Lekkie zaburzenie poznawcze
Epidemiologia
Lekkie zaburzenie poznawcze (MCI) to stan pośredni między prawidłowym funkcjonowaniem poznawczym a otępieniem, charakteryzujący się zauważalnym deficytem pamięci i/lub innych funkcji poznawczych, który nie upośledza istotnie codziennego funkcjonowania. Częstość występowania MCI w populacji osób powyżej 50. roku życia wynosi około 15,56% (95% CI: 13,24-18,03%), z wyższą częstością amnestycznej postaci (10,03%, 95% CI: 7,98-12,27%) w porównaniu do nieamnestycznej (8,72%, 95% CI: 6,78-10,89%). W domach opieki częstość ta wzrasta do 21,2% (95% CI: 18,7-23,6%). Ryzyko progresji do otępienia jest znaczne, z rocznym wskaźnikiem konwersji 10-15% dla amnestycznego MCI, a około 40% pacjentów z klinicznie zdiagnozowanym MCI rozwija otępienie w ciągu 18 miesięcy. Czynniki ryzyka obejmują wiek >65 lat, rodzinne występowanie otępienia, choroby sercowo-naczyniowe, obecność allelu ApoE4 oraz migotanie przedsionków, natomiast wyższy poziom wykształcenia działa ochronnie.
Epidemiologia lekkiego zaburzenia poznawczego
Lekkie zaburzenie poznawcze (MCI, ang. Mild Cognitive Impairment) stanowi pośredni stan kliniczny między normalnym poznaniem a otępieniem. Jest to etap, w którym występują zauważalne problemy z pamięcią i/lub innymi funkcjami poznawczymi, które są poważniejsze niż oczekiwane zmiany związane z normalnym starzeniem się, ale niewystarczająco nasilone, aby znacząco wpływać na codzienne funkcjonowanie.12 Osoby z MCI wykazują wysokie ryzyko progresji do otępienia w stosunkowo krótkim czasie, co czyni to schorzenie ważnym obszarem badań i interwencji zdrowia publicznego.3
Globalna częstotliwość występowania
Według najnowszych metaanaliz, ogólna częstość występowania MCI wśród osób powyżej 50. roku życia mieszkających w społecznościach wynosi około 15,56% (95% CI: 13,24-18,03%).4 Częstość występowania różni się znacząco w zależności od typu MCI – w przypadku amnestycznego MCI wynosi około 10,03% (95% CI: 7,98-12,27%), a w przypadku nieamnestycznego MCI około 8,72% (95% CI: 6,78-10,89%).5 Te dane wskazują, że amnestyczna postać MCI jest nieco częstsza niż nieamnestyczna.
W przypadku osób starszych mieszkających w domach opieki częstość występowania MCI jest jeszcze wyższa. Metaanaliza obejmująca 53 badania z 17 krajów wykazała ogólną częstość występowania na poziomie 21,2% (95% CI: 18,7-23,6%).67 Ta wartość jest wyższa niż częstość występowania w ogólnej populacji, co sugeruje, że osoby w domach opieki mogą być szczególnie narażone na to schorzenie.
Różnice geograficzne
Występowanie MCI różni się w zależności od regionu geograficznego. W przypadku osób starszych mieszkających w domach opieki, łączna częstość występowania MCI wynosiła 19,7% w Europie i Azji Centralnej, 20,7% w Ameryce Północnej oraz 18,2% w regionie Azji Wschodniej i Pacyfiku.8 Dla porównania, wśród osób mieszkających w społecznościach odpowiednie wartości wynosiły 10,9%, 15,5% i 19,0%.9
W Stanach Zjednoczonych, które mają najwyższą liczbę przypadków MCI wśród siedmiu głównych rynków (USA, Niemcy, Francja, Wielka Brytania, Włochy, Hiszpania i Japonia), odnotowano około 4,22 miliona zdiagnozowanych przypadków MCI w 2023 roku.10 Z kolei w Japonii zidentyfikowano około 2,73 miliona przypadków MCI, z czego około 103 tysiące przypisano MCI związanemu z chorobą Parkinsona, a 2,62 miliona przypadków – MCI związanemu z chorobą Alzheimera.11
W Brazylii opublikowano jedno badanie dotyczące częstości występowania MCI, które wykazało wskaźnik na poziomie 6,1% oraz zapadalność wynoszącą 13,2/1000 osób rocznie wśród osób w wieku 60 lat lub starszych.12 Badanie National Health and Aging Study w Meksyku (ENASEM) oceniło częstość występowania zaburzeń poznawczych w populacji, wykazując, że tylko 7% miało zaburzenia poznawcze, a 3,3% miało zaburzenia poznawcze i zależność funkcjonalną.13
