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https://www.arca.fiocruz.br/handle/icict/59865
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2099-12-31
Sustainable Development Goals
10 Redução das desigualdadesCollections
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PREVALENCE OF DEMENTIA AND COGNITIVE IMPAIRMENT NO DEMENTIA IN A LARGE NATIONALLY REPRESENTATIVE SAMPLE: THE ELSI‐BRAZIL STUDY
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Universidade Federal de Sao Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. Sao Paulo, SP, Brazil/Health Technology Assessment Unit-Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brazil.
Universidade de Sao Paulo. Faculdade de Medicina. Divisão de Geriatria. São Paulo, SP, Brazil.
Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas. Servico de Geriatria. Laboratorio de Investigacao Medica em Envelhecimento. Sao Paulo, SP, Brazil/Research Institute. Hospital Sirio-Libanes. Sao Paulo, SP, Brazil.
Department of Pathology. University of São Paulo. São Paulo, SP, Brazil.
Universidade Federal de Sao Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. Sao Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.
Universidade Federal de Sao Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. Sao Paulo, SP, Brazil/Health Technology Assessment Unit-Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brazil.
Universidade de Sao Paulo. Faculdade de Medicina. Divisão de Geriatria. São Paulo, SP, Brazil.
Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas. Servico de Geriatria. Laboratorio de Investigacao Medica em Envelhecimento. Sao Paulo, SP, Brazil/Research Institute. Hospital Sirio-Libanes. Sao Paulo, SP, Brazil.
Department of Pathology. University of São Paulo. São Paulo, SP, Brazil.
Universidade Federal de Sao Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. Sao Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.
Fundação Oswaldo Cruz. Instituto Rene Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil/Universidade Federal de Minas Gerais. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.
Universidade Federal de Sao Paulo. Escola Paulista de Medicina. Departamento de Psiquiatria. Sao Paulo, SP, Brazil/Health Technology Assessment Unit-Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brazil.
Abstract
Background: Approximately 77% of older adults with dementia in Brazil have not been diagnosed, indicating a major public health issue. Previous epidemiological dementia studies in Brazil were based on data from 1 geopolitical region.
Methods: We aimed to estimate the general and subgroup-specific (age, education, and sex) prevalence of dementia and cognitive impairment no dementia (CIND) classification using data from 5 249 participants aged 60 years and older from the ELSI-Brazil, a large nationally representative sample. Participants were classified as having normal cognitive function, CIND, or dementia based on a combination of the individual's cognitive and functional status.
Results: We found a general prevalence of 5.8% (95% CI = 4.7-7.2) for dementia and 8.1% (95% CI = 6.8-9.5) for CIND. Dementia prevalence ranged from 3.2% (60-64 years old) to 42.8% (≥90 years old) by age, and from 2.1% (college level or higher) to 16.5% (illiterates) by education. Females had a higher dementia prevalence (6.8%) than males (4.6%). CIND prevalence was similar across age, sex, and education.
Conclusions: The estimated dementia prevalence is lower than that in previous Brazilian epidemiological studies, but is in line with other Latin American studies. Only 1.2% of the ELSI-Brazil participants reported having a previous diagnosis of dementia, revealing that underdiagnosis is rampant and a common reality. Based on our results and national statistics projections, we estimate that in 2019, there were 1 757 480 people aged 60 years and older living with dementia in Brazil and, at least, another 2 271 314 having to deal with some form of cognitive impairment.
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