Which of the following is one of the earliest symptoms of alzheimer disease?

Alzheimer’s disease on many levels is daunting. Partly because we don’t fully understand it, but mostly because it leads to such a profound loss for people living with the disease and those that love them. Each day, we get one step further in our understanding of Alzheimer’s. We believe in a future where we can detect the disease and stop its progression, a future where living with Alzheimer’s still means living a full life.

Alzheimer’s is a chronic, progressive neurodegenerative disease and the most prevalent form of dementia.1,2,3,4 It often results in a gradual decline in memory, language, and other thinking skills as well as changes in mood and behavior. Today, more than 55 million people worldwide5 are living with dementia, with over 10 million new cases diagnosed each year – or one new case every 3.2 seconds – making it an enormous and growing public health challenge.6

Want to learn more about the signs, symptoms, and management of Alzheimer’s? Take this quiz to test your current knowledge about the disease.

1. Who is at risk of developing Alzheimer’s disease?

People aged 65 and older

People who have a parent, brother or sister with Alzheimer’s

People of color and traditionally underserved communities

All of the above

Anyone can develop Alzheimer’s and there is no one cause. It can develop based on a combination of genetic, environmental and lifestyle factors.7 However, some people are at increased risk.

  • Age: Alzheimer’s is most common in people age 65 and older. After age 65, the risk of Alzheimer’s doubles every five years. And after age 85, the risk reaches nearly one-third.7
  • Family History: People who have a parent, brother or sister with Alzheimer’s are more likely to develop the disease. A person’s risk also increases if more than one family member has Alzheimer’s.7
  • Gender: Women are more often impacted by Alzheimer’s than men. In the U.S., of the 6.2 million people age 65 and older living with Alzheimer’s, 3.8 million are women and 2.4 million are men.8
  • Race: Alzheimer’s disproportionately affects people of color. In the U.S., among people age 65 and older, 18.6% of Black Americans and 14% of Hispanic Americans have Alzheimer’s versus 10% of White Americans.8

2. Scientists have no idea what may cause Alzheimer’s

True

False

Alzheimer’s is a complex condition that involves multiple disease-causing pathways and processes influenced by genetics, environmental, and lifestyle factors.7 However, scientists believe the major cause is the build-up of two toxic proteins in the brain, amyloid and tau. Over decades, the buildup of toxic versions of these proteins leads to the loss of nerve cells (neurons), which ultimately impacts a person’s ability to think and carry out daily functions.9

3. Which of the following could be a symptom of Alzheimer’s?

Memory loss

Poor judgment

Misplacing items

All of the above; these can all be symptoms of Alzheimer’s

Memory loss, challenges solving problems, difficulty completing familiar tasks, losing track of dates or times, changes in judgment, and misplacing things are some of the most common symptoms of Alzheimer’s. These are often confused with signs of normal aging. It is important to know the difference.10

  • Memory loss: People with Alzheimer’s forget recently learned information and ask the same questions over and over again. In normal aging, people sometimes forget names or appointments but remember them later.
  • Poor judgment: People with Alzheimer’s may use poor judgment when dealing with money or pay less attention to grooming or keeping themselves clean. In normal aging, people may make a bad decision or mistake once in a while such as neglecting to schedule an oil change for a car.
  • Misplacing items: People with Alzheimer’s may misplace things, lose the ability to retrace steps and put things in unusual places. In normal aging, people may misplace things from time to time and retrace steps to find them.

4. Symptoms of Alzheimer’s may not become noticeable until after changes in the brain occur.

True

False

Alzheimer’s develops slowly and may take up to 25 years for symptoms to become noticeable from the time changes in the brain become apparent.11 It generally progresses in multiple stages.

