scispace - formally typeset
Open AccessJournal ArticleDOI

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

Reads0
Chats0
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.

read more

Content maybe subject to copyright    Report

Citations
More filters

Potential Blood Biological Markers of Alzheimer's Disease

Andrea Metti
TL;DR: In community-dwelling, older adults, plasma Aβ40 and Aβ42 were significantly associated with age, race, sex, education, Apolipoprotein E genotype, and serum creatinine, and this association was stronger among women and among those with no APOE e4 allele.
Journal ArticleDOI

Associations of cardiovascular disease and blood pressure with cognition in hemodialysis patients: The Osaka Dialysis Complication Study.

TL;DR: Prior stroke and lower DBP were associated with 3MS < 80 in hemodialysis patients, supporting the hypothesis that these vascular factors contribute to low cognitive performance in patients undergoing he modialysis.
Journal ArticleDOI

Ability of the Mini-Mental State Examination to Predict the Neuropsychological Performance of Hispanic Patients with Minor Neurocognitive Disorder

TL;DR: In this paper, the authors used the Mini-Mental State Examination (MMSE) to predict the level of neurocognitive functioning of two samples of Hispanic patients with minor neuro-cognitive disorder in a battery of neuropsychological tests.
Journal ArticleDOI

Association of Proximal Tubular Secretory Clearance with Long-Term Decline in Cognitive Function

TL;DR: Lower kidney clearances of secreted solutes were associated with incident global cognitive decline in a prospective study of CKD, independent of baseline eGFR, proteinuria, and other confounding variables as mentioned in this paper .
Journal ArticleDOI

Cognitive impairment in chronic kidney disease and dialysis

TL;DR: A comprehensive analysis of the evidence for cognitive impairment in advanced chronic kidney disease, peritoneal dialysis patients, haemodialysis Patients, and patients who undergo renal transplantation is provided.
References
More filters
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.
Related Papers (5)