Wpływ wieku i płci
Częstość występowania MCI znacząco wzrasta z wiekiem. Według szacunków częstość występowania MCI wynosi około 8% wśród osób w wieku 65-69 lat, 15% wśród osób w wieku 75-79 lat, 25% wśród osób w wieku 80-84 lat i aż 37% wśród osób w wieku 85 lat lub starszych.14 Inne badania wykazały podobny trend, z częstością występowania na poziomie 10,1% u osób w wieku 70-74 lat, rosnącą do 14,8% u osób w wieku 75-79 lat i osiągającą 25,2% w grupie wiekowej 80-84 lat.15
Jeśli chodzi o płeć, wyniki badań są niejednoznaczne. Niektóre badania sugerują, że ryzyko choroby Alzheimera jest znacznie wyższe u kobiet niż u mężczyzn, co może sugerować, że prawdopodobieństwo rozwoju MCI jest większe u kobiet.16 Jednakże inne badania wskazują, że MCI może być częstsze u mężczyzn. Na przykład, niektóre dane wskazują na częstość występowania na poziomie 19% u mężczyzn w porównaniu do 14% u kobiet, nawet po uwzględnieniu różnych czynników demograficznych i klinicznych.17 Z kolei inne badanie wskazuje, że MCI jest bardziej rozpowszechnione u starszych kobiet niż u mężczyzn.18
Czynniki ryzyka i czynniki ochronne
Zidentyfikowano kilka czynników ryzyka rozwoju MCI. Najsilniejsze z nich to:
- Wiek powyżej 65 lat
- Rodzinne występowanie otępienia w historii biologicznej
- Schorzenia zwiększające ryzyko chorób sercowo-naczyniowych, w tym nadciśnienie tętnicze, wysoki poziom cholesterolu, cukrzyca i otyłość19
- Obecność co najmniej jednego allelu ApoE4
- Leczone farmakologicznie nadciśnienie tętnicze20
Niedawne badanie wykazało, że diagnoza migotania przedsionków (AF) była związana z 45% większym ryzykiem łagodnych zaburzeń poznawczych w kohorcie 4,3 miliona osób w Wielkiej Brytanii.21 Badania wykazały również, że wyższy poziom wykształcenia jest czynnikiem ochronnym dla MCI.22
Zapadalność i progresja
Dane dotyczące zapadalności na MCI są bardziej ograniczone niż dane dotyczące częstości występowania. Zgłaszana zapadalność na MCI waha się od 5,1 do 168 na 1000 osobolat, podczas gdy zapadalność na amnestyczne MCI szacuje się na 10 do 14 na 1000 osobolat.23
Systematyczny przegląd badań przeprowadzonych w Europie, obu Amerykach i Australii analizował zapadalność na klinicznie diagnozowane MCI. Wskazano w nim, że wskaźniki progresji były wyższe w przypadku pacjentów z klinik specjalistycznych w porównaniu z próbkami społecznymi.24
Szacowana częstość występowania nowych diagnoz MCI wzrasta wraz z wiekiem. Szacowana liczba nowych diagnoz MCI każdego roku na 1000 osób wynosi około 22,5 dla osób w wieku 75-79 lat, 60,1 dla osób w wieku 80-84 lat i 60,1 dla osób w wieku 85 lat lub starszych.25
Ryzyko progresji do otępienia
Osoby z MCI mają znacznie wyższe ryzyko progresji do otępienia niż osoby bez MCI. Według różnych badań, około 10-15% osób z amnestycznym MCI przechodzi do choroby Alzheimera każdego roku, w porównaniu do 1-2% zdrowej populacji osób starszych.2627 Około jedna trzecia osób żyjących z MCI spowodowanym chorobą Alzheimera rozwija otępienie w ciągu pięciu lat.28
Inne badania wskazują, że ryzyko progresji do otępienia wynosi około 5-16% rocznie dla pacjentów z MCI.2930 Nowsze badania sugerują, że prawie 40% pacjentów z klinicznie zdiagnozowanym MCI przechodzi do otępienia spowodowanego chorobą Alzheimera w ciągu średnio 18 miesięcy.31
Warto zauważyć, że nie wszystkie osoby z MCI rozwiną otępienie. Badania pokazują, że około 14% do 38% osób z MCI powraca do normalnego poziomu funkcji poznawczych.32 Jednakże, nawet wśród osób, które powracają do normalnego poznania w pewnym momencie, wskaźnik późniejszego MCI lub otępienia jest wyższy niż wśród tych, którzy nigdy nie rozwinęli MCI.33
Wyniki długoterminowe
