Ibarrondo et al reported a score for predicting the risk of dementia in a person living in southern Europe. The authors are from multiple institutions in Spain and University of Antioquia in Columbia.
Patient selection: southern Europe
Parameters:
(1) sex
(2) physical activity at work (sedentary vs nonsedentary)
(3) hypertension
(4) waist circumference (increased if >= 102 cm for males or >= 88 for females)
(5) hyperlipidemia
(6) diabetes
(7) Cambridge physical activity index
(8) smoker
(9) age in years
(10) highest level of education
(12) body mass index in kg per sq meter
(13) relative Mediterranean Diet Score
|
Parameter |
Finding |
Points |
|
sex |
male |
1 |
|
|
female |
0 |
|
physical activity at work |
sedentary |
0 |
|
|
nonsedentary |
1 |
|
hypertension |
no |
0 |
|
|
yes |
0 |
|
waist circumference |
low or normal |
0 |
|
|
increased |
0 |
|
hyperlipidemia |
no |
0 |
|
|
yes |
2 |
|
diabetes |
no |
0 |
|
|
yes |
2 |
|
Cambridge index |
not active |
1 |
|
|
active |
0 |
|
smoker |
no |
1 |
|
|
yes |
0 |
|
age in years |
<= 55 years |
0 |
|
|
56 to 58 years |
3 |
|
|
58 to 60 years |
7 |
|
|
60 to 62 years |
8 |
|
|
62 to 64 years |
13 |
|
|
64 to 66 years |
16 |
|
|
> 66 years |
15 |
|
highest level of education |
primary |
5 |
|
|
secondary |
3 |
|
|
higher |
0 |
|
body mass index |
< 25 kg per sq m |
0 |
|
|
25 to 30 kg per sq m |
0 |
|
|
> 30 kg per sq m |
2 |
|
Mediterranean Diet Score |
low (< 7) |
1 |
|
|
moderate (7 to 10) |
1 |
|
|
high (>= 11) |
0 |
where:
• The point assignment for smoking is reversed from expectations.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 30 (the paper says 79, but this number assumes that all points are summed)
|
Total Score |
Dementia Risk Category |
|
0 to 11 |
low |
|
12 to 16 |
moderate |
|
>= 17 |
high |
Performance:
• The area under the ROC curve is 0.81.
Specialty: Neurology
