AI-POWERED EARLY DETECTION OF ALZHEIMER’S DISEASE IN ELDERLY POPULATION IN LAHORE: A CROSS-SECTIONAL STUDY

Authors

  • Muhammad Adnan Aslam SIMS/Services Hospital, Lahore, Pakistan. Author https://orcid.org/0000-0001-5704-3878
  • Muhammad Javaid Mushtaq SIMS/Services Hospital, Lahore, Pakistan. Author
  • Asmarah Nadeem SIMS/Services Hospital, Lahore, Pakistan. Author
  • Rana Muhammad Farooq Sattar SIMS/Services Hospital, Lahore, Pakistan. Author
  • Muhammad Suhail SIMS/Services Hospital, Lahore, Pakistan. Author
  • Rizwan Asghar SIMS/Services Hospital, Lahore, Pakistan. Author

DOI:

https://doi.org/10.71000/nra99x57

Keywords:

Aged, Alzheimer Disease, Artificial Intelligence, Cognitive Dysfunction, Early Diagnosis, Machine Learning, Natural Language Processing

Abstract

Background: Alzheimer’s disease (AD) is the most prevalent form of dementia, posing a growing burden in aging populations, especially in low- and middle-income countries. Early detection remains a significant challenge due to limited access to diagnostic resources and specialist care. Artificial intelligence (AI), particularly speech-based analysis, offers promise for non-invasive, cost-effective screening in such contexts.

Objective: To investigate the role of artificial intelligence in the early detection of Alzheimer’s symptoms using speech-based features among elderly residents of Lahore, Pakistan.

Methods: A cross-sectional study was conducted over eight months, involving 388 elderly participants aged 60 and above. Standardized cognitive assessments (MMSE and MoCA) were administered alongside AI-driven linguistic analysis using supervised machine learning algorithms. Speech samples from guided verbal tasks were processed using natural language processing techniques, and features such as lexical diversity, fluency, and syntactic complexity were extracted. Models including Random Forest, SVM, and Logistic Regression were evaluated for diagnostic performance. Statistical tests included t-tests, chi-square tests, and multivariate logistic regression.

Results: Among participants, 34.0% exhibited mild cognitive impairment and 18.6% showed signs of early Alzheimer’s. The Random Forest classifier achieved the highest diagnostic accuracy (88.4%), with sensitivity and specificity above 85%. AI-linguistic features significantly predicted early cognitive impairment (OR = 1.35; 95% CI: 1.22–1.49; p < 0.001), even after adjusting for age, education, and family history.

Conclusion: AI-based speech analysis demonstrates strong potential as a screening tool for early Alzheimer’s detection in urban elderly populations. Its application in low-resource settings may enhance timely diagnosis and intervention planning.

Author Biographies

  • Muhammad Adnan Aslam, SIMS/Services Hospital, Lahore, Pakistan.

    Associate Professor, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

  • Muhammad Javaid Mushtaq , SIMS/Services Hospital, Lahore, Pakistan.

    Postgraduate Resident, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

  • Asmarah Nadeem , SIMS/Services Hospital, Lahore, Pakistan.

    Postgraduate Resident, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

  • Rana Muhammad Farooq Sattar , SIMS/Services Hospital, Lahore, Pakistan.

    Postgraduate Resident, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

  • Muhammad Suhail , SIMS/Services Hospital, Lahore, Pakistan.

    Postgraduate Resident, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

  • Rizwan Asghar , SIMS/Services Hospital, Lahore, Pakistan.

    Postgraduate Resident, Department of Neurology, SIMS/Services Hospital, Lahore, Pakistan.

References

Kale M, Wankhede N, Pawar R, Ballal S, Kumawat R, Goswami M, et al. AI-driven innovations in Alzheimer's disease: Integrating early diagnosis, personalized treatment, and prognostic modelling. Ageing Res Rev. 2024;101:102497.

Maleki SF, Yousefi M, Sobhi N, Jafarizadeh A, Alizadehsani R, Gorriz-Saez JM. Artificial Intelligence in Eye Movements Analysis for Alzheimer's Disease Early Diagnosis. Curr Alzheimer Res. 2024;21(3):155-65.

Yang Q, Li X, Ding X, Xu F, Ling Z. Deep learning-based speech analysis for Alzheimer's disease detection: a literature review. Alzheimers Res Ther. 2022;14(1):186.

Kang L, Zhang X, Guan J, Huang K, Wu R. Early Alzheimer's disease diagnosis via handwriting with self-attention mechanisms. J Alzheimers Dis. 2024;102(1):173-80.

Qiao H, Chen L, Ye Z, Zhu F. Early Alzheimer's disease diagnosis with the contrastive loss using paired structural MRIs. Comput Methods Programs Biomed. 2021;208:106282.

Fabietti M, Mahmud M, Lotfi A, Leparulo A, Fontana R, Vassanelli S, et al. Early Detection of Alzheimer's Disease From Cortical and Hippocampal Local Field Potentials Using an Ensembled Machine Learning Model. IEEE Trans Neural Syst Rehabil Eng. 2023;31:2839-48.