Dane z dużej serii autopsji (N = 1,337) osób obserwowanych długoterminowo od stanu normalnego lub MCI do śmierci, pochodzące z 4 ośrodków choroby Alzheimera w Stanach Zjednoczonych, dostarczają cennych informacji na temat długoterminowych wyników po diagnozie MCI. Średni okres obserwacji wynosił 7,9 lat. Spośród 874 osób, u których kiedykolwiek zdiagnozowano MCI, końcowe diagnozy kliniczne były zróżnicowane:
- 39,2% zmarło z diagnozą MCI
- 46,8% z diagnozą otępienia
- 13,9% z diagnozą nienaruszonych funkcji poznawczych34
Ta ostatnia grupa miała cechy patologiczne przypominające te z końcową diagnozą kliniczną MCI. Warto zauważyć, że diagnoza MCI była zwykle związana ze współistniejącymi patologiami; mniej niż jedna czwarta przypadków MCI wykazywała „czystą” chorobę Alzheimera podczas autopsji.35
Osoby z MCI mają również wyższą śmiertelność niż osoby poznawczo normalne.36 Co więcej, osoby z MCI, które wracają do normy, mają wyższe ryzyko rozwoju MCI lub otępienia w późniejszym terminie.37
Znaczenie dla zdrowia publicznego
Zaburzenia poznawcze i choroba Alzheimera są coraz częściej uznawane za poważny problem zdrowia publicznego.3839 Biorąc pod uwagę dłuższą oczekiwaną długość życia wraz z brakiem skutecznych strategii terapeutycznych, zaburzenia poznawcze i choroba Alzheimera stanowią rosnące wyzwanie.40
Identyfikacja predyktorów MCI i choroby Alzheimera niewątpliwie stanowi wyzwanie w dziedzinie zdrowia publicznego, ponieważ umożliwiłaby interwencje, które mogłyby chronić lub opóźnić wystąpienie zaburzeń poznawczych u osób starszych.41 Wczesne wykrywanie MCI może pozwolić na zastosowanie interwencji poznawczych w celu spowolnienia progresji spadku poznawczego.42
Wyzwania związane z diagnostyką i badaniami
Do tej pory niewiele badań analizowało MCI u zdrowych osób z populacji ogólnej, a najnowsze wyniki pokazały trudności w podejściu do częstości występowania MCI, która oczywiście znacznie różni się w zależności od stosowanych kryteriów.43 Różnice w zgłaszanej częstości występowania MCI na całym świecie wynikają z braku standaryzowanych wartości granicznych dla wyników testów neuropsychologicznych, stosowania kohort opartych na populacji w porównaniu z kohortami klinicznymi oraz algorytmicznych (nieopartych na informatorach) w porównaniu z klinicznymi podejściami do przypisywania diagnozy MCI.44
Pomimo rosnącego zainteresowania badawczego MCI, koncepcja ta nadal stoi przed wyzwaniami metodologicznymi dotyczącymi jej operacjonalizacji. Inicjatywa Międzynarodowej Grupy Roboczej ds. MCI (SCD-I) podkreśliła potrzebę zharmonizowanych badań obserwacyjnych, które mogą złagodzić niektóre ograniczenia związane z operacjonalizacją MCI.45
Potencjalne interwencje i badania kliniczne
MCI jest aktywnym obszarem badań. Badania kliniczne są prowadzone w celu lepszego zrozumienia schorzenia i znalezienia metod leczenia, które poprawiłyby objawy lub zapobiegały lub opóźniały otępienie.46 Wiele badań rekrutuje osoby z MCI do testowania wczesnych interwencji, które mogłyby spowolnić lub zatrzymać progresję zaburzeń poznawczych.47
Interwencje poznawcze są ogólnie uważane za skuteczną strategię niefarmakologiczną, aby złagodzić ryzyko neurodegeneracji.48 Postępowanie niefarmakologiczne w przypadku MCI jest ważne, ponieważ obecnie nie ma leczenia modyfikującego przebieg choroby ani leków zatwierdzonych przez FDA dla MCI.49
Niedawna metaanaliza wykazała, że zarówno nadzorowany, jak i nienadzorowany skomputeryzowany trening poznawczy (CCT) poprawia różne rodzaje domen pamięci u osób z MCI.50 Badanie to wykazało, że nadzorowany CCT jest preferowaną metodą dostarczania interwencji, ponieważ wielkości efektu w pamięci werbalnej, pamięci wzrokowej i pamięci roboczej są wszystkie znaczące i większe niż te wykryte w nienadzorowanym CCT.51
