A synopsis on the linkage between age-related dementias and vascular disorders

Sandesh Chibber, Athanasios Alexiou, Mohammed Nabil Alama

  • 1King Fahd Medical Research Center, King Abdulaziz University, P. O. Box 80216, Jeddah 21589, Saudi Arabia. gashraf@kau.edu.sa.

Insights

This review covers causes, consequences, and prevention of age-related dementias and vascular disorders. It highlights genetic factors in vascular cognitive impairment and post-stroke dementia, offering hope for early intervention.

Area of Science:

  • Neurology
  • Geriatrics
  • Pathology

Background:

  • Age-related dementias and vascular disorders have been recognized for over a century.
  • Understanding their etiology, consequences, and treatment/prevention bases is crucial.
  • Vascular dementia is a complex group of conditions, not a single disease.

Purpose of the Study:

  • To review the causes, consequences, and prevention strategies for age-related dementias and vascular disorders.
  • To explore genetic factors in vascular cognitive impairment and post-stroke dementia, linking them to Alzheimer's disease.
  • To update diagnostic categories and clinical parameters for age-related dementia disorders.

Main Methods:

  • Systematic review of existing literature on dementia and vascular disorders.
  • Analysis of etiological factors, including genetic predispositions.
  • Examination of pathophysiological mechanisms and clinical presentations.
  • Standardized documentation of demographic data for age-related dementia disorders.

Main Results:

  • Vascular dementia encompasses diverse pathological correlations and pathophysiological mechanisms.
  • Genetic factors are increasingly recognized as significant in vascular cognitive impairment and post-stroke dementia.
  • Heterogeneous pathophysiological mechanisms lead to varied clinical presentations.
  • Current diagnostic categories and clinical parameters are being refined based on recent studies.

Conclusions:

  • Effective treatment and prevention of age-related dementias and vascular disorders require a comprehensive understanding of their complex etiologies.
  • Focusing on genetic factors offers promising avenues for early prevention and treatment of vascular cognitive impairment and post-stroke dementia.
  • Standardized diagnostic approaches and clinical parameter documentation are essential for managing these heterogeneous conditions.

Related Concept Videos

Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
676
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
315
The Effect of Aging on Tissues01:19

The Effect of Aging on Tissues

Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
4.1K
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
345
Aging01:26

Aging

Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
983
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
4.6K