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Differences in Sex Distribution between Genetic and Sporadic Frontotemporal Dementia

  • Technical University of Munich
  • Martin Luther University Halle-Wittenberg
  • University Hospital of Ulm
  • The University of Sydney
  • IRCCS Fondazione Ca'Granda – Ospedale Maggiore Policlinico - Milano
  • McGill University Health Center
  • International Centre for Rural Health of the San Paolo Hospital
  • McConnell Brain Imaging Centre, Montreal Neurological Institut, McGill University, Montreal, Québec, Canada
  • Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Canada

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Reported sex distributions differ between frontotemporal dementia (FTD) cohorts. Possible explanations are the evolving clinical criteria of FTD and its subtypes and the discovery of FTD causal genetic mutations that has resulted in varying demographics. Objective: Our aim was to determine the sex distribution of sporadic and genetic FTD cases and its subtypes in an international cohort. Methods: We included 910 patients with behavioral variant frontotemporal dementia (bvFTD; n = 654), non-fluent variant primary progressive aphasia (nfvPPA; n = 99), semantic variant primary progressive aphasia (svPPA; n = 117), and right temporal variant frontotemporal dementia (rtvFTD; n = 40). We compared sex distribution between genetic and sporadic FTD using χ2-tests. Results: The genetic FTD group consisted of 51.2% males, which did not differ from sporadic FTD (57.8% male, p = 0.08). In the sporadic bvFTD subgroup, males were predominant in contrast to genetic bvFTD (61.6% versus 52.9% males, p = 0.04). In the other clinical FTD subgroups, genetic cases were underrepresented and within the sporadic cases the sex distribution was somewhat equal. Conclusion: The higher male prevalence in sporadic bvFTD may provide important clues for its differential pathogenesis and warrants further research.
Original languageEnglish
Pages (from-to)1153-1161
Number of pages9
JournalJournal of Alzheimer's disease : JAD
Volume84
Issue number3
Early online date4 Oct 2021
DOIs
Publication statusPublished - 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Behavioral variant frontotemporal dementia
  • Genetic
  • Non-fluent variant primary progressive aphasia
  • Right temporal variant frontotemporal dementia
  • Semantic variant primary progressive aphasia
  • Sex differences
  • Sex distribution
  • Sporadic

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