  • Preclinical: A person has no symptoms of the disease but pathological changes in the brain have begun.12
  • Mild cognitive impairment (MCI) due to Alzheimer’s: A person experiences subtle cognitive changes (e.g., memory loss) but there is minimal impact on their daily activities.11 About one-third of people with MCI develop Alzheimer’s dementia within five years.13
  • Mild, moderate and severe Alzheimer’s dementia: A person starts to experience a significant change in their mental abilities and behavior and there is a progressive loss of independence.11

To learn more about the progression and symptoms of Alzheimer’s, check out The Science of Alzheimer’s Explained.

5. What impact can Alzheimer’s have on a person’s independence?

People living with the disease may find it hard to complete daily tasks

People living with the disease may feel confused, suspicious or depressed

People living with the disease may have difficulty following or joining a conversation

People living with the disease may have to rely on care from partners, spouses, family members, and/or support services

All of the above

Over time, Alzheimer’s can impact people’s ability to live independently and do things that give life meaning. People living with the disease may:14

  • Find it hard to complete daily tasks, drive to a familiar location, organize a grocery list or remember the rules of a favorite game.
  • Lose track of dates, seasons and the passage of time and have trouble understanding something if it is not happening immediately.
  • Have trouble following or joining a conversation, struggle with vocabulary and repeat themselves.
  • Withdraw from hobbies and social activities and have trouble keeping up with a favorite activity.
  • May experience changes in mood and become confused, suspicious, depressed, fearful or anxious.

Alzheimer’s can also have a heavy toll on people who care for someone living with the disease. It can become overwhelming and often distressing, as the role of the care partner evolves over time, and the emotional, physical, and financial pressures eventually consume daily life.

6: How can Alzheimer’s be diagnosed?

Laboratory tests

Memory tests

Brain imaging or scans

All of the above

Today, memory tests as well as tests to exclude other diseases are often the first step to receiving an Alzheimer’s diagnosis. Doctors may ask a person experiencing symptoms to complete exercises related to problem solving, attention, counting and language.15

Because these symptoms can be confused with signs of normal aging16, doctors will commonly perform brain imaging or scans, such as computed tomography (CT), magnetic resonance imaging (MRI) or positron emission tomography (PET), to confirm an Alzheimer’s diagnosis.15

Globally, up to 75% of people with dementia have not been diagnosed, and those who have, often report a long and drawn-out process.17,18 Among the many barriers to receiving an early diagnosis is stigma, which can prevent honest communication within families and stop people from seeking medical treatment when symptoms first become noticeable. Some doctors are also hesitant to diagnose people due to insufficient knowledge about the disease and lack of treatment options.

Scientists are working to develop faster, less invasive and widely accessible biomarker-based testing using brain scans and blood tests. Broad access to these tests would enable doctors to determine whether Alzheimer’s could be the cause of a person’s symptoms – and transfer them to a specialist for further tests to confirm a diagnosis. In the future, it may even support screening for the disease before symptoms become noticeable.

7. Is Alzheimer’s treatable?

Yes

Not currently

All fully FDA-approved available treatments for Alzheimer’s address symptoms rather than the underlying cause, which means the disease continues to progress over time.

At Genentech, we are exploring multiple molecules that may address key pathways of Alzheimer’s – including amyloid-beta and tau – as we pursue our goal of delivering new hope for all people at risk for living with the disease, their care partners and families.


