia prevention, centrally acting anticholinergic drugs should be strictly avoided, because of long-term dementia risk increase in addition to acute negative effects on cognition. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 1% |
Unknown | 89 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 14 | 16% |
Student > Master | 13 | 14% |
Other | 11 | 12% |
Student > Ph. D. Student | 11 | 12% |
Student > Bachelor | 7 | 8% |
Other | 19 | 21% |
Unknown | 15 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 26 | 29% |
Psychology | 10 | 11% |
Agricultural and Biological Sciences | 6 | 7% |
Neuroscience | 5 | 6% |
Social Sciences | 5 | 6% |
Other | 13 | 14% |
Unknown | 25 | 28% |