Apathy, depression, and dementia risk in older adults: A global collaborative study

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초록

INTRODUCTION: The role of apathy in predicting dementia risk, especially with coexisting depression, remains unclear in community-dwelling older adults. METHODS: We analyzed data from 12,646 older adults without baseline dementia across ten population-based cohorts from six continents (Cohort Studies of Memory in an International Consortium study). Apathy, depression, and dementia outcomes were assessed using harmonization protocols. RESULTS: Over 5.7 years of follow-up, 1160 developed dementia and 552 Alzheimer's disease (AD). Apathy prevalence was 34.1% and more than three times higher in those with depression. Apathy was not associated with dementia risk among cognitively normal or non-depressed individuals. In contrast, among individuals with depression and mild cognitive impairment (MCI), apathy predicted a higher risk of dementia (hazard ratio [HR] 1.62) and AD (HR 1.74). DISCUSSION: Apathy is associated with increased dementia risk only in older adults withMCIand depression. Findings highlight the need to incorporate affective symptom monitoring into dementia risk assessment and intervention.

키워드

Alzheimer's disease; apathy; cohort study; dementia; depression; mild cognitive impairment; neuropsychiatric symptoms; MILD COGNITIVE IMPAIRMENT; NEUROPSYCHIATRIC SYMPTOMS; ALZHEIMERS-DISEASE; INCIDENT DEMENTIA; NEUROCOGNITIVE DISORDERS; COHORT PROFILE; COMMUNITY; PREVALENCE; PROGRESSION; POPULATION
제목
Apathy, depression, and dementia risk in older adults: A global collaborative study
저자
Oh, Dae Jong; Lipnicki, Darren M.; Harrison, Fleur; Han, Ji Won; Kim, Tae Hui; Kwak, Kyung Phil; Kim, Bong Jo; Kim, Shin Gyeom; Kim, Jeong Lan; Moon, Seok Woo; Park, Joon Hyuk; Ryu, Seung-Ho; Youn, Jong Chul; Lee, Dong Young; Lee, Dong Woo; Lee, Seok Bum; Lee, Jung Jae; Jhoo, Jin Hyeong; Castro-Costa, Erico; Davis, Daniel; Lipton, Richard B.; Katz, Mindy J.; Preux, Pierre-Marie; Guerchet, Maelenn; Scarmeas, Nikolaos; Yannakoulia, Mary; Kosmidis, Mary; Rolandi, Elena; Davin, Annalisa; Rossi, Michele; Gureje, Oye; Ojagbemi, Akin; Elugbadebo, Olufisayo; Riedel-Heller, Steffi; Roehr, Susanne; Pabst, Alexander; Brodaty, Henry; Sachdev, Perminder S.; Kim, Ki Woong
DOI
10.1002/alz.71059
발행일
2025-12
유형
Article
저널명
Alzheimer’s & Dementia
권
21
호
12

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