The risk of developing Alzheimer's or vascular dementia appears to be increased by many conditions that damage the heart and blood vessels. These include heart disease, diabetes, stroke, high blood pressure and high cholesterol.
Some possible causes include: Autoimmune diseases (conditions that over-activate the immune system) Unusual presentations of more common neurodegenerative diseases (such as Alzheimer's disease) Prion diseases (rare forms of neurodegenerative disease)
Sudden changes in awareness, thinking, mobility, or personality could be due to delirium, stroke, or simply a change in routine that has caused distress. Because some of these potential causes require immediate treatment, it is important to consult a doctor if a person's dementia symptoms suddenly get worse.
Alzheimer's disease. This is the most common cause of dementia.
Common forms of dementia
Dementia is caused by many different diseases or injuries that directly and indirectly damage the brain. Alzheimer disease is the most common form and may contribute to 60–70% of cases.
The biggest risk factor for dementia is ageing. This means as a person gets older, their risk of developing dementia increases a lot. For people aged between 65 and 69, around 2 in every 100 people have dementia. A person's risk then increases as they age, roughly doubling every five years.
Creutzfeldt-Jakob disease causes a type of dementia that gets worse unusually fast. More common causes of dementia, such as Alzheimer's, dementia with Lewy bodies and frontotemporal dementia, typically progress more slowly.
The average life expectancy figures for the most common types of dementia are as follows: Alzheimer's disease – around eight to 10 years. Life expectancy is less if the person is diagnosed in their 80s or 90s. A few people with Alzheimer's live for longer, sometimes for 15 or even 20 years.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
The current evidence indicates that while chronic stress may play a role in the development or progression of dementia, it does not necessarily cause dementia. Hopefully, further research can begin to uncover what role stress plays in a person's risk of developing dementia.
This finding can be the basis of a hypothesis that chronic, very low levels of vitamin B12 could be the cause of permanent, or at least refractory, changes in cognition and memory, which can lead to dementia.
Physical activity. Doing regular physical activity is one of the best ways to reduce your risk of dementia. It's good for your heart, circulation, weight and mental wellbeing. You might find it difficult to start being more physically active, or worry it means doing an activity you don't enjoy.
Use calming phrases such as: "You're safe here;" "I'm sorry that you are upset;" and "I will stay until you feel better." Let the person know you are there. Involve the person in activities. Try using art, music or other activities to help engage the person and divert attention away from the anxiety.
Offer different types of drink throughout the day such as tea, coffee, hot and cold milky drinks, fruit juice or smoothies, soup, squash and water. Make sure the cup or glass is suitable – not too heavy or a difficult shape.
Many people affected by dementia are concerned that they may inherit or pass on dementia. The majority of dementia is not inherited by children and grandchildren. In rarer types of dementia there may be a strong genetic link, but these are only a tiny proportion of overall cases of dementia.
In the middle stage of dementia, symptoms become more noticeable and the person will need more support in managing daily life. This stage of dementia is often the longest. On average it lasts about two to four years.
The person in the final months of dementia will experience increased mental and physical deterioration, eventually needing 24-hour care.
Symptoms of vascular dementia can begin gradually or can occur suddenly, and then progress over time, with possible short periods of improvement. Vascular dementia can occur alone or be a part of a different diagnosis such as Alzheimer's disease or other forms of dementia.
Women have a greater risk of developing dementia during their lifetime. In fact, around twice as many women have Alzheimer's disease – the most common type of dementia – compared to men. The main reason for this greater risk is because women live longer than men and old age is the biggest risk factor for this disease.
Alzheimer's disease is the most common form of dementia. Alzheimer's disease is a physical brain condition resulting in impaired memory, thinking and behaviour.
Excessive alcohol consumption over a lengthy time period can lead to brain damage, and may increase your risk of developing dementia. However, drinking alcohol in moderation has not been conclusively linked to an increased dementia risk, nor has it been shown to offer significant protection against developing dementia.