Ostatnie postępy w technologiach diagnostycznych znacznie poprawiły obszar wykrywania i zarządzania łagodnymi zaburzeniami poznawczymi, co stanowi przełomowy moment w neurologii i opiece geriatrycznej.52 Badania kliniczne odgrywają kluczową rolę w ocenie bezpieczeństwa i skuteczności terapii modyfikujących przebieg choroby dla MCI.53
Przyszłe kierunki badań
Jednym z ważnych obszarów badań jest nauka rozróżniania między osobami z MCI, które prawdopodobnie rozwiną chorobę Alzheimera, a tymi, które prawdopodobnie jej nie rozwiną.54 Kilka ośrodków badawczych ma główny nacisk badawczy na poznanie więcej o normalnej utracie pamięci związanej z wiekiem, łagodnych zaburzeniach poznawczych i wczesnej chorobie Alzheimera.55
Badanie CD-Tron przedstawiło nowatorskie podejście do wczesnego wykrywania spadku funkcji poznawczych poprzez zastosowanie dużych modeli językowych do danych z elektronicznej dokumentacji medycznej.56 Testowane na wielu rzeczywistych notatkach klinicznych, CD-Tron wykazało wysoką czułość z tylko jednym wynikiem fałszywie ujemnym, co jest kluczowe dla zastosowań klinicznych priorytetyzujących wczesne i dokładne wykrywanie spadku funkcji poznawczych.57
Ponadto, integracja technologii cyfrowych zdrowia, takich jak aplikacje mobilne i urządzenia do noszenia, przekształca sposób monitorowania i zarządzania MCI.58 Kolejnym obiecującym kierunkiem badań jest badanie przestrzenno-czasowych mechanizmów neuronalnych leżących u podstaw akupunktury w leczeniu łagodnych zaburzeń poznawczych poprzez jednoczesne badanie EEG-fMRI.59
Badania kohortowe, takie jak MemoVie, zostały zaprojektowane w celu wyróżnienia częstości występowania MCI i choroby Alzheimera oraz identyfikacji warunków środowiskowych i czynników biologicznych związanych z występowaniem MCI i ich ewolucją do choroby Alzheimera.60 Dzięki multidyscyplinarnym badaniom, nowe spostrzeżenia dotyczące początku zaburzeń poznawczych podczas starzenia się powinny zostać przedstawione, z korzyścią dla strategii interwencyjnych jako całości.61
Podsumowanie epidemiologii MCI
Ogólnie rzecz biorąc, częstość występowania i zapadalność na MCI jest wysoka wśród osób starszych.62 Częstość występowania MCI zwiększa się wraz z wiekiem, wahając się od około 6,7% u osób w wieku 60-64 lat do aż 25,2% u osób w wieku 80 lat lub starszych.63
Osoby z MCI mają wysokie ryzyko progresji do otępienia, z szacowanym rocznym wskaźnikiem konwersji wynoszącym 10-15% dla amnestycznego MCI.64 Jednakże, nie wszystkie osoby z MCI rozwijają otępienie, a niektóre mogą nawet powrócić do normalnych funkcji poznawczych.65
Kilka czynników ryzyka MCI można potencjalnie modyfikować i są one podatne na interwencje mające na celu zmniejszenie ryzyka.66 Proaktywne badania przesiewowe, wczesna diagnostyka i interwencje ukierunkowane na czynniki ryzyka mogą potencjalnie złagodzić ciężar MCI i poprawić wyniki dla osób dotkniętych tym schorzeniem.67
Jako warunek pomiędzy normalnym starzeniem się a otępieniem, MCI stanowi okazję do wczesnej interwencji i potencjalnie opóźnienia lub zapobiegania progresji do cięższych form zaburzeń poznawczych. Biorąc pod uwagę starzejącą się populację na całym świecie, znaczenie zrozumienia epidemiologii MCI i opracowania skutecznych strategii interwencyjnych będzie nadal rosnąć.
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Materiały źródłowe
- #1 Mild cognitive impairment: Epidemiology, pathology, and clinical assessment – UpToDatehttps://www.uptodate.com/contents/mild-cognitive-impairment-epidemiology-pathology-and-clinical-assessment
Mild cognitive impairment (MCI) is an intermediate clinical state between normal cognition and dementia. […] There is increasing evidence that some forms of cognitive impairment are recognizable as an early manifestation of a neurodegenerative condition that will ultimately lead to dementia. […] This topic will review the definition of MCI and related terms, as well as the epidemiology, pathology, and clinical assessment of MCI.
