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Then FS, Luck T, Luppa M, Thinschmidt M, Deckert S, Nieuwenhuijsen K, Seidler A, Riedel-Heller SG. Effect of the psychosocial working environment on cognition and dementia - A systematic review. DAS GESUNDHEITSWESEN 2013. [DOI: 10.1055/s-0033-1354027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Then FS, Luck T, Arélin K, Schroeter ML, Villringer A, Löffler M, Engel C, Thiery J, Riedel-Heller SG. Berufliche Einflussfaktoren auf die kognitive Leistungsfähigkeit - Ergebnisse der Gesundheitsstudie des Leipziger Forschungszentrums für Zivilisationserkrankungen (LIFE). DAS GESUNDHEITSWESEN 2013. [DOI: 10.1055/s-0033-1354085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Luck T, Luppa M, Sieber J, Riedel-Heller SG. Attitudes of the German general population toward early diagnosis of dementia. Dtsch Med Wochenschr 2012. [DOI: 10.1055/s-0032-1323366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Luppa M, Sikorski C, Luck T, Ehreke L, Konnopka A, Wiese B, Weyerer S, König HH, Riedel-Heller SG. Age- and gender-specific prevalence of depression in latest-life--systematic review and meta-analysis. J Affect Disord 2012; 136:212-21. [PMID: 21194754 DOI: 10.1016/j.jad.2010.11.033] [Citation(s) in RCA: 484] [Impact Index Per Article: 40.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2010] [Revised: 11/09/2010] [Accepted: 11/30/2010] [Indexed: 02/03/2023]
Abstract
OBJECTIVE The objective of the study is to systematically analyze the prevalence of depression in latest life (75+), particularly focusing on age- and gender-specific rates across the latest-life age groups. DESIGN Relevant articles were identified by systematically searching the databases MEDLINE, Web of Science, Cochrane Library and Psycinfo and relevant literature from 1999 onwards was reviewed. Studies based on the community-based elderly population aged 75 years and older were included. Quality of studies was assessed. Meta-analysis was performed using random effects model. RESULTS 24 studies reporting age- and gender-specific prevalence of depression were found. 13 studies had a high to moderate methodical quality. The prevalence of major depression ranged from 4.6% to 9.3%, and that of depressive disorders from 4.5% to 37.4%. Pooled prevalence was 7.2% (95% CI 4.4-10.6%) for major depression and 17.1% (95% CI 9.7-26.1%) for depressive disorders. Potential sources of high heterogeneity of prevalence were study design, sampling strategy, study quality and applied diagnostics of latest life depression. CONCLUSIONS Despite the wide variation in estimates, it is evident that latest life depression is common. To reduce variability of study results, particularly sampling strategies (inclusion of nursing home residents and severe cognitively impaired individuals) for the old age study populations should be addressed more thoroughly in future research.
