Influence of education on cognitive function in the elderly population of Pune city, Maharashtra, India
Keywords:Elderly population, Cognitive impairment, MMSE, Education
Background: A progressive decline in cognitive function is called as dementia. It mostly affects the elderly population. Dementia places a great burden on the patient, on his family and also on the country’s healthcare system. It has therefore become the need of the day, to combat its ever increasing prevalence.
Methods: In this community based study, 300 Residents (males and females) aged 60 years and above were interviewed. Subjects were administered mini mental state examination (MMSE) questionnaire. MMSE score of <23 indicates the likelihood of cognitive impairment. Educational status of the subjects with MMSE score <23 was compared.
Results: Level of education was negatively correlated with MMSE score and it was statistically significant.
Conclusions: Education is an important factor in mitigating the effects of dementia. Early investment in education will go a long way installing the progress of dementia.
Flier WM, Scheltens P. Epidemiology and risk factors of dementia J Neurol Neurosurg Psychiatry 2005;76(Suppl V):v2-7.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington D.C.: American Psychiatric Association. 1994.
United Nations. Report of the Second World Assembly on Ageing: Madrid, 8-12 April 2002. New York: United Nations. 2002.
Alzheimer’s disease International. The prevalence of dementia worldwide. Factsheet. 2008.
World Health Organization. World Health Report 2003 – Shaping the future. Geneva: WHO. 2003.
The Global Impact of Dementia 2013-2050. London, United Kingdom: Alzheimer’s Disease International: 2013.
Shaji KS, Jotheeswaran AT, Girish N, Srikala Bharath, Amit Dias, Meera Pattabiraman et al. Alzheimer’s and Related Disorders Society of India (2010). The Dementia India Report: prevalence, impact, costs and services for Dementia. (Eds) ARDSI, New Delhi.
EClipSE Collaborative Members, Brayne C, Ince PG, Keage HA, McKeith IG, Matthews FE, et al. Education, the brain and dementia: neuroprotection or compensation? Brain. 2010;133(Pt 8):2210-6.
Sheehan B. Assessment scales in dementia. Ther Adv Neurol Disord. 2012;5(6):349-58.
Gaidhane S, Gaidhane AM, Zahiruddin QS, Khatib N. Essential hypertension and cognitive function in elderly. Global Journal of Medicine and Public Health. 2014;3:1-12.
Mortimer JA. Do psychosocial risk factors contribute to Alzheimer’s disease? In: Henderson AS, Henderson JH, editors. Etiology of Dementia of the Alzheimer’s Type. New York: John Wiley and Sons. 1988;39-52.
Zhang MY, Katzman R, Salmon D, Jin H, Cai GJ, Wang ZY, et al. The prevalence of dementia and Alzheimer’s disease in Shanghai China: impact of age, gender, and education. Ann Neurol. 1990;27:4280-37.
Mathuranath PS, Cherian JP, Mathew R, George A, Alexander A, Sarma SP. MMSE and the Addenbrooke’s cognitive examination. Neurology India. 2007;55(2):106-10.
Saldanha D, Mani MR, Srivastava K, Goyal S, Bhattacharya D. “An Epidemiological Study of Dementia under the Aegis of Mental Health Program, Maharashtra, Pune Chapter.” Indian J Psychiatry. 2010;52(2):131-9.
Cagney KA, Lauderdale DS. Education, wealth, and cognitive function in later life. J Gerontol B Psychol Sci Soc Sci. 2002;57:163-72.
Lièvre A, Alley D, Crimmins EM. Educational differentials in life expectancy with cognitive impairment among the elderly in the United States. J Aging Health. 2008;20:456-77
Hogervorst E, Clifford A. What is the Relationship between Higher Obtained Education and a Delayed Age at Onset of Dementia? J Alzheimer’s Dis Parkinsonism 3: e128. doi:10.4172/2161-0460.1000e128.
Stern Y, Gurland B, Tatemichi TK, Tang MX, Wilder D, Mayeux R. Influence of education and occupation on the incidence of Alzheimer’s disease. JAMA. 1994;271:1004-10.
Wilson RS, Hebert LE, Scherr PA, Barnes LL, Mendes de Leon CF, Evans DA. Educational attainment and cognitive decline in old age. Neurology. 2009;72(5):460-5.