A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes

Bin Jiang,1,2,* Xue-Ping Zhang,3,* Mei-Fang Chen,3 Zheng Wang,3 Ming-Xue Zhao,3 Bin-Hua Chen,3 Hong-Lei Li1 1Department of Neurology and Research Center of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 2Department of Neurology, The First Affiliated H...

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Autores principales: Jiang B, Zhang XP, Chen MF, Wang Z, Zhao MX, Chen BH, Li HL
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:efb151761e4a4e53a41f4f5c7b65bcc82021-12-02T04:08:01ZA cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes1178-1998https://doaj.org/article/efb151761e4a4e53a41f4f5c7b65bcc82018-01-01T00:00:00Zhttps://www.dovepress.com/a-cross-sectional-study-of-inpatients-with-late-stage-of-dementia-in-s-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Bin Jiang,1,2,* Xue-Ping Zhang,3,* Mei-Fang Chen,3 Zheng Wang,3 Ming-Xue Zhao,3 Bin-Hua Chen,3 Hong-Lei Li1 1Department of Neurology and Research Center of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 2Department of Neurology, The First Affiliated Hospital of Xiamen University, Xiamen, 3The Seventh People’s Hospital of Hangzhou, Mental Health Center of Zhejiang University School of Medicine, Hangzhou, People’s Republic of China *These authors contributed equally to this work Background: The purpose of this study was to analyze the disease distribution of patients in the late stage of dementia through a cross-sectional investigation and to clarify the association between apolipoprotein E (APOE) genotypes and the serum levels of total cholesterol, total triglycerides, and blood glucose in the late-stage Alzheimer’s disease (AD) patients.Methods: Patients who were in the late stage of dementia in a mental health center were enrolled in this study. A broad battery of neuropsychological tests and neuroimaging was applied to make the diagnosis. The APOE genotype was determined by the multiplex amplification refractory mutation system polymerase chain reaction. The association between APOE genotype and the blood level of biochemical parameters was studied.Results: A total of 155 patients were enrolled in this study. The majority of patients had AD (67.8%), followed by vascular dementia (15.5%), mixed dementia (9%), and others (7.7%). The APOE ε4 allele frequency was significantly different in the different groups. The serum level of total cholesterol (TC) in APOE ε4 carriers was higher than in non-carriers (P<0.05). No statistically significant differences were found in the blood glucose and triglycerides (TG) levels between these two groups.Conclusion: To our knowledge, this is the first paper to study the characteristics of late-stage dementia in hospital patients in Southeast China. We found that the disease distribution was quite consistent with previous prevalence studies. Moreover, we found that the serum level of TC was higher in APOE ε4 carriers group. However, no association was found between the APOE ε4 allele and serum levels of glucose, TC and TG in the late stage of AD. Keywords: Alzheimer’s disease, APOE, glucose, cholesterol, triglyceridesJiang BZhang XPChen MFWang ZZhao MXChen BHLi HLDove Medical PressarticleAlzheimer’s diseaseAPOEglucosecholesteroltriglyceridesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 159-163 (2018)
institution DOAJ
collection DOAJ
language EN
topic Alzheimer’s disease
APOE
glucose
cholesterol
triglycerides
Geriatrics
RC952-954.6
spellingShingle Alzheimer’s disease
APOE
glucose
cholesterol
triglycerides
Geriatrics
RC952-954.6
Jiang B
Zhang XP
Chen MF
Wang Z
Zhao MX
Chen BH
Li HL
A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
description Bin Jiang,1,2,* Xue-Ping Zhang,3,* Mei-Fang Chen,3 Zheng Wang,3 Ming-Xue Zhao,3 Bin-Hua Chen,3 Hong-Lei Li1 1Department of Neurology and Research Center of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 2Department of Neurology, The First Affiliated Hospital of Xiamen University, Xiamen, 3The Seventh People’s Hospital of Hangzhou, Mental Health Center of Zhejiang University School of Medicine, Hangzhou, People’s Republic of China *These authors contributed equally to this work Background: The purpose of this study was to analyze the disease distribution of patients in the late stage of dementia through a cross-sectional investigation and to clarify the association between apolipoprotein E (APOE) genotypes and the serum levels of total cholesterol, total triglycerides, and blood glucose in the late-stage Alzheimer’s disease (AD) patients.Methods: Patients who were in the late stage of dementia in a mental health center were enrolled in this study. A broad battery of neuropsychological tests and neuroimaging was applied to make the diagnosis. The APOE genotype was determined by the multiplex amplification refractory mutation system polymerase chain reaction. The association between APOE genotype and the blood level of biochemical parameters was studied.Results: A total of 155 patients were enrolled in this study. The majority of patients had AD (67.8%), followed by vascular dementia (15.5%), mixed dementia (9%), and others (7.7%). The APOE ε4 allele frequency was significantly different in the different groups. The serum level of total cholesterol (TC) in APOE ε4 carriers was higher than in non-carriers (P<0.05). No statistically significant differences were found in the blood glucose and triglycerides (TG) levels between these two groups.Conclusion: To our knowledge, this is the first paper to study the characteristics of late-stage dementia in hospital patients in Southeast China. We found that the disease distribution was quite consistent with previous prevalence studies. Moreover, we found that the serum level of TC was higher in APOE ε4 carriers group. However, no association was found between the APOE ε4 allele and serum levels of glucose, TC and TG in the late stage of AD. Keywords: Alzheimer’s disease, APOE, glucose, cholesterol, triglycerides
format article
author Jiang B
Zhang XP
Chen MF
Wang Z
Zhao MX
Chen BH
Li HL
author_facet Jiang B
Zhang XP
Chen MF
Wang Z
Zhao MX
Chen BH
Li HL
author_sort Jiang B
title A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
title_short A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
title_full A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
title_fullStr A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
title_full_unstemmed A cross-sectional study of inpatients with late stage of dementia in Southeast China and the associations between biochemical parameters and apolipoprotein E genotypes
title_sort cross-sectional study of inpatients with late stage of dementia in southeast china and the associations between biochemical parameters and apolipoprotein e genotypes
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/efb151761e4a4e53a41f4f5c7b65bcc8
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