Anxiety may be early indicator of Alzheimer’s disease
Heightened anxiety in older adults may be an early indicator of Alzheimer’s disease, a study has warned.
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Alzheimer’s disease is a
neurodegenerative condition that causes the decline of cognitive
function and the inability to carry out daily life activities.
Past studies have suggested depression
and other neuropsychiatric symptoms may be predictors of AD’s
progression during its “preclinical” phase, during which time brain
deposits of fibrillar amyloid and pathological tau accumulate in a
patient’s brain.
This phase can occur more than a decade before a patient’s onset of mild cognitive impairment.
Researchers examined the association of brain amyloid beta and
longitudinal measures of depression and depressive symptoms in
cognitively normal, older adults.
The findings, suggest that higher levels of amyloid
beta may be associated with increasing symptoms of anxiety in these
individuals.
These results support the theory that neuropsychiatric symptoms could be an early indicator of AD.
“Rather than just looking at
depression as a total score, we looked at specific symptoms such as
anxiety. When compared to other symptoms of depression such as sadness
or loss of interest, anxiety symptoms increased over time in those with
higher amyloid beta levels in the brain,” said a Dr.
“This suggests that anxiety symptoms
could be a manifestation of Alzheimer’s disease prior to the onset of
cognitive impairment,” said the Dr.
“If further research substantiates
anxiety as an early indicator, it would be important for not only
identifying people early on with the disease, but also, treating it and
potentially slowing or preventing the disease process early on,” she
said.
As anxiety is common in older people,
rising anxiety symptoms may prove to be most useful as a risk marker in
older adults with other genetic, biological or clinical indicators of
high Alzheimer’s disease risk.
The researchers derived data from an observational study of older adult
volunteers aimed at defining neurobiological and clinical changes in
early Alzheimer’s disease.
The participants included 270
community dwelling, cognitively normal men and women, between 62 and 90
years old, with no active psychiatric disorders.
Individuals also underwent baseline
imaging scans commonly used in studies of Alzheimer’s disease, and
annual assessments with the 30-item Geriatric Depression Scale (GDS), an
assessment used to detect depression in older adults.
The researchers calculated total GDS
scores as well as scores for three clusters symptoms of depression:
apathy- anhedonia, dysphoria, and anxiety. These scores were looked at
over a span of five years.
Researchers found that higher brain
amyloid beta burden was associated with increasing anxiety symptoms over
time in cognitively normal older adults.
The results suggest that worsening
anxious-depressive symptoms may be an early predictor of elevated
amyloid beta levels - and, in turn AD - and provide support for the
hypothesis that emerging neuropsychiatric symptoms represent an early
manifestation of pre-clinical Alzheimer’s disease.
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Labels: Alzheimer's, anxiety, cognitive decline, deposits, Depression, early indicator, fibrillar amyloid, Geriatric Depression Scale(GDS), neurodegenerative diseases, tau accumulate
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