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Well-educated people ‘mask’
dementia in early stages
1 November, 2007
Though having more years of formal
education delays the memory loss
linked to Alzheimer’s disease, victims
of dementia who are better educated
deteriorate faster than those with
less schooling. This could be because
people who are better educated manage
to “mask” the disease in its early
stages.
Researchers in the United States have
found that university graduates suffer
a memory decline that is 50% faster
than someone with a minimal education.
They believe that, by the time
dementia becomes apparent, both groups
will have suffered the same damage to
the brain.
However, the well-educated get worse
quicker because their greater
“thinking power” allows them to
compensate subliminally for their
disease in its early stages.
Alzheimer’s disease is the most common
cause of dementia, with about 500
cases diagnosed every day in the
United Kingdom alone, as more people
live longer.
The study, published in the journal
Neurology, tracked memory loss in a
group of elderly people from New York
City’s Bronx borough before they were
diagnosed with Alzheimer’s or another
form of old-age dementia.
Every year of education delayed the
accelerated memory decline that
precedes dementia by about 2.5 months,
according to the researchers at
Yeshiva University’s Albert Einstein
College of Medicine in New York, the
United States.
But once this memory loss began, the
rate of decline was found to be 4%
faster for each additional year of
education, the researchers said.
For instance, a person with 16 years
of schooling might experience memory
decline 50% more quickly than another
person with just four years education.
The researchers examined 117 people
who developed dementia out of an
original group of 488 from the 1980s
onwards. For six years, they were
given annual cognitive tests which
assessed memory, speech and ability to
think.
Dr Charles Hall, professor of
epidemiology at Albert Einstein
College of Medicine, who led the
study, said an elderly person who
starts to see memory loss might well
deteriorate fairly rapidly,
particularly if he or she has a high
education or high IQ.
Among the brilliant minds who have
fallen victim to dementia are novelist
Iris Murdoch, who died in 1999 aged
79, and author and broadcaster Bernard
Levin, who died three years ago, aged
75.
The condition is caused by an
accumulation of “plaques and tangles”
or protein deposits in the brain which
may first lead to difficulty finding
words. This progresses to typical
symptoms of dementia, loss of memory,
confusion and agitation.
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