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Cognitive Disorders and Dementia in CKD: The Neglected Kidney-Brain Axis

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TLDR
The prevalence and characteristics of cognitive disorders and dementia in patients with CKD, brain imaging findings, and traditional and nontraditional risk factors are discussed.
Abstract
Epidemiologic data suggest that individuals at all stages of CKD have a higher risk of developing cognitive disorders and dementia. This risk is generally explained by the high prevalence of both symptomatic and subclinical ischemic cerebrovascular lesions. However, other potential mechanisms, including direct neuronal injury by uremic toxins, could also be involved, especially in the absence of obvious cerebrovascular disease. We discuss the prevalence and characteristics of cognitive disorders and dementia in patients with CKD, brain imaging findings, and traditional and nontraditional risk factors. Understanding the pathophysiologic interactions between renal impairment and brain function is important in order to minimize the risk for future cognitive impairment.

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Journal ArticleDOI

Impact of unilateral ureteral obstruction on cognition and neurodegeneration.

TL;DR: In this paper, the authors used unilateral ureteral obstruction (UUO) in mice as an animal model to study the cognitive changes and related pathology under prolonged renal impairment in CKD patients.
Dissertation

Comparison of Cognitive Functions between Diabetic andNon Diabetic Chronic Kidney Disease Patients (Stage 5D ) and Its Correlation with Serum Uric Acid, Hemoglobin andSerum Ferritin Levels

K Archanaa
TL;DR: Blood samples were collected to estimate serum uric acid, haemoglobin and serum ferritin levels and cognitive functions were assessed using NIMHANS neuropsychology battery 2004.
Journal ArticleDOI

Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention

TL;DR: In this paper, a randomized, controlled trial of a pedometer-based walking intervention with weekly activity goals led to increased walking among dialysis patients, and the association of levels of impairment on the Telephone Interview of Cognitive Status (TICS) with adherence, achieving weekly goals, and increasing steps, physical performance (SPPB) through multivariable linear mixed-model and logistic regression analyses adjusted for age, sex, BMI, dialysis modality, baseline steps, baseline SPPB, and stroke status.
Journal ArticleDOI

Biomarkers involved in the pathogenesis of cerebral small-vessel disease

TL;DR: This work aimed to systematically review and summarize studies on the progress of biomarkers related to the pathogenesis of CSVD, which is mainly the relationship between these indicators and neuroimaging markers ofCSVD.
References
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Journal ArticleDOI

“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician

TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.

A practical method for grading the cognitive state of patients for the clinician

TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI

Cerebral small vessel disease: from pathogenesis and clinical characteristics to therapeutic challenges.

TL;DR: Small vessel disease has an important role in cerebrovascular disease and is a leading cause of cognitive decline and functional loss in the elderly and should be a main target for preventive and treatment strategies, but all types of presentation and complications should be taken into account.
Journal ArticleDOI

Silent brain infarcts and the risk of dementia and cognitive decline

TL;DR: Elderly people with silent brain infarcts have an increased risk of dementia and a steeper decline in cognitive function than those without such lesions.

Prevalence of Alzheimer's Disease in a Community Population of Older Persons

TL;DR: The data suggest that clinically diagnosed Alzheimer's disease is a common condition and that its public health impact will continue to increase with increasing longevity of the population.
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