Epidemiology of dementia in Nigeria: Results from the Indianapolis-Ibadan study

A. Ogunniyi, O. Baiyewu, O. Gureje, K. S. Hall, F. Unverzagt, S. H. Siu, S. Gao, M. Farlow, O. S.A. Oluwole, O. Komolafe, H. C. Hendrie

Research output: Contribution to journalArticlepeer-review

62 Scopus citations

Abstract

We determined the prevalence of dementia in a cohort of 2494 elderly Nigerians residents in Idikan Community, Ibadan, Nigeria. We utilized the Community Screening Instrument for Dementia to select subjects for clinical assessment in the second stage. The findings were compared with those of 2212 African Americans living in Indianapolis, studied simultaneously using similar methodology The overall age-adjusted prevalence rates of dementia and Alzheimer's disease in Ibadan were 2.29% and 1.41%, respectively. These rates were much lower than the respective values of 8.24% and 6.24% obtained for African Americans. In Ibadan, Alzheimer's disease accounted for 64.3% of the cases, with old age and female gender being the significant risk factors, whilst 'living with others' appeared to be protective (P < 0.05). Amongst African Americans, on the other hand, old age, rural living below the age of 19 years, low educational attainment and family history of dementia were the risk factors. There was a lack of association between Alzheimer's disease and possession of the apolipoprotein E ε4 allele in the Nigerian sample, unlike the finding in African Americans, where significant association was shown. In addition, the frequencies of the vascular risk factors investigated were lower in Nigerians. Our results showed lower prevalence of dementia and Alzheimer's disease in Nigerians, compared with African Americans. There was no association between Alzheimer's disease and apolipoprotein E (ε4 allele) in the former. The differences in the frequencies of vascular risk factors between Nigerian subjects and African Americans would suggest involvement of environmental factors in disease process.

Original languageEnglish (US)
Pages (from-to)485-490
Number of pages6
JournalEuropean Journal of Neurology
Volume7
Issue number5
DOIs
StatePublished - 2000

Keywords

  • Alzheimer's disease
  • Cross-cultural study
  • Dementia
  • Epidemiology
  • Prevalence
  • Risk factors

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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