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November is Alzheimer's Awareness month and Dr. Naidoo tells TODAY what habits people can adopt to improve their brain health. She has tips for managing Alzheimer's disease. Maria Shriver talks about how her family has been helped by her father's illness.
It is normal for a memory to fade with age, but it may be an early sign of a more serious problem, such as Alzheimer's disease. A simple test that anyone can take on their own may be able to detect subtle signs of dementia earlier than currently used screening tests.
A report published in the Journal of Alzheimer's Disease found that the accuracy of a paper and pencil test could be used to distinguish between the early stages of dementia and age-related memory loss.
You can take the test at home, but a doctor should score it for you. The Wexner Medical Center is located at the Ohio State University.
The most used screening tool is six months earlier than the one we found to be effective in identifying people who will eventually develop dementia, said Dr. Douglas Scharre, director of the division of cognitive neurology at Ohio State University.
People don't need to be supervised while they pencil in the answers, which is a big advantage of SAGE. Patients can take it on their own when they are waiting in the doctor's waiting room. Patients can do the test every six months since you don't need a doctor or nurse.
The new study shows how much a score drop will show up in the signs of dementia. If you take it home, you should bring it to your doctor to score it. If today's score is normal, you should check again in six months to see if there is a decline. Only people whose scores dropped eventually developed dementia.
It is possible to download the test and learn how to score it via the physician's section. There are four different versions of the test, so people won't get a boost from remembering what was on the last time they took it.
The Ohio State Memory Disorders Clinic reviewed the charts of 668 patients who had come to the clinic over the course of a year to see if the SAGE test could distinguish between normal age-related memory loss and the memory problems tied to dementia. The researchers included patients who had had at least two visits six months apart during which they were evaluated with SAGE and the Mini-Mental State Examination, which must be given by a health professional.
Of the 424 individuals who fit the criteria for inclusion in the study, 40 were determined to have subjective cognitive decline, and 94 had mild cognitive impairment that did not convert to dementia.
Patients who progressed from MCI to dementia had their scores drop by 1.91 points per year on the SAGE test. The scores of patients with Alzheimer's disease dementia dropped over time. Patients with subjective cognitive decline and those with MCI that did not progress had their scores stable.
The idea of trying to identify one's own personal cognitive decline over time is excellent according to a professor of psychiatry in the Mesulam Center for Cognitive Neurology and Alzheimer's Disease at the Feinberg School of Medicine. This is a topic that has been of interest to all of us in this field for a long time.
The future of dementia detection is online cognitive tests that you can bring up on your phone to see how you are doing over time.
She said that pencil and paper or their digital cousins are a great idea. When a person comes in for a cognitive evaluation, we don't know what they were like before. Everyone is different.
People should look at cognitive checks the same way they look at blood pressure monitoring. You should call your doctor if you have high blood pressure. If you see a decline on a brain monitor, it should happen.
The results of these tests are not diagnoses, Weintraub said. A lot of things besides brain changes can lead to cognitive decline.
She said that older people can have decline due to their health issues. The brain is a chemical and electrical organ. There are certain neurotransmitters the brain needs and when you have a problem with your organ chemistry changes.
The good news is that if you don't have changes in your brain, your declines may be reversed.
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