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References

  • 1Mayo Clinic. Alzheimer's and dementia: What's the difference? Accessed March 2022. https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/expert-answers/alzheimers-and-dementia-whats-the-difference/faq-20396861
  • 2Karantzoulis S, Galvin JE. Expert Rev Neurother 2011;11:1579–1591.
  • 3MCDC. Alzheimer's Disease and Related Dementias. Accessed March 2022. hhttps://www.cdc.gov/aging/aginginfo/alzheimers.htm
  • 4World Health Organization 2021. Dementia. Accessed March 2022. https://www.who.int/news-room/fact-sheets/detail/dementia
  • 5World Health Organization. WHO reveals leading causes of death and disability worldwide: 2000-2019. Accessed August .2022. https://www.who.int/news/item/09-12-2020-who-reveals-leading-causes-of-death-and-disability-worldwide-2000-2019
  • 6World Health Organization 2021. Dementia. Accessed March 2022. https://www.who.int/news-room/fact-sheets/detail/dementia
  • 7Alzheimer’s Association. Causes and Risk Factors for Alzheimer's Disease. Accessed August 2022. https://www.alz.org/alzheimers-dementia/what-is-alzheimers/causes-and-risk-factors
  • 8UsAgainstAlzheimer’s. The Alzheimer’s Disease Crisis – By the Numbers (2021). Accessed August 2022. https://www.usagainstalzheimers.org/learn/alzheimers-crisis
  • 9Alzheimer’s Disease Fact Sheet. National Institute on Aging. Accessed August 2022. https://www.nia.nih.gov/health/alzheimers-disease-fact-sheet
  • 10Alzheimer’s Association. 10 Early Signs and Symptoms of Alzheimer's. Accessed August 2022. https://www.alz.org/alzheimers-dementia/10_signs
  • 11UScheltens P et al. Lancet 2021; 397: 1577–90:1577-1590.
  • 12Alzheimer’s Association. Mild Cognitive Impairment. Accessed August 2022. https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment
  • 13Ward A, Tardiff S, Dye C, Arrighi HM. Rate of conversion from prodromal Alzheimer’s disease to Alzheimer’s dementia: A systematic review of the literature. Dement Geriatr Cogn Disord Extra 2013;3(1):320-32.
  • 14Alzheimer’s Association. Facts and Figures. 2021 Alzheimer’s Disease Facts and Figures. Accessed August 2022. https://www.alz.org/media/Documents/alzheimers-facts-and-figures.pdf
  • 15National Institute on Aging. How Is Alzheimer's Disease Diagnosed? Accessed April 2022. https://www.nia.nih.gov/health/how-alzheimers-disease-diagnosed/.
  • 16Bogdanovic, N. The Challenges of Diagnosis in Alzheimer’s Disease. US Neurology. 2018;14(1):15-16.
  • 17ADI. World Alzheimer Report 2021. Accessed March 2022. https://www.alzint.org/resource/world-alzheimer-report-2021/.
  • 18Alzheimer’s Disease International. Over 41 million cases of dementia go undiagnosed across the globe – World Alzheimer Report reveals. Accessed 2022. https://www.alzint.org/news-events/news/over-41-million-cases-of-dementia-go-undiagnosed-across-the-globe-world-alzheimer-report-reveals/

    Which of the following is are one of the earliest symptoms of Alzheimer's disease?

    Memory problems are typically one of the first signs of the disease. Decline in non-memory aspects of cognition, such as finding the right word, trouble understanding visual images and spatial relationships, and impaired reasoning or judgment, may also signal the early stages of Alzheimer's.

    What are the earliest stages of Alzheimer's?

    Early-stage Alzheimer's (mild).
    Coming up with the right word or name..
    Remembering names when introduced to new people..
    Having difficulty performing tasks in social or work settings..
    Forgetting material that was just read..
    Losing or misplacing a valuable object..

    What is a characteristic of early Alzheimer's disease?

    Memory problems are typically one of the first signs of Alzheimer's, though initial symptoms may vary from person to person. A decline in other aspects of thinking, such as finding the right words, vision/spatial issues, and impaired reasoning or judgment, may also signal the very early stages of Alzheimer's disease.

    What are the 10 early signs of Alzheimer's disease?

    Ten Warning Signs of Alzheimer's Disease.
    Memory loss. ... .
    Difficulty performing familiar tasks. ... .
    Problems with language. ... .
    Disorientation to time and place. ... .
    Poor or decreased judgment. ... .
    Problems with abstract thinking. ... .
    Misplacing things. ... .
    Changes in mood or behavior..