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OBJECTIVE: We aimed at estimating the seroprevalence of Toxoplasma gondii (T. gondii) infection in older adults living in Central Africa and investigating its association with dementia using data from the Epidemiology of Dementia in Central Africa (EPIDEMCA) programme. METHODS: A cross-sectional multicentre population-based study was carried out among participants aged 73 (±7) years on average, living in rural and urban areas of the Central African Republic and the Republic of Congo between November 2011 and December 2012. Blood samples were collected from each consenting participant. The detection of anti-T. gondii immunoglobulin G antibodies was performed in 2014 in France using a commercially available ELISA kit. Participants were interviewed using a standardised questionnaire including sociodemographic characteristics. DSM-IV criteria were required for a diagnosis of dementia. Multivariate binary logistic regression models were used to assess the association between toxoplasmosis infection and dementia. RESULTS: Among 1662 participants, the seroprevalence of toxoplasmosis was 63.0% (95% confidence interval (CI): 60.7-65.3) overall, 66.6% (95%CI: 63.4-69.8) in Central African Republic and 59.4% (95%CI: 56.1-62.7) in the Republic of Congo. In multivariate analyses, toxoplasmosis status was significantly associated with increasing age (P = 0.006), Republic of Congo (P = 0.002), urban area (P = 0.001) and previous occupation (P = 0.002). No associations between dementia and toxoplasmosis status or anti-T. gondii IgG titres were found. CONCLUSION: Toxoplasma gondii infection was not associated with dementia among older adults in Central Africa. Our findings are consistent with previous studies and add to the knowledge on the relationship between T. gondii infection and neurological disorders.

Original publication

DOI

10.1111/tmi.13151

Type

Journal article

Journal

Trop Med Int Health

Publication Date

12/2018

Volume

23

Pages

1304 - 1313

Keywords

Toxoplasma gondii , Afrique subsaharienne, Alzheimer's disease, Toxoplasma gondii, dementia, démence, maladie d'Alzheimer, older adults, personnes plus âgées, seroprevalence, sub-Saharan Africa, séroprévalence, Africa, Central, Aged, Aged, 80 and over, Comorbidity, Cross-Sectional Studies, Dementia, Female, Geriatric Assessment, Humans, Male, Prevalence, Surveys and Questionnaires, Toxoplasma, Toxoplasmosis