133 results match your criteria: "Center for Comprehensive Care and Research on Memory Disorders.[Affiliation]"

A case of amusia with beat deafness and apraxia of speech.

Neurocase

October 2024

Department of Dementia and Neuropsychology, Advanced Institute of Industrial Technology, Tokyo Metropolitan Public University Corporation, Tokyo, Japan.

After experiencing two ischemic brain attacks, a 40-year-old, right-handed, female amateur cello player developed apraxia of speech (AOS) and amusia, especially on the aspect of the beat. Her tempo became gradually faster, but while playing, she could not recognize that. When she listened to her own recorded performances, she could identify the differences immediately and precisely.

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Background: The association of Mini-Mental State Examination (MMSE) with microstructure of individual regions across the entire brain remains unexplored.

Purpose: To investigate the relationship between cognitive function and the microstructure of each brain region in the gray matter using diffusion kurtosis imaging (DKI) in older adults with mild cognitive impairment (MCI), which is the transitional stage before the onset of dementia.

Material And Methods: DKI and MMSE were obtained for 34 older adults with MCI and 16 cognitively normal (CN) individuals aged 65-85 years.

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Background: Recent studies have demonstrated an association between pulse wave velocity (PWV), cerebral small vessel disease (SVD), and cognitive impairment such as Alzheimer's disease. However, the association between brachial-ankle PWV and enlarged perivascular spaces (EPVS), one component of cerebral SVD remains controversial.

Objective: To investigate the relationship between brachial-ankle PWV and EPVS severity in participants without dementia.

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Background: We report a case of suspected autoimmune encephalopathy with involuntary movements and concomitant cognitive dysfunction after COVID-19.

Case Presentation: The patient is a male in his 20s who presented with fever and generalized involuntary movements and was diagnosed with COVID-19. The involuntary movements improved slightly, and the fever resolved within a week of the diagnosis.

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High pulse wave velocity is associated with enlarged perivascular spaces in dementia with Lewy bodies.

Sci Rep

June 2024

Center for Comprehensive Care and Research On Memory Disorders, Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi, 474-8511, Japan.

Article Synopsis
  • * The study analyzed 109 participants, finding that those with DLB had a higher prevalence of EPVS in the basal ganglia compared to non-dementia individuals.
  • * Results suggest that older participants with cognitive impairment and high pulse wave velocity (PWV) are more likely to have EPVS, indicating that high PWV may contribute to the development of EPVS in DLB patients.
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Article Synopsis
  • The study aimed to analyze how continuous glucose monitoring (CGM) metrics relate to cerebral small vessel disease (SVD) in older adults (70+) with type 2 diabetes.
  • A total of 80 patients were monitored for 14 days using CGM, with various glucose metrics calculated, and the presence of cerebral SVD assessed through a total score based on different findings.
  • Results showed that higher levels of hyperglycemia increased SVD scores, while an increase in time spent within the target glucose range was linked to a decrease in SVD scores.
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Background: Behavioral and psychological symptoms of dementia (BPSD) are common among people with dementia from the early stages and can appear even in mild cognitive impairment (MCI). However, the prognostic impact of BPSD is unclear. This study examined the association between BPSD and mortality among people with cognitive impairment.

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Article Synopsis
  • The study aimed to analyze how type 2 diabetes and glycated hemoglobin (HbA1c) levels affect mortality in older adults with cognitive impairment.
  • Researchers examined 1,528 patients aged 65 and over, differentiating between those with and without type 2 diabetes, and categorized diabetic patients based on their HbA1c levels.
  • Findings showed that HbA1c levels above or below the recommended range increase mortality risk, while levels within the target range do not, supporting current diabetes management guidelines for older adults.
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Association between abdominal adiposity and cognitive decline in older adults: a 10-year community-based study.

J Nutr Health Aging

March 2024

Department of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan; Department of Cognitive and Behavioral Science, Graduate School of Medicine, Nagoya University, Nagoya, Aichi 466-855, Japan; Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan. Electronic address:

Article Synopsis
  • The study aimed to explore how abdominal fat affects cognitive function in older adults living in the community.
  • It involved 873 participants aged 60 and older, measuring cognitive health through the MMSE and assessing abdominal fat using waist circumference and CT scans.
  • Results indicated that higher levels of waist circumference and fat areas were linked to more significant declines in cognitive function, with variations observed between men and women.
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Article Synopsis
  • A predictive model for all-cause mortality was developed to study risk factors among cognitively impaired individuals in a Japanese memory clinic cohort from 2010-2018.
  • The study included 2,610 patients aged 65 and older, with 544 (20.8%) deaths over an average follow-up of 4.1 years; nine key predictors of mortality were identified.
  • The model demonstrated strong accuracy for predicting 1-5 year mortality and can be effectively used for patients with mild cognitive impairment and various stages of dementia.
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Background: Periodontal disease (PeD) is a risk factor of Alzheimer's disease and is associated with cognitive decline in older adults. However, the relationships between subitems of neuropsychological tests and PeD have not been fully clarified.

Objective: To evaluate associations between PeD and subitems of neuropsychological tests.

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Factors associated with changes in psychological resilience of older adults with mild cognitive impairment during the COVID-19 pandemic.

Front Aging Neurosci

August 2023

Department of Prevention and Care Science, National Center for Geriatrics and Gerontology, Research Institute, Obu, Aichi, Japan.

