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. 2025 Jan 7:3:1494719.
doi: 10.3389/frdem.2024.1494719. eCollection 2024.

Dementia incidence among a cohort of lebanese older adults: first incidence estimates from the Middle East and North Africa region

Monique Chaaya  1 , Sarah Assaad  2 , Hala Darwish  3 , Marc Haber  1 , Rosemary Khoury  4 , Dahlia Saab  1 , Khalil El Asmar  1 , Ramzi Hajjar  5
Affiliations

Dementia incidence among a cohort of lebanese older adults: first incidence estimates from the Middle East and North Africa region

Monique Chaaya et al. Front Dement. .

Abstract

Objective: To provide the first estimates of dementia incidence rates among elderly in Lebanon.

Methods: The cohort established in 2013 consisted of 470 elderly from Beirut and Mount Lebanon, who consented to be followed-up. In 2017, we reached 341 participants/informants, achieving a response rate of 72.6%. The validated Arabic version of the 10/66 Dementia Research Group diagnostic tool was administered through face-to-face interviews. Direct age standardization was applied to the data using the Western European population distribution. Age-, sex- and location-specific incidence rates were estimated.

Results: After 3.5 years of follow up, 19 new cases of dementia were identified among 229 surviving participants. The crude incidence rate was 16.8 per 1,000 p-y, and the age standardized rate was 20.5 per 1,000 p-y. The incidence rate increased with age, going from 6.5 for those aged 65-74 years to 54.0 for those aged 85-89 years. Incidence rate was higher among females than males (20.7 vs.12.0), and higher in Mount Lebanon, as compared to the capital city Beirut (19.5 vs.14.9).

Conclusion: Dementia incidence rate was close to European and North American countries' estimates. The use of validated tools increased the internal validity of our results. A large cohort study is warranted to confirm these results.

Keywords: Alzheimer's disease; MENA region; dementia incidence; gender differences; incidence rates; lebanese older adults; regional differences.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Cohort study flow chart.
Figure 2
Figure 2
Bar plot illustrating dementia incidence rates (per 1,000 person-years) with 95% CI by age, gender, and location.
Figure 3
Figure 3
Age and gender-specific incidence of all dementia.
See this image and copyright information in PMC

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