Lecture Notes in Education Psychology and Public Media

- The Open Access Proceedings Series for Conferences


Lecture Notes in Education Psychology and Public Media

Vol. 45, 19 April 2024


Open Access | Article

The Prevalence of Mild Cognitive Impairment in Elders in Chongqing, China

Yanlin Li * 1 , Jie Lyu 2
1 University of St Andrews
2 University of St Andrews

* Author to whom correspondence should be addressed.

Lecture Notes in Education Psychology and Public Media, Vol. 45, 29-36
Published 19 April 2024. © 2023 The Author(s). Published by EWA Publishing
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Citation Yanlin Li, Jie Lyu. The Prevalence of Mild Cognitive Impairment in Elders in Chongqing, China. LNEP (2024) Vol. 45: 29-36. DOI: 10.54254/2753-7048/45/20230228.

Abstract

Mild cognitive impairment (MCI) is a window to detect dementia, and to screen MCI, Montreal Cognitive Assessment (MoCA) is commonly used. This work investigated the prevalence of MCI in Chongqing elderlies by using MoCA as a tool. One hundred fourteen valid data from older adults (≥ 55 years, 51.75% males) were recruited for this research. Twelve demographic information were collected, and each participant did one of the two versions of MoCA tests (Beijing 7.1, and the optimized version). They were developed based on the Beijing 7.1 version, and four test sections were optimized to adapt to the native speaking and cultural background. Five risky demographic factors were found. The incidence of MCI detected by the optimized MoCA version was lowered to 83.3% compared to 94.4% in the original version, and the naming section was significantly improved. The significant decrease in the overall prevalence indicates that the optimization of the MoCA has, to some extent, made it more suitable for Chongqing elders. Accordingly, we suggest further professional and detailed improvements to MoCA.

Keywords

mild cognitive impairment, Montreal Cognitive Assessment, Chongqing

References

1. Brayne, C. and D. Davis, Making Alzheimer's and dementia research fit for populations. Lancet, 2012. 380(9851): p. 1441-3.

2. Aarsland, D., Epidemiology and Pathophysiology of Dementia-Related Psychosis. J Clin Psychiatry, 2020. 81(5).

3. Petersen, R.C., Mild Cognitive Impairment. Continuum (Minneap Minn), 2016. 22(2 Dementia): p. 404-18.

4. Anderson, N.D., State of the science on mild cognitive impairment (MCI). CNS Spectrums, 2019. 24(1): p. 78-87.

5. Langa, K.M. and D.A. Levine, The diagnosis and management of mild cognitive impairment: a clinical review. Jama, 2014. 312(23): p. 2551-61.

6. Pinto, T.C.C., et al., Is the Montreal Cognitive Assessment (MoCA) screening superior to the Mini-Mental State Examination (MMSE) in the detection of milda cognitive impairment (MCI) and Alzheimer's Disease (AD) in the elderly? Int Psychogeriatr, 2019. 31(4): p. 491-504.

7. Tschanz, J.T., et al., Conversion to dementia from mild cognitive disorder: the Cache County Study. Neurology, 2006. 67(2): p. 229-34.

8. Petersen, R.C., et al., Mild cognitive impairment: clinical characterization and outcome. Arch Neurol, 1999. 56(3): p. 303-8.

9. Deng, Y., et al., The Prevalence of Mild Cognitive Impairment among Chinese People: A Meta-Analysis.

10. Jia, X., et al., A comparison of the Mini-Mental State Examination (MMSE) with the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: a cross-sectional study. BMC Psychiatry, 2021. 21(1): p. 485.

11. Petersen, R.C., et al., Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology, 2018. 90(3): p. 126-135.

12. Petersen, R.C., et al., Mild cognitive impairment: ten years later. Arch Neurol, 2009. 66(12): p. 1447-55.

13. Aerts, L., et al., Effects of MCI subtype and reversion on progression to dementia in a community sample. 2017. 88(23): p. 2225-2232.

14. Jia, L., et al., Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health, 2020. 5(12): p. e661-e671.

15. Brodaty, H., et al., Mild cognitive impairment in a community sample: The Sydney Memory and Ageing Study. 2013. 9(3): p. 310-317.e1.

16. Bai, W., et al., Worldwide prevalence of mild cognitive impairment among community dwellers aged 50 years and older: a meta-analysis and systematic review of epidemiology studies. Age and Ageing, 2022. 51(8): p. afac173.

17. Eshkoor, S.A., et al., Mild cognitive impairment and its management in older people. Clin Interv Aging, 2015. 10: p. 687-93.

18. Jongsiriyanyong, S. and P. Limpawattana, Mild Cognitive Impairment in Clinical Practice: A Review Article. 2018. 33(8): p. 500-507.

19. Lim, M.Y.L. and J.H.Y. Loo, Screening an elderly hearing impaired population for mild cognitive impairment using Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). 2018. 33(7): p. 972-979.

20. Nieuwenhuis-Mark, R.E., The death knoll for the MMSE: has it outlived its purpose? J Geriatr Psychiatry Neurol, 2010. 23(3): p. 151-7.

21. Mitchell, A.J., A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. J Psychiatr Res, 2009. 43(4): p. 411-31.

22. Breton, A., D. Casey, and N.A. Arnaoutoglou, Cognitive tests for the detection of mild cognitive impairment (MCI), the prodromal stage of dementia: Meta-analysis of diagnostic accuracy studies. Int J Geriatr Psychiatry, 2019. 34(2): p. 233-242.

23. Li, W., L. Yue, and S. Xiao, Association Between Internet Use, Cognitive Function, and Globus Pallidus Volumes: A Study Among the Elderly in Chinese Communities. 2022. 10.

24. Gao, S., Ministry of Education: The national prevalence of mandarin reached 80.72%, in China Media Group CCTV News. 2021, CCTV.

25. Petersen, R.C., Clinical practice. Mild cognitive impairment. N Engl J Med, 2011. 364(23): p. 2227-34.

26. Lim, M.Y.L. and J.H.Y. Loo, Screening an elderly hearing impaired population for mild cognitive impairment using Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). Int J Geriatr Psychiatry, 2018. 33(7): p. 972-979.

27. Mohammed, Z., et al., Association between vision and cognitive function among community-dwelling older adults in Selangor, Malaysia. Int J Ophthalmol, 2023. 16(1): p. 115-120.

28. Einstad, M.S., et al., Associations between post-stroke motor and cognitive function: a cross-sectional study. BMC Geriatr, 2021. 21(1): p. 103.

29. O'Driscoll, C. and M. Shaikh, Cross-Cultural Applicability of the Montreal Cognitive Assessment (MoCA): A Systematic Review. J Alzheimers Dis, 2017. 58(3): p. 789-801.

30. Ciesielska, N., et al., Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. 2016. 50(5): p. 1039-1052.

Data Availability

The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Authors who publish this series agree to the following terms:

1. Authors retain copyright and grant the series right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this series.

2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the series's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this series.

3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See Open Access Instruction).

Volume Title
Proceedings of the International Conference on Global Politics and Socio-Humanities
ISBN (Print)
978-1-83558-359-3
ISBN (Online)
978-1-83558-360-9
Published Date
19 April 2024
Series
Lecture Notes in Education Psychology and Public Media
ISSN (Print)
2753-7048
ISSN (Online)
2753-7056
DOI
10.54254/2753-7048/45/20230228
Copyright
19 April 2024
Open Access
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Copyright © 2023 EWA Publishing. Unless Otherwise Stated