- #2 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #3 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #4 Worldwide prevalence of mild cognitive impairment among community dwellers aged 50 years and older: a meta-analysis and systematic review of epidemiology studies – PubMedhttps://pubmed.ncbi.nlm.nih.gov/35977150/
Mild cognitive impairment (MCI) is the preclinical and transitional stage between healthy ageing and dementia that may be a potential 'target’ for interventions designed to delay progression to dementia. […] The overall prevalence of MCI was 15.56% (95%CI: 13.24-18.03%). Prevalence rates of amnestic MCI and non-amnestic MCI were 10.03% (95%CI: 7.98-12.27%) and 8.72% (95%CI: 6.78-10.89%), respectively. […] The global prevalence of MCI among community dwellers is over 15% and is affected by age, gender, education level and region of study sites. Assessment and interventions targeting MCI within at-risk population subgroups should be considered toward the prevention of dementia.
- #5 Worldwide prevalence of mild cognitive impairment among community dwellers aged 50 years and older: a meta-analysis and systematic review of epidemiology studies – PubMedhttps://pubmed.ncbi.nlm.nih.gov/35977150/
Mild cognitive impairment (MCI) is the preclinical and transitional stage between healthy ageing and dementia that may be a potential 'target’ for interventions designed to delay progression to dementia. […] The overall prevalence of MCI was 15.56% (95%CI: 13.24-18.03%). Prevalence rates of amnestic MCI and non-amnestic MCI were 10.03% (95%CI: 7.98-12.27%) and 8.72% (95%CI: 6.78-10.89%), respectively. […] The global prevalence of MCI among community dwellers is over 15% and is affected by age, gender, education level and region of study sites. Assessment and interventions targeting MCI within at-risk population subgroups should be considered toward the prevention of dementia.
- #6 Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys | Translational Psychiatryhttps://www.nature.com/articles/s41398-023-02361-1
Mild cognitive impairment (MCI) is the early stage of cognitive impairment between the expected cognitive decline of normal aging and the more serious decline of dementia. This meta-analysis and systematic review explored the pooled global prevalence of MCI among older adults living in nursing homes and its relevant factors. […] The pooled prevalence of MCI in older adults in nursing homes was 21.2% (95% CI: 18.7-23.6%). […] Epidemiological studies of MCI in those living in nursing homes provide a good basis to allocate sufficient health resources to provide early identification, prevention and timely treatment of MCI before it develops into dementia. […] To date, no meta-analysis or systematic review on the prevalence of MCI among older adults living in nursing homes has been published.
- #7 Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys | Translational Psychiatryhttps://www.nature.com/articles/s41398-023-02361-1
This meta-analysis included 53 studies across 17 countries and found an overall prevalence of 21.2% (95% CI: 18.7-23.6%; I2=99.6%), which is higher than the findings in the general community populations (17.3%; 95% CI: 13.8-20.8%). […] The pooled prevalence of MCI among older people living in nursing homes was 19.7% in Europe Central Asia, 20.7% in North America, and 18.2% in East Asia Pacific in this study, while the corresponding rate was 10.9%, 15.5% and 19.0%, respectively among community-dwelling older populations. […] In summary, this meta-analysis showed that the global prevalence of MCI was over 20% among older adults living in nursing homes. Adequate screening measures and allocation of resources are needed to address the high global prevalence of MCI among older adults living in nursing homes.
- #8 Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys | Translational Psychiatryhttps://www.nature.com/articles/s41398-023-02361-1
This meta-analysis included 53 studies across 17 countries and found an overall prevalence of 21.2% (95% CI: 18.7-23.6%; I2=99.6%), which is higher than the findings in the general community populations (17.3%; 95% CI: 13.8-20.8%). […] The pooled prevalence of MCI among older people living in nursing homes was 19.7% in Europe Central Asia, 20.7% in North America, and 18.2% in East Asia Pacific in this study, while the corresponding rate was 10.9%, 15.5% and 19.0%, respectively among community-dwelling older populations. […] In summary, this meta-analysis showed that the global prevalence of MCI was over 20% among older adults living in nursing homes. Adequate screening measures and allocation of resources are needed to address the high global prevalence of MCI among older adults living in nursing homes.