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Luppa M, Sikorski C, Luck T, Weyerer S, Villringer A, Konig HH, Riedel-Heller SG. P1-221 Epidemiology of depression in old age: results of the Leipzig longitudinal study of the aged (LEILA 75+). J Epidemiol Community Health 2011. [DOI: 10.1136/jech.2011.142976e.14] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Luck T, Gentzsch K, Motzek T, Sesselmann Y, Fleischer S, Roling G, Beutner K, Heinrich S, Koenig HH, Behrens J, Riedel-Heller SG. Growing old at home – Evaluation of preventive home visits to reduce the number of falls and to preserve the quality of life. DAS GESUNDHEITSWESEN 2011. [DOI: 10.1055/s-0031-1283537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Luck T, Luppa M, Briel S, Riedel-Heller SG. P1-225 Incidence of mild cognitive impairment: a systematic review. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976e.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Luppa M, Luck T, Matschinger H, Konig HH, Riedel-Heller SG. P1-222 Predictors of institutionalisation in individuals with and without dementia: results from the Leipzig longitudinal study of the aged (LEILA75+). Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976e.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Luck T, Luppa M, Briel S, Matschinger H, Konig HH, Villringer A, Riedel-Heller SG. P1-223 Mild cognitive impairment: incidence and risk factors: results of the Leipzig longitudinal study of the aged (LEILA75+). Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976e.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Luck T, Luppa M, Angermeyer MC, Villringer A, Konig HH, Riedel-Heller SG. P1-224 Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia: results of the Leipzig longitudinal study of the aged (LEILA75+). Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976e.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Luck T, Luppa M, Angermeyer MC, Villringer A, König HH, Riedel-Heller SG. Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia: results of the Leipzig Longitudinal Study of the Aged. Psychol Med 2011; 41:1087-1097. [PMID: 20667169 DOI: 10.1017/s003329171000142x] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Early diagnosis of dementia requires knowledge about associated predictors. The aim of this study was to determine the impact of mild cognitive impairment (MCI) and impairment in instrumental activities of daily living (IADL) on the time to an incident dementia diagnosis. METHOD Data were derived from the Leipzig Longitudinal Study of the Aged (LEILA75+), a population-based study of individuals aged ≥75 years. Kaplan-Meier survival analysis was used to determine time to incident dementia. Cox proportional hazards models were applied to determine the impact of MCI and IADL impairment on the time to incident dementia. RESULTS In total, 180 (22.0%) of 819 initially dementia-free subjects developed dementia by the end of the study. Mean time to incident dementia was 6.7 years [95% confidence interval (CI) 6.5-6.9]. MCI combined with IADL impairment was associated with a higher conversion rate to dementia, a shorter time to clinically manifest diagnosis and a lower chance of reversibility to cognitive normal. The highest risk for a shorter time to incident dementia was found for amnestic MCI combined with IADL impairment. The mean time to incident dementia was 3.7 years (95% CI 2.9-4.4) and thus half as long as in subjects without MCI and IADL impairment. CONCLUSIONS Subjects with MCI and IADL impairment constitute a high-risk population for future dementia. The consideration of both--MCI and IADL impairment-- might help to improve the prediction of dementia.
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Riedel-Heller S, Luck T, Matschinger H, Luppa M. Mild Cognitive Impairment: Incidence and Risk factors – Results of the Leipzig Longitudinal Study of the Aged (LEILA75+). DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Fleischer S, Sesselmann Y, Roling G, Behrens J, Luck T, Riedel-Heller S. Partizipation im individuellen Lebensumfeld: Analyse des Modells der präventiven Hausbesuche (eingeladener Vortrag). DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ehreke L, Luppa M, Luck T, Wiese B, Weyerer S, Weeg D, Olbrich J, van den Bussche H, Maier W, Pentzek M, König H, Riedel-Heller S. Is the Clock Drawing Test appropriate for screening for Mild Cognitive Impairment? Results of the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe). DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Luck T, Luppa M, Briel S, Riedel-Heller S. Incidence of Mild Cognitive Impairment – A systematic review. DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Luppa M, Luck T, Weyerer S, König H, Riedel-Heller S. Gender differences in predictors of nursing home placement in the elderly. A Systematic Review. DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Luck T, Luppa M, Angermeyer M, Villringer A, König H, Riedel-Heller S. Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia – results of the Leipzig Longitudinal Study of the Aged (LEILA75+). DAS GESUNDHEITSWESEN 2010. [DOI: 10.1055/s-0030-1266184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Luck T, Riedel-Heller SG, Luppa M, Wiese B, Wollny A, Wagner M, Bickel H, Weyerer S, Pentzek M, Haller F, Moesch E, Werle J, Eisele M, Maier W, van den Bussche H, Kaduszkiewicz H. Risk factors for incident mild cognitive impairment--results from the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe). Acta Psychiatr Scand 2010; 121:260-72. [PMID: 19824992 DOI: 10.1111/j.1600-0447.2009.01481.x] [Citation(s) in RCA: 88] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To provide age- and gender-specific incidence rates of MCI among elderly general practitioner (GP) patients (75+ years) and to identify risk factors for incident MCI. METHOD Data were derived from the longitudinal German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe). Incidence was calculated according to the 'person-years-at-risk' method. Risk factors were analysed using multivariate logistic regression models. RESULTS During the 3-year follow-up period, 350 (15.0%) of the 2331 patients whose data were included in the calculation of incidence developed MCI [person-years (PY) = 6198.20]. The overall incidence of MCI was 56.5 (95% confidence interval = 50.7-62.7) per 1000 PY. Older age, vascular diseases, the apoE epsilon4 allele and subjective memory complaints were identified as significant risk factors for future MCI. CONCLUSION Mild cognitive impairment is frequent in older GP patients. Subjective memory complaints predict incident MCI. Especially vascular risk factors provide the opportunity of preventive approaches.
