About Alzheimer's Disease

Understanding the most common form of dementia and its impact on millions of lives worldwide

What is Alzheimer's Disease?

Alzheimer's disease is a progressive neurodegenerative disorder that affects memory, thinking, and behavior. It is the most common cause of dementia, accounting for 60-80% of dementia cases. The disease is characterized by the buildup of abnormal protein deposits in the brain, including amyloid plaques and tau tangles, which disrupt normal brain function.

Named after Dr. Alois Alzheimer, who first described the condition in 1906, the disease typically begins with mild memory problems and gradually progresses to severe cognitive impairment that interferes with daily activities and independent living.

6.7M
Americans living with Alzheimer's
#6
Leading cause of death in the US
13.8M
Projected cases by 2060
Symptoms and Stages

Early Stage (Mild)

  • Memory loss that disrupts daily life
  • Challenges in planning or solving problems
  • Difficulty completing familiar tasks
  • Confusion with time or place
  • Trouble understanding visual images and spatial relationships
  • New problems with words in speaking or writing

Middle Stage (Moderate)

  • Increased memory loss and confusion
  • Problems recognizing family and friends
  • Inability to learn new things
  • Difficulty carrying out multistep tasks
  • Problems coping with new situations
  • Impulsiveness and poor judgment

Late Stage (Severe)

  • Severe memory loss
  • Physical symptoms including difficulty walking
  • Difficulty communicating
  • Vulnerability to infections
  • Need for full-time assistance with daily activities
  • Loss of awareness of recent experiences and surroundings
Risk Factors

Non-Modifiable Risk Factors

  • Age: Greatest risk factor, doubles every 5 years after 65
  • Genetics: Family history and specific gene variants (APOE ε4)
  • Gender: Women are more likely to develop Alzheimer's
  • Down syndrome: Higher risk due to extra chromosome 21

Modifiable Risk Factors

  • Cardiovascular health: Heart disease, diabetes, high blood pressure
  • Physical inactivity: Lack of regular exercise
  • Poor diet: High saturated fat, low antioxidants
  • Social isolation: Limited social engagement
  • Sleep disorders: Poor sleep quality or sleep apnea
  • Head injuries: Traumatic brain injuries
Brain Changes in Alzheimer's Disease

Alzheimer's disease causes specific changes in the brain that can be observed through advanced imaging techniques and post-mortem examination. Understanding these changes helps researchers develop better treatments and diagnostic tools.

Amyloid Plaques

Abnormal clusters of protein fragments (beta-amyloid) that build up between nerve cells, disrupting cell-to-cell communication and triggering immune system responses that cause inflammation.

Neurofibrillary Tangles

Twisted fibers of tau protein that build up inside nerve cells, blocking the transport of nutrients and other essential materials, leading to cell death.

Brain Shrinkage

As neurons die, brain tissue shrinks significantly, particularly in areas responsible for memory, language, and reasoning. The ventricles (fluid-filled spaces) become enlarged.

Neurotransmitter Loss

Reduction in chemical messengers, particularly acetylcholine, which is crucial for memory and learning. This leads to communication breakdown between brain cells.

Diagnosis and Testing

There is no single test for Alzheimer's disease. Diagnosis involves a comprehensive evaluation that may include:

Medical History and Physical Exam

Review of symptoms, medical history, medications, and family history

Cognitive and Neurological Tests

Memory, problem-solving, attention, counting, and language assessments

Brain Imaging

MRI, CT, or PET scans to look for brain changes and rule out other conditions

Laboratory Tests

Blood tests and potentially cerebrospinal fluid analysis to detect biomarkers

Treatment and Management

While there is currently no cure for Alzheimer's disease, several treatments can help manage symptoms and potentially slow progression:

FDA-Approved Medications

Cholinesterase Inhibitors

Donepezil, rivastigmine, and galantamine help maintain cognitive function by preventing the breakdown of acetylcholine.

NMDA Antagonist

Memantine helps regulate glutamate activity and may help with moderate to severe stages of the disease.

Non-Drug Approaches

  • Maintaining regular routines and familiar environments
  • Physical exercise and activity programs
  • Social engagement and meaningful activities
  • Music therapy and art therapy
  • Managing other health conditions
  • Creating a safe, supportive living environment
Support and Resources

Living with Alzheimer's affects not just the individual but also family members and caregivers. Numerous resources are available to provide support, education, and assistance:

National Organizations

  • • Alzheimer's Association (alz.org)
  • • National Institute on Aging (nia.nih.gov)
  • • Alzheimer's Foundation of America (alzfdn.org)
  • • Family Caregiver Alliance (caregiver.org)

Local Support

  • • Local Alzheimer's Association chapters
  • • Support groups for patients and caregivers
  • • Adult day programs
  • • Respite care services

Take Action for Your Brain Health

Understanding your risk factors is the first step toward maintaining cognitive health. Our evidence-based assessment can help you identify areas for improvement and take proactive steps to protect your brain.