It is Alzheimer’s disease. MCI is only

Jul 16, 2015 | | Say something

It is Alzheimer’s disease. MCI is only ;.


20% of people over 65 have problems with memory and thinking they do not interfere with their day to day life. Doctors call this MCI, an abbreviation of M ILD C ognitive I mpairment. To learn more about what is and what to do about it.

for a maximum of one of five Americans over 65 , aging brings memory and thinking problems-along with the shame of not being as “strong” as they were before, and worry that it will be much worse.

could simply call “aging”. But officially, when the memory or cognitive problems do not significantly interfere with daily life, doctors call them mild cognitive impairment, or MCI.

What can be done to prevent or delay MCI? And how should the elderly fear that their thinking or memory problems will get much worse? A couple of doctors from the University of Michigan Medical School and VA Health System in Ann Arbor have put together a definitive look at the evidence, based on a comprehensive review of recent studies on MCI.

Published in the Journal of the American Medical Association , the review article should help doctors and elderly people trying.

“MCI is difficult for both doctors and patients and their families, because it is a frightening prospect – and because there is still much we do not know about this condition,” says Kenneth Langa, MD, Ph.D. .D., who co-authored the article with UM and VA colleague Deborah Levine, MD, MPH. “We still have great answers to give patients and their families, but medical literature shows there are certainly factors that may influence the risk, severity and progression of mild cognitive impairment. We hope this review will be to spread awareness of people, and help guide patient care .. “

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” While no medications have been proven to treat MCI successfully, “says Levine,” is still a treatable condition Our analysis shows good evidence that

  1. aerobic exercise
  2. Mental activity
  3. The social commitment
  4. cerebrovascular
  5. accident

help reduce the risk of greater cognitive impairment. “She notes that the review of the medical literature that performs paid much attention to the quality of evidence in each study.

Among the key findings of its review, and what they mean for the elderly:

Talk to your doctor on memory and thinking problems: The new document provides doctors a step by step guide for what to do when a patient or caregiver mentions concerns about memory and thinking problems. specific laboratory tests for things like vitamin deficiencies, standard cognitive tests and a complete physical and neurological examination may reveal important clues factors that could be causing your symptoms.

Keep body and the brain activates :. A number of studies have indicated that aerobic exercise and mental activities may have a small beneficial effect on the ability to think in older adults with mild cognitive impairment

Keep strokes at bay : Because strokes are caused by brain injuries or holes clots in blood vessels that maintain healthy brain tissue, it makes sense that the prevention of stroke can preserve memory and thinking ability. People who have had strokes mini-accidents or survived a stroke in any special rule should focus on preventing new strokes to maintain as much as possible intact as they age, Langa and Levine brain function advise based on evidence that they reviewed. So should people diagnosed with MCI. Having a stroke can worsen cognition and raises the risk of progression to dementia. prevention strategies stroke include:

  1. control high blood pressure
  2. quit
  3. Cholesterol Lowering with drugs called statins
  4. Taking aspirin or other medicines to prevent blood clots.

• Polypharmacology (multiple medications can cloud the brain) : Many older people have recipes for a number of drugs, and take over-the-counter medications and supplements, to make against its various health risks and conditions. These may have been prescribed or recommended by different doctors – do not always know or ask what else a patient is taking. But, they say Langa and Levine, studies show that several drugs can interact with each other and affect memory and thinking. Doctors and seniors should review all medications and supplements and see if any interactions can be prevented by reducing the number of medications the patient is taking, or stop medications that are not needed after a hospital stay .

not to overload the treatment of hypertension and diabetes : While it is important to control blood pressure and diabetes to avoid harmful consequences, doctors need to be careful not to overdo it. “It is important to avoid overtreatment of hypertension and diabetes due to low blood pressure and low blood sugar can increase the risk of cognitive impairment and other patient harm,” says Langa.

What are the odds: That is the key question in the minds of anyone with suspected or diagnosed MCI – what are the chances they get worse and progress of dementia and not be able to function? in an independent way. Reassuringly, Levine says, the available evidence shows that the progression of MCI is far from assured.

“The numbers are less afraid of what many believe,” he says. “Most people with mild cognitive impairment will not progress to dementia and loss of independence, even after 10 years. Some patients with mild cognitive impairment have actually improved cognition after a year or two, if the results of cognitive tests were shot down by an acute disease that gets directed. ” Older adults with mild cognitive impairment are 12 times more likely to die of cardiovascular disease than dying of dementia. Therefore, prevention of stroke and heart attack by controlling vascular risk factors is crucial for people diagnosed with MCI.


More evidence of a number of new options detection / treatment. The literature review showed that a series of new blood tests and brain imaging options have been proposed and tested preliminarily for diagnosing and monitoring MCI or predict progression to dementia. But many of these tests have not yet been proven to provide a significant benefit for patients, says Langa. And indeed, there can be some risk of “over-diagnosis” when a test identifies a problem that would cause significant problems for the patient.

At the end, he says, MCI can be a complicated issue, and that can make it even more frightening for patients and their families. more research into the factors that put a person at greater risk for MCI, new options to treat, and better research on what is the risk of progression to dementia is needed. But until the new findings are available, this new test should help physicians and patients alike.


Journal reference

  1. Kenneth M. Langa, Deborah A. Levine. The diagnosis and treatment of mild cognitive impairment . JAMA , 2014; 312 (23): 2551 DOI: 10.1001 / jama.2014.13

This article was originally published on alzheimersweekly, Read the original article here


Posted in: Alzheimer's & Dementia, Diagnosis, MCI, Understanding Dementia

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