Certain 'Senior Moments' May Signal Mental
THURSDAY, Sept. 15 (HealthDay News) -- Those "senior moments"
that plague so many aging Baby Boomers may or may not be a sign of
more serious problems down the line.
New research finds that losing your train of thought or
forgetting where you placed your keys may be a fairly benign --
albeit annoying -- sign of age. But having trouble remembering what
happened a few minutes ago, or getting lost in familiar places, may
be more serious.
The information, published in the September issue of the
Journal of the American Geriatrics Society, should help primary care physicians sort out the mundane from the more troublesome when they see elderly patients.
"They should be asking their patients if they have any complaints [about memory or thinking skills]," said study lead author Rebecca Amariglio, a neuropsychologist with Brigham and Women's Hospital and Harvard Medical School in Boston. "When you're getting old, it's common to ignore these complaints."
President Obama's Affordable Care Act includes a provision for
screening for these types of problems, called cognitive problems,
at a person's annual physical exam.
So researchers are trying to find simple ways to sort out which
patients can go home (relatively) reassured, and which might need
further testing for Alzheimer's disease or another form of
For this study, researchers quizzed almost 17,000 women, average
age about 74, over the telephone about their own recollections of
memory lapses. The investigators then correlated this data with how
the women scored on standard cognitive tests, including delayed
recall of sets of words and numbers, also administered over the
The researchers used a set of questions -- seven in all -- which
asked the participants if they had recently experienced a change in
their ability to remember things, whether they had trouble
remembering a short list of items (such as a shopping list),
whether they had trouble remembering recent events, and whether
they had trouble remembering things from one second to the
The women were also asked whether they had difficulty following
spoken or written instructions, whether they had more trouble than
usual following a group conversation or TV program due to memory
problems, or whether they had trouble finding their way around
"Getting lost," in particular, was highly associated with cognitive impairment. Women who reported they had gotten lost in familiar neighborhoods tended to score significantly lower on cognitive tests similar to those used to detect signs of Alzheimer's. Having trouble keeping up with a group conversation and difficulty following instructions were also strongly associated -- though not as highly -- with cognitive impairment.
On the other hand, forgetting things from one moment to the next
was not associated with any decline in measure of cognitive
But the more complaints a woman had, the more likely she was to
score poorly on the test administered by investigators. Each
additional complaint was associated with a 20 percent increase in
cognitive impairment. (The complaint of forgetting one moment to
the next had a score of zero since it was not associated with
The authors noted that the participants were all women and
mostly white, however, which means that the findings may not be
generalizable to other populations.
Another expert pointed out other limitations of the study.
The "senior moments" reported by the study participants were
only related to how well they did on the telephone tests, not to
whether or not the person had actual dementia, according to Mary
Sano, professor of psychiatry and director of the Alzheimer's
Disease Research Center at Mount Sinai School of Medicine in New
"This may overstate the problem, which also is not a good thing," she said, adding that the study does not trace the source of any problems it uncovered.
"The next step going forward would be to develop specific questions to ask [and] to see if this relates to dementia," Amariglio said.
For now, simple questions don't portend "what the future holds,"
she added. But answers may indicate that follow-up is
"It's one little extra red flag that can maybe direct decisions," Amariglio said.
For more information about stages of Alzheimer's, visit the
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