Prevalence of dementia in Japan: a systematic review

Dement Geriatr Cogn Disord. 2013;36(1-2):111-8. doi: 10.1159/000353444. Epub 2013 Jul 13.

Abstract

Background/aims: The actual prevalence of dementia in Japan as well as the changes in the prevalence are not well known. Therefore, we undertook a systematic review to collect evidence regarding the prevalence of dementia in Japan.

Methods: For this systematic review, we searched 2 electronic databases to identify cross-sectional or repeated cross-sectional studies with data regarding the study population, study location, diagnostic criteria, and prevalence of dementia.

Results: Twenty-one studies were selected from 782 references. Sixteen studies surveyed individuals living at home; of these, 5 studies also included hospitalized or institutionalized patients. Most of the studies were conducted using a two-phase survey (phase I: screening, phase II: diagnosis of dementia). The clinical diagnosis of dementia was made based on the guidelines of the Diagnostic and Statistical Manual of Mental Disorders (DSM) in a majority of the studies. The prevalence of all types of dementia ranged from 2.9 to 12.5% and has been gradually increasing over the past few years.

Conclusion: The results of this systematic review suggest that the prevalence of dementia has recently increased. However, further well-designed studies taking into account factors that affect the prevalence of dementia are needed to clarify the actual prevalence.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Dementia / epidemiology*
  • Female
  • Geography
  • Humans
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Prevalence
  • Rural Population
  • Urban Population