India witnesses significant rise in dementia-related cases: Lancet

[Dubious]

IANS | Moscow Last Updated at December 12, 2018 18:55 IST

With number of individuals living with dementia increasing globally owing to ageing population, a Lancet study on Wednesday revealed that India witnessed a significant growth in the number of Alzheimer's disease and other cases of dementia from 1990 till 2016.

According to the report published in Lancet Neurology journal, India witnessed nearly 2.9 million cases of Alzheimer's disease and other cases of dementia in the 26-year period and nearly 1.4 lakh deaths arising from the problem.

The results showed that the number of people suffering from Alzheimer's and other dementia increased from 20.2 million in 1990 to 43.8 million globally in 2016.

Of these, 27 million were women and 16.8 million were men.

To reach this conclusion, an international group of collaborating scientists, including HSE Professor Vasily Vlasov, analysed data from 195 countries on the spread of Alzheimer's disease and other dementia between 1990 and 2016.

The results showed that the number of deaths from dementia has increased by 148 per cent over the same 26-year period.

Dementia is now the fifth most common cause of death worldwide and the second most common -- after coronary heart disease -- among people aged 70 or older, said the report.

Vlasov noted that according to the data, more than 1 million Russians -- most over 50 -- were suffering from dementia in 2016.

Researchers have linked high BMI, smoking (including all smoked tobacco products), and diet high in sugar-sweetened beverages as risk factors for dementia.

Although differences in coding for causes of death and the heterogeneity in case-ascertainment methods constitute major challenges to the estimation of the burden of dementia, future analyses should improve on the methods for the correction of these biases, said the study.

"Until breakthroughs are made in prevention or curative treatment, dementia will constitute an increasing challenge to health-care systems worldwide," it added.

There is growing evidence of risk factors for dementia, which shows that lifestyle and other interventions might, if implemented effectively, contribute to delaying the onset and reducing the future number of people who have dementia.

--IANS



https://www.business-standard.com/a...ntia-related-cases-lancet-118121200910_1.html

 

[Dubious]

Same story copy pasted in http://www.navhindtimes.in/india-witnesses-significant-rise-in-dementia-related-cases-lancet/

 

[Nilgiri]

It is to be expected as life expectancy increases and population pyramid changes in composition (due to earlier population growth rate at base moving higher up in age).

https://www.populationpyramid.net/india/

@anant_s @Joe Shearer @MilSpec @AUSTERLITZ @hellfire

 

[Joe Shearer]

Thank you ever so much for tagging me on this thread.

 

[Nilgiri]

Thank you ever so much for tagging me on this thread.

I only realised the potential faux pas a bit after

We are all the same age Joe....just at different points in life.

 

[313ghazi]

I wonder if they take into account rates of reporting of mental illness. Perhaps it's a personal thing but I found awareness of mental illness has increased in my local community in recent years.

 

[Joe Shearer]

I only realised the potential faux pas a bit after

We are all the same age Joe....just at different points in life.

'Potential', he sez.

'Different points in life', he sez, twenty years behind me.

Right.

I wonder if they take into account rates of reporting of mental illness. Perhaps it's a personal thing but I found awareness of mental illness has increased in my local community in recent years.

Thank God, on your knees, fasting, that they haven't got to PDF yet.

 

[Hellfire]

I wonder if they take into account rates of reporting of mental illness. Perhaps it's a personal thing but I found awareness of mental illness has increased in my local community in recent years.

For the bold:

We need not look far, please correlate with the multiple 'suicide' threads which are run on PDF. The bravado notwithstanding with the twist of 'Indian soldier commits suicide because of LC' etc etc as prevalent in PDF, India has been very comprehensive in collating data and submitting it to WHO also. Of course, ignorance on the subject is equally exhibited here as those lampooning the same are unable to understand that the occurrences and frequencies of reporting exhibit a much better reporting of the disease in India as compared to any other nation in the sub-continent, and totally fail to appreciate the SAD aspects that tend to creep in in remote, prolonged winter cut off locations being an additional burden.

On point. It remains a serious reportable illness for both statistical and health accounting purposes as also to augment research being undertaken in Institutes like NIMHANS, Bengaluru and of course, ICMR (Indian Council of Medical Research).

I hope have been able to answer you.

 

[313ghazi]

'Potential', he sez.

'Different points in life', he sez, twenty years behind me.

Right.



Thank God, on your knees, fasting, that they haven't got to PDF yet.

Lol I had to do a double take to understand what you could mean.

 

[Joe Shearer]

Lol I had to do a double take to understand what you could mean.

All you ageists.

I wonder if they take into account rates of reporting of mental illness. Perhaps it's a personal thing but I found awareness of mental illness has increased in my local community in recent years.

On a serious note, this is an important factor. hellfire goes into detail, but anecdotally, this has become a subject where there is much more awareness, and some, not as much as would be good to see, increase in sensitivity towards the real problems that mental health patients face.

 

[Dubious]

@Joe Shearer kindly stop trolling my thread ...we all know you dont fall in that category

Dementia and mental health issue is a personal thing for me...I remember when I was studying overseas, a professor in the building in front of the one I was working in, committed suicide by leaving the gas running...It was my 1st week in the lab and I was scared! Here was a professor with a fixed position and he was disappointed ...what would my life be...

No one was sure if he forgot to turn off the gas or he deliberately did so!

