title: Conjugal Alzheimer disease: risk in children when both parents have Alzheimer disease.
abstract: BACKGROUND
  There is limited information regarding children's risk of Alzheimer disease (AD) if both parents are affected.
  
  
  OBJECTIVE
  To determine the risk of AD in families in which both parents have AD.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  University research center.
  
  
  METHODS
  A total of 111 families in which both parents had a clinical diagnosis of AD. Main Outcome Measure Frequency of AD in the children of spouses with AD.
  
  
  RESULTS
  The 111 couples with AD had 297 children surviving to adulthood; 22.6% of these adult children have developed AD. The risk of AD in these children increases with age, being 31.0% (58 of 187) in those older than 60 years and 41.8% (41 of 98) in those older than 70 years. Many children (79.0%) at risk in these families are still younger than 70 years, meaning that the occurrence of AD will increase in the coming years. A family history of AD beyond the parents did not change the risk of AD in the children but did reduce the median age at onset in affected children. The apolipoprotein E epsilon4 allele played an important part in this phenomenon but did not explain all cases of AD in the children.
  
  
  CONCLUSIONS
  When both parents have AD, there is an increased risk of AD in their children beyond that of the general population. The role of family history and the specific genes involved in this phenomenon require a better definition.
authors.affiliation: Department of Neurology, University of Washington, Seattle, USA.
authors.forename: Suman
authors.initials: S
authors.lastname: Jayadev
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: Steinbart
authors.forename: Yueh-Yun
authors.initials: YY
authors.lastname: Chi
authors.forename: Walter A
authors.initials: WA
authors.lastname: Kukull
authors.forename: Gerard D
authors.initials: GD
authors.lastname: Schellenberg
authors.forename: Thomas D
authors.initials: TD
authors.lastname: Bird
mesh_terms: D017668:Age of Onset; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000453:epidemiology* / Q000235:genetics*; D053327:Apolipoprotein E4 / Q000235:genetics; D005192:Family Health; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D008297:Male; D010290:Parents; D012189:Retrospective Studies; D012306:Risk
chemical_list: D053327:Apolipoprotein E4