Changes in cognitive functions of patients with dementia of the Alzheimer type following long-term administration of donepezil hydrochloride: Relating to changes attributable to differences in apolipoprotein E phenotype

Autor: Minoru Sakai, Hiroko Fujii, Kiyoshi Kanaya, Toshihiko Iwamoto, Shine Abe
Rok vydání: 2010
Předmět:
Zdroj: Geriatrics & Gerontology International. 10:25-31
ISSN: 1447-0594
1444-1586
DOI: 10.1111/j.1447-0594.2009.00551.x
Popis: Aim: We conducted a study of changes in cognitive functions by long-term monitoring of dementia of Alzheimer type (DAT) patients to investigate the relationship between the progression of DAT symptoms and the presence of apolipoprotein (ApoE)4. Methods: The subjects consisted of 40 DAT patients who had been treated with donepezil for 3 years or more. The Mini-Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale – Cognitive Subscale Japanese version (ADAS-Jcog), were conducted annually. The patients were categorized into ApoE4+ and ApoE4- groups. Changes in initial cognitive function assessment score (0 years) were then studied longitudinally at each stage of the observation period (1, 2, 3 years) (Wilcoxon's signed-rank test). Moreover, the scores at each time period were compared cross-sectionally between the two groups (Mann–Whitney U-test). Results: Significant decreases in MMSE scores were observed at the three time periods in both groups (P
Databáze: OpenAIRE