 

[Joe Shearer]

@Joe Shearer kindly stop trolling my thread ...we all know you dont fall in that category

Dementia and mental health issue is a personal thing for me...I remember when I was studying overseas, a professor in the building in front of the one I was working in, committed suicide by leaving the gas running...It was my 1st week in the lab and I was scared! Here was a professor with a fixed position and he was disappointed ...what would my life be...

No one was sure if he forgot to turn off the gas or he deliberately did so!

That's scary and I can understand it made a deep impression. The fact is that we none of us know too much about people around us, and when somebody somewhere snaps, it comes as a huge surprise.

As for being here, just kidding; thought I'd say it before someone said it to me!!! And with that anti-Bangladeshi nightmare @Nilgiri in my cross-hairs, I couldn't resist!!! He hits me out of the field whenever he gets a chance, so I thought this was too good to pass up.

 

[Dubious]

It is to be expected as life expectancy increases and population pyramid changes in composition (due to earlier population growth rate at base moving higher up in age).

https://www.populationpyramid.net/india/

View attachment 526155

@anant_s @Joe Shearer @MilSpec @AUSTERLITZ @hellfire

Population pyramid of india seems like of a country improving its demographics....So is your population on the decline?

I wonder if they take into account rates of reporting of mental illness. Perhaps it's a personal thing but I found awareness of mental illness has increased in my local community in recent years.

It should...sadly still a long way to go

exhibit a much better reporting of the disease in India as compared to any other nation in the sub-continent,

Can you prove this comparison or is it pulled out of thin air? I am interested in finding out what is done differently...

 

[Hellfire]

Can you prove this comparison or is it pulled out of thin air? I am interested in finding out what is done differently...

I have noticed that you were at a lab, hence your scientific approach shall be of use in the same (the thin air analogy).

Suggest do a google search of meta analysis/statistics of the various nations involved, correlate with open domain write ups in major journals and dailies and draw your own inferences.

The recency of data for the countries in sub-continent as available in the search, shall be pretty good indicators of the comparison.

A small example:

https://scialert.net/fulltextmobile/?doi=aje.2017.45.53

If you were to cross refer with data of countries as available with WHO, you shall get the same inference.

Dementia and mental health issue is a personal thing for me...I remember when I was studying overseas, a professor in the building in front of the one I was working in, committed suicide by leaving the gas running...It was my 1st week in the lab and I was scared! Here was a professor with a fixed position and [B]he was disappointed[/B] ...what would my life be...

The disappointment, was it an inference or a deduction based on a suicide note? I ask as there have been cases wherein people have decided to end their life as they are in that zone of Maslow's Self Actualization where they have achieved everything that they desired and feel that they have lived their life as best as can be and are content to finish on a high. That, of course, is little to do with depression or any mental health disorder.

 

[Dubious]

Suggest do a google search of meta analysis/statistics of the various nations involved, correlate with open domain write ups in major journals and dailies and draw your own inferences.

Meta-analysis is not done by simple google search...It also involves statistical analysis!

The disappointment, was it an inference or a deduction based on a suicide note? I ask as there have been cases wherein people have decided to end their life as they are in that zone of Maslow's Self Actualization where they have achieved everything that they desired and feel that they have lived their life as best as can be and are content to finish on a high. That, of course, is little to do with depression or any mental health disorder.

Disappointment on not getting grants for 2 continuous years or so I have heard...As I said it was my 1st week I didnt even know the guy!

A small example:

https://scialert.net/fulltextmobile/?doi=aje.2017.45.53

Kind of a waste of a meta study considering they didnt really do much with 34 studies! ...Would like a more detailed comparison! But not bad!

The intro shows that previous studies had wide range prevalence of disorders

Firstly, in a meta-analytical study, Reddy and Chandrashekar reported that the total prevalence of mental disorders in India is 58 per 1000 person [confidence interval (CI) 55.7–60.7]; 48.9 per 1000 in the rural and 80.6 per 1000 in the urban population. Based on the 15 Indian epidemiological studies on psychiatric morbidity, Ganguli estimated that prevalences of all mental disorders are at 70.5 (rural), 73 (urban) and 73 (mixed rural and urban) per 1000 population (range: 18–207). Inclusion and exclusion criteria of both studies mentioned above are different; hence, the number and type of included studies are not the same. Similarly, Gururaj et al. estimated the prevalence of major mental and behavioural disorders at any given point of time as 65/1000 population, based on the average value of two above-mentioned pooled studies (57/1000 and 73/1000, respectively). In a systematic review study, Math et al. and Math and Srinivasaraju have also reported that the prevalence of psychiatric disorders in India ranges from 9.5-370 per 1000 populations.

Reason for this meta study:

There is a lack of meta-analytic study regarding prevalence of mental and behavioral disorders in South Asian countries. Therefore, this meta-analysis was carried out to understand the prevailing trends of mental disorders in India and other Indian subcontinent countries. The prime objective of the present study was to provide useful insights that may assist health professionals and policy makers in defining the need and planning service delivery models. The present researchers did not find a single study that reported a quantitative review and analysis of the epidemiological studies in South Asian countries.

From abstract:

This alarming number of mentally disordered people amounts to 122 per 1000 population, i.e. (95% CI: 8-252, Z = 1.82, p<0.06). Epidemiological studies also reported that prevalence of mental disorders varied from 6.06 to 533.73/1000 population in South Asia. From the present review, it may be concluded that psychiatric disorders are affecting people across all the regions of South Asia and appears to be a serious public health issue in South Asia.