- #9 Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys | Translational Psychiatryhttps://www.nature.com/articles/s41398-023-02361-1
This meta-analysis included 53 studies across 17 countries and found an overall prevalence of 21.2% (95% CI: 18.7-23.6%; I2=99.6%), which is higher than the findings in the general community populations (17.3%; 95% CI: 13.8-20.8%). […] The pooled prevalence of MCI among older people living in nursing homes was 19.7% in Europe Central Asia, 20.7% in North America, and 18.2% in East Asia Pacific in this study, while the corresponding rate was 10.9%, 15.5% and 19.0%, respectively among community-dwelling older populations. […] In summary, this meta-analysis showed that the global prevalence of MCI was over 20% among older adults living in nursing homes. Adequate screening measures and allocation of resources are needed to address the high global prevalence of MCI among older adults living in nursing homes.
- #10 Mild Cognitive Impairment Epidemiology Forecasts Report,https://www.globenewswire.com/news-release/2024/12/02/2989593/0/en/Mild-Cognitive-Impairment-Epidemiology-Forecasts-Report-2020-2023-2024-2034-Focus-on-United-States-Germany-France-Italy-Spain-United-Kingdom-and-Japan.html
In 2023, among the 7MM, the US accounted for the highest prevalent cases of MCI, representing 42% of the total cases, followed by Japan (27%), Germany (10%), and France (7%). Analysis by experts indicates that the overall diagnosed prevalent cases of MCI are expected to rise in the coming years. […] As per the analyst’s estimates, Japan accounted for nearly 27% of the Total Diagnosed Prevalent Cases of MCI in the 7MM in 2023.
- #11 Mild Cognitive Impairment Epidemiology Forecasts Report,https://www.globenewswire.com/news-release/2024/12/02/2989593/0/en/Mild-Cognitive-Impairment-Epidemiology-Forecasts-Report-2020-2023-2024-2034-Focus-on-United-States-Germany-France-Italy-Spain-United-Kingdom-and-Japan.html
In the assessment, the estimated total diagnosed prevalent cases of Parkinson’s disease in the US were nearly 1.21 million in 2023. […] In Japan, approximately 2.73 million diagnosed cases of MCI were identified, with around 103 thousand cases attributed to MCI due to Parkinson’s disease and 2.62 million cases due to Alzheimer’s. Projections suggest that by 2034, the prevalence of Alzheimer’s-related MCI will continue to grow and exceed that of Parkinson’s-related MCI, highlighting a trend that underscores the increasing impact of Alzheimer’s on the aging population. […] The analysis shows that, among the 7MM, the US accounted highest for the total diagnosed prevalent cases of MCI. There were nearly 4.22 million diagnosed prevalent cases of MCI in the US in 2023. Projections indicate that the UK is expected to continue leading in these figures by 2034.
- #12 Epidemiology of Mild Cognitive Impairment in Brazil – Dementia & Neuropsychologiahttps://www.demneuropsy.com.br/article/epidemiology-of-mild-cognitive-impairment-in-brazil/
With the worldwide increase in longevity and rising prevalence of cognitive disorders in the aged population, efforts have been made to characterize mild cognitive impairment (MCI) and its prevalence and/or incidence in a number of countries, given MCI may be a pre-dementia phase of degenerative conditions. […] Only one study on MCI prevalence has been published in Brazil, reporting a prevalence rate of 6.1% and incidence of 13.2/1000 persons-year among those aged 60 years or over. […] The prevalence and incidence of MCI found in Brazil is similar to rates observed in other countries.
- #13 Mild cognitive impairment | Medicina Universitariahttps://www.elsevier.es/es-revista-medicina-universitaria-304-articulo-mild-cognitive-impairment-X1665579614283699
Mild Cognitive Impairment (MCI) is a disease between normal cognitive ageing and dementia. In recent years the term MCI has been recognized as a pre-dementia state, raising an important subject for investigation in the prevention of dementia. […] The prevalence of MCI is 10%-11% and the risk of progression to dementia is about 5%-16%. […] Prevalence is 3-19% in the elderly population, with an incidence between 8 to 58 per 1,000 people a year and a risk of developing into dementia of 11-33% within 2 years. […] There is a great variation between the reported prevalence rates, fluctuating between 2% and 20% in different series. […] The National Health and Aging Study in Mexico (ENASEM by its Spanish acronym) assessed the prevalence of cognitive impairment and its relationship with sociodemographic factors in the population, finding that just 7% had cognitive impairment and 3.3% had cognitive impairment and functional dependency.
