Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2009-8-26
pubmed:abstractText
Elevated glucocorticoid concentrations, decreased hippocampal volume and frontal atrophy with poor cognitive function have been reported in the elderly but not extensively in Alzheimer's disease (AD). We enrolled 172 patients with AD over a 2-year follow-up period. Basal cortisol levels, biochemistry tests and mini-mental state examination (MMSE) scores were obtained and hippocampal and frontal atrophy were measured by CT scan for correlation. Basal plasma cortisol levels increased with age. Further, basal plasma cortisol levels were correlated with the radial width of the temporal horn, and elevated levels of plasma cortisol predicted a worse general cognitive performance. Higher plasma cortisol levels also correlated with rapid declines in MMSE scores after 2 years. Bilateral frontal atrophy showed no correlation with the above parameters. The relationship between high cortisol levels and hippocampal atrophy might adversely affect AD patients disproportionately, either in anatomical or cognitive function.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0967-5868
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1283-6
pubmed:meshHeading
pubmed-meshheading:19570680-Adult, pubmed-meshheading:19570680-Age Factors, pubmed-meshheading:19570680-Aged, pubmed-meshheading:19570680-Aged, 80 and over, pubmed-meshheading:19570680-Alzheimer Disease, pubmed-meshheading:19570680-Atrophy, pubmed-meshheading:19570680-Cognition Disorders, pubmed-meshheading:19570680-Female, pubmed-meshheading:19570680-Follow-Up Studies, pubmed-meshheading:19570680-Frontal Lobe, pubmed-meshheading:19570680-Hippocampus, pubmed-meshheading:19570680-Humans, pubmed-meshheading:19570680-Hydrocortisone, pubmed-meshheading:19570680-Male, pubmed-meshheading:19570680-Mental Status Schedule, pubmed-meshheading:19570680-Middle Aged, pubmed-meshheading:19570680-Neuropsychological Tests, pubmed-meshheading:19570680-Predictive Value of Tests, pubmed-meshheading:19570680-Statistics as Topic, pubmed-meshheading:19570680-Tomography Scanners, X-Ray Computed
pubmed:year
2009
pubmed:articleTitle
Elevated basal cortisol level predicts lower hippocampal volume and cognitive decline in Alzheimer's disease.
pubmed:affiliation
Department of Neurology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Niao-Sung Hsiang, Kaohsiung, Taiwan.
pubmed:publicationType
Journal Article