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Luck T, Kuske B, Fleischer S, Roling G, Beutner K, Hanns S, Behrens J, Angermeyer M, Heinrich S, König H, Lautenschläger C, Riedel-Heller S. Growing old at home – A randomized controlled trial. DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Riedel-Heller S, Luck T, Matschinger H, Luppa M. Was Kohortenstudien für die Versorgungsforschung leisten können: Empirische Ergebnisse zur Institutionalisierung aus der Leipziger Langzeitstudie in der Altenbevölkerung (LEILA 75+). DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kuske B, Hanns S, Luck T, Angermeyer M, Behrens J, Riedel-Heller S. Nursing home staff training in dementia care. A systematic review of evaluated programs. DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kuske B, Luck T, Hanns S, Matschinger H, Behrens J, Riedel-Heller S. Training in dementia care: a cluster-randomised controlled trial of a training program for nursing home staff in Germany. DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Stein J, Hensel A, Luppa M, Luck T, Angermeyer M, Riedel-Heller S. Die Messung kognitiver Veränderung bei älteren Menschen: Veränderungsnormen für SISCO und MMST. DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Luppa M, Heinrich S, Matschinger H, Hensel A, Luck T, Riedel-Heller S, König H. Direct costs associated with mild cognitive impairment in primary care. DAS GESUNDHEITSWESEN 2009. [DOI: 10.1055/s-0029-1239261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Heun R, Gühne U, Luck T, Angermeyer MC, Ueberham U, Potluri R, Natalwala A, Arendt T, Riedel-Heller SG. Apolipoprotein E allele 4 is not a sufficient or a necessary predictor of the development of Mild Cognitive Impairment. Eur Psychiatry 2009; 25:15-8. [PMID: 19560323 DOI: 10.1016/j.eurpsy.2009.02.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2008] [Revised: 02/16/2009] [Accepted: 02/20/2009] [Indexed: 11/26/2022] Open
Abstract
The presence of Mild Cognitive Impairment (MCI) and of an apolipoprotein E (apoE) varepsilon4 allele both predict the development of Alzheimer's disease. However, the extent to which this allele also predicts the development of MCI is unclear even though MCI is an early transitional stage in the development of Alzheimer's disease. The present study investigates the prevalence of the apoE varepsilon4 allele in incipient MCI. Participants were recruited from the population-based Leipzig Longitudinal Study of the Aged (LEILA75+). All subjects who were initially cognitively healthy, i.e. did not meet MCI criteria described by Petersen [Petersen RC. Mild cognitive impairment. J Intern Med 2004; 256(3): 183-94], and whose apoE status could be determined were followed-up. After 4.5 years, 15.5% of the cognitively healthy target population had developed MCI. The frequencies of the apoE varepsilon4 genotype did not differ between individuals with incipient MCI (12.9%) and individuals who remained cognitively healthy during the study (18.4%, p>0.5). Consequently, the apoE varepsilon4 genotype is not a necessary or sufficient risk factor for MCI. Further studies need to investigate the influence of the whole range of genetic and environmental risk factors on the course of Alzheimer's disease including the initial development of MCI and the later conversion to Alzheimer's disease.
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