Article Synopsis
  • The study investigates psychological resilience in older adults with mild cognitive impairment (MCI) during the COVID-19 pandemic, focusing on how it changes over time and the factors influencing those changes.
  • A total of 130 participants assessed their resilience through the CD-RISC-10 scale at two different points: during the initial pandemic phase and a year later, with results showing a significant improvement in resilience at follow-up.
  • Findings indicate that better sleep quality correlates with increased resilience, suggesting that even in stressful times, older adults with MCI can experience growth in psychological resilience, potentially aiding in dementia prevention.
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Introduction: Sensory dysfunctions and cognitive impairments are related to each other. Although a relationship between tinnitus and subjective olfactory dysfunction has been reported, there have been no reports investigating the relationship between tinnitus and olfactory test results.

Methods: To investigate the relationship between tinnitus and olfactory test results, we conducted sensory tests, including hearing and visual examinations.

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Article Synopsis
  • The study investigates how left ventricular (LV) diastolic dysfunction relates to the progression of cerebral white matter hyperintensity (WMH) in older adults with hypertension.
  • Participants aged 65-75 with controlled hypertension underwent MRIs, revealing a correlation between higher septal E/e' ratios and increased WMH progression.
  • Findings suggest that LV diastolic dysfunction may play a role in abnormal brain aging in hypertensive patients.
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Background: Prognosis-related information regarding dementia needs to be updated, as changes in medical and long-term care environments for patients with dementia in recent decades may be improving the prognosis of the disease.

Objective: We aimed to investigate the mortality, cause of death, and prognostic factors by types of dementia in a Japanese clinic-based cohort.

Methods: The National Center for Geriatrics and Gerontology-Life Stories of People with Dementia consists of clinical records and prognostic data of patients who visited the Memory Clinic in Japan.

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Challenging Cases of Neurocognitive Disorders.

Semin Neurol

December 2022

Department of Neurology, Center for Comprehensive Care and Research on Memory Disorders, University of Chicago, Chicago, Illinois.

Dementia is broadly defined by DSM-V as cognitive decline from a previous level that impacts the patient's functioning at work or play. This broad definition does not provide information about the underlying disease process, an aspect of clinical care that is of increasing importance, as therapeutic development inches closer to effective disease-modifying treatments. The most common neurodegenerative dementias include Alzheimer's disease, dementia with Lewy bodies, frontotemporal dementia, and Parkinson's disease dementia.

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Type 2 DM is a risk factor for dementia, including Alzheimer's disease (AD), and is associated with brain atrophy. Amyloid β protein (Aβ) deposition in the brain parenchyma is implicated in the neurodegeneration that occurs in AD. Platelets, known as abundant storage of Aβ, are recognized to play important roles in the onset and progression of AD.

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Objective: We aimed to evaluate the relationship between hearing ability and cognitive domains and determine how the relationship changes after 6 months of introducing a hearing aid.

Methods: We conducted a 6-month hearing aid lending study between September 2014 and March 2019, including 59 older participants who visited the Memory Clinic at the National Center for Geriatrics and Gerontology. The hearing level was assessed using pure tone audiometry.

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Aim: Olfactory impairment is associated with cognitive impairment. However, differences between subjective and objective olfactory impairment measurements in older adults and their relationship with cognitive impairment are unclear.

Methods: We assessed the relationship between cognitive and olfactory impairments via a single-center observational study in 2020.

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Article Synopsis
  • - This study examines the changes in HbA1c levels and glycemic control in diabetes patients aged 65 and older visiting a memory clinic from 2012 to 2020, based on updated targets from the Japan Diabetes Society.
  • - The research included 1,436 patients categorized based on cognitive function and daily living capabilities, analyzing trends in HbA1c levels and glycemic control over the years with various statistical methods.
  • - Findings indicate rising HbA1c levels and declining rates of excessive glycemic control, highlighting a shift towards treatment strategies that minimize hypoglycemia risks in older adults, suggesting a need for more personalized glycemic targets considering individual health complexities.
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Article Synopsis
  • The study aimed to investigate how continuous glucose monitoring (CGM) metrics relate to cognitive performance in older adults with type 2 diabetes (T2D).
  • A sample of 100 outpatients aged 70 or older used CGM for 14 days, measuring factors like mean glucose levels and time spent within, above, or below target glucose ranges while undergoing various cognitive tests.
  • Results showed that higher mean glucose and time above range were linked to poorer cognitive performance, while spending more time in the target range was associated with better executive function and working memory.
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Relationship of creatinine cystatin C ratio with muscle mass and grip strength in memory clinic outpatients.

Exp Gerontol

October 2022

Department of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan; Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan; Department of Cognition and Behavior Science, Graduate School of Medicine, Nagoya University, Nagoya, Japan.

Objectives: The purpose of this study was to examine the relationship of the serum creatinine/cystatin C ratio (CCR) with hand grip strength (HGS), total body muscle mass, trunk muscle mass, and skeletal muscle mass index (SMI) in patients attending a memory clinic.

Design: This cross-sectional study enrolled outpatients of a memory clinic in Japan from October 2010 to July 2017.

Setting And Participants: We enrolled 1945 participants aged 60 years or older with measured skeletal muscle mass, HGS, and serum creatinine and serum cystatin C levels.

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Factors Associated with Behavioral and Psychological Symptoms of Dementia during COVID-19.

Int J Environ Res Public Health

August 2022

Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan.

(1) Background: Preventive measures to control the spread of COVID-19 are essential, but they often cause social isolation and diminish the physical and mental health of older adults. In cognitively impaired individuals, the pandemic has worsened behavioral and psychological symptoms of dementia (BPSD). Here, we explored the factors contributing to the worsening of BPSD during the COVID-19 pandemic.

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