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KMID : 0371020090420040261
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Journal of Preventive Medicine and Public Health
2009 Volume.42 No. 4 p.261 ~ p.266
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Apolipoprotein E Polymorphism and Cognitive Function Change of the Elderly in a Rural Area, Korea
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Kim Sang-Kyu
Cho Hee-Soon
Kang Pock-Soo
Hwang Sun-Hwi
Lee Kyeong-Soo
Bae Young-Kyung
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Abstract
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Objectives: The aim of this study is to examine the cognitive function change related to aging, the incidence of cognitive impairment, and the association between apolipoprotein E polymorphism and cognitive impairment through a follow-up of the elderly with normal cognitive ability at baseline.
Methods: Two hundred and fifteen subjects aged 65 and over were surveyed in February, 1998 (baseline survey), and their cognitive function was assessed again in 2003 (1st follow-up) and the once again in 2006 (2nd follow-up). Ninety one subjects completed all surveys up through the 2nd follow-up and their cognitive function scores using MMSE-K (Korean Version of the Mini-Mental State Examination) and the distribution of apolipoprotein E allele were analyzed.
Results: The cognitive function scores decreased with aging and the difference between baseline and the 2nd follow-up scores of the study increased with the age group. The incidence rate of cognitive impairment through an 8- year follow-up was 38.5% and higher in older age groups. Age was the only significant factor for incidence of cognitive impairment, but there was no significant association between apolipoprotein E genotype and incidence of cognitive impairment.
Conclusions: The cognition of the elderly decreased with aging and the association of apolipoprotein E genotype with incidence of cognitive impairment was not significant in this study. To confirm the association between apolipoprotein E polymorphism and incidence of cognitive impairment further studies will be needed.
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KEYWORD
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Apolipoprotein E, Polymorphism, Aging, Cognition
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