- #14 Mild Cognitive Impairment (MCI): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17990-mild-cognitive-impairment
Mild cognitive impairment (MCI) happens when you experience a slight but noticeable decline in mental abilities compared to others your age. […] The American Academy of Neurology estimates that mild cognitive impairment is present in the following populations: 8% of people aged 65 to 69, 15% of people aged 75 to 79, 25% of people aged 80 to 84, and 37% of people 85 or older. […] The prognosis (outlook) for mild cognitive decline varies based on the cause and other factors. Researchers are still learning more about this condition. Studies show that about 15% of people with MCI older than age 65 years developed dementia within two years of the initial MCI diagnosis. They also show that about 14% to 38% of people with MCI returned to their normal cognition level. […] The strongest risk factors for mild cognitive impairment are the same as those for dementia: being 65 or older, having a biological family history of dementia, and having conditions that increase your risk of cardiovascular disease, including high blood pressure, high cholesterol levels, diabetes, and obesity.
- #15 Mild Cognitive Impairment: Background, Etiology, Pathophysiologyhttps://emedicine.medscape.com/article/1136393-overview
A 2023 meta-analysis encompassing 233 studies with more than 676,000 participants aged 50 and older found a global mild cognitive impairment (MCI) prevalence of 19.7%. Notably, prevalence rates have increased in recent years, particularly after 2019, possibly due to factors like the COVID-19 pandemic. […] The prevalence of MCI increases with age. For instance, estimates show a prevalence of 10.1% in individuals aged 70-74, rising to 14.8% in those aged 75-79, and reaching 25.2% in the 80-84 age group. […] A 2021 study adjusted for the 2020 US Census reported the following MCI prevalence among Black Americans: 30.9% for ages 65-74, 34.7% for ages 75-84, and 31.6% for ages 85 and older. […] Many studies indicate that the risk of Alzheimer disease (AD) is significantly higher in women than in men, and it is therefore presumed that the likelihood of developing MCI is greater in women than in men. However, some studies suggest that MCI may be more common in men. For example, research indicates a prevalence of 19% in men compared to 14% in women, even after adjusting for various demographic and clinical factors. […] Virtually nothing is known about cultural and racial factors influencing the clinical manifestations of MCI.
- #16 Mild Cognitive Impairment: Background, Etiology, Pathophysiologyhttps://emedicine.medscape.com/article/1136393-overview
A 2023 meta-analysis encompassing 233 studies with more than 676,000 participants aged 50 and older found a global mild cognitive impairment (MCI) prevalence of 19.7%. Notably, prevalence rates have increased in recent years, particularly after 2019, possibly due to factors like the COVID-19 pandemic. […] The prevalence of MCI increases with age. For instance, estimates show a prevalence of 10.1% in individuals aged 70-74, rising to 14.8% in those aged 75-79, and reaching 25.2% in the 80-84 age group. […] A 2021 study adjusted for the 2020 US Census reported the following MCI prevalence among Black Americans: 30.9% for ages 65-74, 34.7% for ages 75-84, and 31.6% for ages 85 and older. […] Many studies indicate that the risk of Alzheimer disease (AD) is significantly higher in women than in men, and it is therefore presumed that the likelihood of developing MCI is greater in women than in men. However, some studies suggest that MCI may be more common in men. For example, research indicates a prevalence of 19% in men compared to 14% in women, even after adjusting for various demographic and clinical factors. […] Virtually nothing is known about cultural and racial factors influencing the clinical manifestations of MCI.
- #17 Mild Cognitive Impairment: Background, Etiology, Pathophysiologyhttps://emedicine.medscape.com/article/1136393-overview
A 2023 meta-analysis encompassing 233 studies with more than 676,000 participants aged 50 and older found a global mild cognitive impairment (MCI) prevalence of 19.7%. Notably, prevalence rates have increased in recent years, particularly after 2019, possibly due to factors like the COVID-19 pandemic. […] The prevalence of MCI increases with age. For instance, estimates show a prevalence of 10.1% in individuals aged 70-74, rising to 14.8% in those aged 75-79, and reaching 25.2% in the 80-84 age group. […] A 2021 study adjusted for the 2020 US Census reported the following MCI prevalence among Black Americans: 30.9% for ages 65-74, 34.7% for ages 75-84, and 31.6% for ages 85 and older. […] Many studies indicate that the risk of Alzheimer disease (AD) is significantly higher in women than in men, and it is therefore presumed that the likelihood of developing MCI is greater in women than in men. However, some studies suggest that MCI may be more common in men. For example, research indicates a prevalence of 19% in men compared to 14% in women, even after adjusting for various demographic and clinical factors. […] Virtually nothing is known about cultural and racial factors influencing the clinical manifestations of MCI.
