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Late-Onset Alcohol Abuse as a Presenting Symptom of Neurodegenerative Diseases

Background: The association between lifetime alcohol abuse and a higher risk to develop dementia is well known. However, it is unknown whether older adults who begin abusing alcohol late in life have an underlying neurodegenerative disease. Objective: Identify the frequency of lifelong alcohol abuse...

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Bibliographic Details
Published in:Journal of Alzheimer's disease 2022-01, Vol.86 (3), p.1073-1080
Main Authors: de Paula França Resende, Elisa, Ketelle, Robin, Karydas, Anna, Allen, Isabel, Grinberg, Lea T., Spina, Salvatore, Seeley, William W., Perry, David C., Miller, Bruce, Naasan, Georges
Format: Article
Language:English
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Summary:Background: The association between lifetime alcohol abuse and a higher risk to develop dementia is well known. However, it is unknown whether older adults who begin abusing alcohol late in life have an underlying neurodegenerative disease. Objective: Identify the frequency of lifelong alcohol abuse (L-AA), late-onset alcohol abuse (LO-AA), and alcohol abuse as a first symptom of dementia (AA-FS) in patients with neurodegenerative diseases. Methods: Cross-sectional retrospective study of patients evaluated at an academic referral center with a clinical diagnosis of behavioral variant frontotemporal dementia (bvFTD), Alzheimer-type dementia (AD), and semantic variant primary progressive aphasia (svPPA) (n = 1,518). The presence of alcohol abuse was screened with the National Alzheimer’s Coordinating Center questionnaire. L-AA was defined as onset
ISSN:1387-2877
1875-8908
DOI:10.3233/JAD-215369