Mmadumbu AC, Saeed F, Ghaleb F, Qasem SN. Early detection of Alzheimer's disease using deep learning methods. Alzheimers Dement. 2025;21(5):e70175.

Wang C, Xu T, Yu W, Li T, Han H, Zhang M, et al. Early diagnosis of Alzheimer's disease and mild cognitive impairment based on electroencephalography: From the perspective of event related potentials and deep learning. Int J Psychophysiol. 2022;182:182-9.

Fathi S, Ahmadi M, Dehnad A. Early diagnosis of Alzheimer's disease based on deep learning: A systematic review. Comput Biol Med. 2022;146:105634.

Yang X, Hong K, Zhang D, Wang K. Early diagnosis of Alzheimer's Disease based on multi-attention mechanism. PLoS One. 2024;19(9):e0310966.

Diogo VS, Ferreira HA, Prata D. Early diagnosis of Alzheimer's disease using machine learning: a multi-diagnostic, generalizable approach. Alzheimers Res Ther. 2022;14(1):107.

Li VOK, Lam JCK, Han Y, Cheung LYL, Downey J, Kaistha T, et al. Editorial: Designing a Protocol Adopting an Artificial Intelligence (AI)-Driven Approach for Early Diagnosis of Late-Onset Alzheimer's Disease. J Mol Neurosci. 2021;71(7):1329-37.

Yu X, Srivastava S, Huang S, Hayden EY, Teplow DB, Xie YH. The Feasibility of Early Alzheimer's Disease Diagnosis Using a Neural Network Hybrid Platform. Biosensors (Basel). 2022;12(9).

Liu S, Masurkar AV, Rusinek H, Chen J, Zhang B, Zhu W, et al. Generalizable deep learning model for early Alzheimer's disease detection from structural MRIs. Sci Rep. 2022;12(1):17106.

Verma RK, Pandey M, Chawla P, Choudhury H, Mayuren J, Bhattamisra SK, et al. An Insight into the Role of Artificial Intelligence in the Early Diagnosis of Alzheimer's Disease. CNS Neurol Disord Drug Targets. 2022;21(10):901-12.

Wang Z, Wang J, Liu N, Liu C, Li X, Dong L, et al. Learning Cognitive-Test-Based Interpretable Rules for Prediction and Early Diagnosis of Dementia Using Neural Networks. J Alzheimers Dis. 2022;90(2):609-24.

Tan WY, Hargreaves C, Chen C, Hilal S. A Machine Learning Approach for Early Diagnosis of Cognitive Impairment Using Population-Based Data. J Alzheimers Dis. 2023;91(1):449-61.

Binder J, Ursu O, Bologa C, Jiang S, Maphis N, Dadras S, et al. Machine learning prediction and tau-based screening identifies potential Alzheimer's disease genes relevant to immunity. Commun Biol. 2022;5(1):125.

Scribano Parada MP, González Palau F, Valladares Rodríguez S, Rincon M, Rico Barroeta MJ, García Rodriguez M, et al. Preclinical Cognitive Markers of Alzheimer Disease and Early Diagnosis Using Virtual Reality and Artificial Intelligence: Literature Review. JMIR Med Inform. 2025;13:e62914.

Ryzhikova E, Ralbovsky NM, Sikirzhytski V, Kazakov O, Halamkova L, Quinn J, et al. Raman spectroscopy and machine learning for biomedical applications: Alzheimer's disease diagnosis based on the analysis of cerebrospinal fluid. Spectrochim Acta A Mol Biomol Spectrosc. 2021;248:119188.

Wang LX, Wang YZ, Han CG, Zhao L, He L, Li J. Revolutionizing early Alzheimer's disease and mild cognitive impairment diagnosis: a deep learning MRI meta-analysis. Arq Neuropsiquiatr. 2024;82(8):1-10.

Vrahatis AG, Skolariki K, Krokidis MG, Lazaros K, Exarchos TP, Vlamos P. Revolutionizing the Early Detection of Alzheimer's Disease through Non-Invasive Biomarkers: The Role of Artificial Intelligence and Deep Learning. Sensors (Basel). 2023;23(9).

Krix S, Wilczynski E, Falgàs N, Sánchez-Valle R, Yoles E, Nevo U, et al. Towards early diagnosis of Alzheimer's disease: advances in immune-related blood biomarkers and computational approaches. Front Immunol. 2024;15:1343900.

Downloads

Published

2025-08-26

How to Cite

1.
Aslam MA, Muhammad Javaid Mushtaq, Asmarah Nadeem, Rana Muhammad Farooq Sattar, Muhammad Suhail, Rizwan Asghar. AI-POWERED EARLY DETECTION OF ALZHEIMER’S DISEASE IN ELDERLY POPULATION IN LAHORE: A CROSS-SECTIONAL STUDY. IJHR [Internet]. 2025 Aug. 26 [cited 2025 Aug. 28];3(4 (Health and Rehabilitation):744-50. Available from: https://insightsjhr.com/index.php/home/article/view/1268