Are 腦退化症 and 認知障礙症 the same thing?
Yes. Both name the same condition. The Department of Health’s Elderly Health Service defines it as a deterioration of brain function caused by disease of the brain’s nerve cells, affecting memory, comprehension, language, learning, calculation and judgement.
Worth noticing is how wide that list is. Dementia is not simply forgetfulness — comprehension, language, calculation and judgement are affected too, and those often threaten everyday safety before memory does, in handling money or using a gas stove.
How many older people in Hong Kong are affected?
A 2023 survey of older people’s mental health by the Chinese University of Hong Kong’s Faculty of Medicine found one in five community-dwelling older people with mild cognitive impairment and 7.4 per cent with dementia.
Mild cognitive impairment and dementia are not the same: the first is a decline in cognitive ability short of disease, the second already affects daily life. The one-in-five figure matters because it describes older people still living in the community who may not yet have been identified.
| Type | Share of Hong Kong cases | What it means |
|---|---|---|
| Alzheimer’s disease | About 65% | The commonest type |
| Vascular dementia | About 30% | Second commonest, and tied directly to vascular health |
| Others | The remainder | Including those related to Parkinson’s disease, thyroid dysfunction and vitamin B12 deficiency |