Today, it is estimated that about five million* Americans suffer from Alzheimer's disease, and about 360,000 people are newly diagnosed every year. Alzheimer's affects about 10 percent of people ages 65 and up, and the prevalence doubles roughly every 10 years after age 65. Half of the population ages 85 and up may have Alzheimer's.
Two proven risk factors for Alzheimer's disease are age and family history. The disease usually strikes after age 65, and risk increases with advancing age. Having a family member with Alzheimer's increases one's risk, particularly if the relative has the early-onset form of the disease (beginning before age 65). However, half of people with the far more common late-onset form have no family history.
Many non-genetic - so-called "environmental" -- factors may also increase one's risk, and a great deal of research is aimed at understanding these factors. Examples include a former serious head injury, lower levels of formal education, and lower socioeconomic status - but scientists aren't sure why or how these things interact to produce the disease in some people but not others. There is recent evidence that one's environment and experiences early in life may also play a role in the eventual development of Alzheimer's. Research is ongoing to try to solve these mysteries.
*Sources: Evans D., International Conference on Alzheimer's Disease and Related Disorders, July 22, 2002; Evans et al, The Milbank Quarterly, 1990; Brookmeyer et al, American Journal of Public Health, 1998
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Jeffrey Nelson, MD.
Neurology Specialist, Nor-Lea General Hospital.
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