- #18 Mild Cognitive Impairment Market Size 2025-2035https://www.imarcgroup.com/mild-cognitive-impairment-market
The mild cognitive impairment market has been comprehensively analyzed in IMARC’s new report titled „Mild Cognitive Impairment Market: Epidemiology, Industry Trends, Share, Size, Growth, Opportunity, and Forecast 2025-2035”. Mild cognitive impairment refers to a condition characterized by noticeable cognitive changes that are greater than expected for an individual’s age and education level but do not significantly interfere with daily functioning. […] The increasing cases of neurodegenerative conditions, including Alzheimer’s disease and Parkinson’s disease, which result in the progressive degeneration of neurons in specific areas of the brain, are primarily driving the mild cognitive impairment market. […] The global prevalence of MCI in community-dwelling people aged 50 and older was noted to be 15.56%. […] MCI is more prevalent in elderly women than in males. […] A new study found that a diagnosis of atrial fibrillation (AF) was associated with a 45% greater risk of mild cognitive impairment in a cohort of 4.3 million people in the UK.
- #19 Mild Cognitive Impairment (MCI): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17990-mild-cognitive-impairment
Mild cognitive impairment (MCI) happens when you experience a slight but noticeable decline in mental abilities compared to others your age. […] The American Academy of Neurology estimates that mild cognitive impairment is present in the following populations: 8% of people aged 65 to 69, 15% of people aged 75 to 79, 25% of people aged 80 to 84, and 37% of people 85 or older. […] The prognosis (outlook) for mild cognitive decline varies based on the cause and other factors. Researchers are still learning more about this condition. Studies show that about 15% of people with MCI older than age 65 years developed dementia within two years of the initial MCI diagnosis. They also show that about 14% to 38% of people with MCI returned to their normal cognition level. […] The strongest risk factors for mild cognitive impairment are the same as those for dementia: being 65 or older, having a biological family history of dementia, and having conditions that increase your risk of cardiovascular disease, including high blood pressure, high cholesterol levels, diabetes, and obesity.
- #20 Mild Neurocognitive Disorder / Mild Cognitive Impairment (MCI) – PsychDBhttps://www.psychdb.com/cl/3-mild-neurocog-disorder
Mild Neurocognitive Disorder (also known as Mild Cognitive Impairment, or MCI) is a condition in which individuals demonstrate cognitive impairment with minimal impairment of instrumental activities of daily living (IADLs). […] Prevalence is between 10-20% in adults over 65 years. […] Anywhere between 3 to 13% of patients with mild neurocognitive disorder will progress to a major neurocognitive disorder (dementia) each year. […] Higher age, the presence of at least one ApoE4 allele, and medicated hypertension are independent risk factors for MCI. […] Higher education is a protective factor for MCI.
- #21 Mild Cognitive Impairment Market Size 2025-2035https://www.imarcgroup.com/mild-cognitive-impairment-market
The mild cognitive impairment market has been comprehensively analyzed in IMARC’s new report titled „Mild Cognitive Impairment Market: Epidemiology, Industry Trends, Share, Size, Growth, Opportunity, and Forecast 2025-2035”. Mild cognitive impairment refers to a condition characterized by noticeable cognitive changes that are greater than expected for an individual’s age and education level but do not significantly interfere with daily functioning. […] The increasing cases of neurodegenerative conditions, including Alzheimer’s disease and Parkinson’s disease, which result in the progressive degeneration of neurons in specific areas of the brain, are primarily driving the mild cognitive impairment market. […] The global prevalence of MCI in community-dwelling people aged 50 and older was noted to be 15.56%. […] MCI is more prevalent in elderly women than in males. […] A new study found that a diagnosis of atrial fibrillation (AF) was associated with a 45% greater risk of mild cognitive impairment in a cohort of 4.3 million people in the UK.
- #22 Mild Neurocognitive Disorder / Mild Cognitive Impairment (MCI) – PsychDBhttps://www.psychdb.com/cl/3-mild-neurocog-disorder
Mild Neurocognitive Disorder (also known as Mild Cognitive Impairment, or MCI) is a condition in which individuals demonstrate cognitive impairment with minimal impairment of instrumental activities of daily living (IADLs). […] Prevalence is between 10-20% in adults over 65 years. […] Anywhere between 3 to 13% of patients with mild neurocognitive disorder will progress to a major neurocognitive disorder (dementia) each year. […] Higher age, the presence of at least one ApoE4 allele, and medicated hypertension are independent risk factors for MCI. […] Higher education is a protective factor for MCI.
- #23 Mild Cognitive Impairment | Treatment & Management | Point of Carehttps://www.statpearls.com/point-of-care/144392
MCI is a heterogeneous syndrome as there is a wide variation of cognitive and functional severity within the MCI definition. […] The 2018 American Academy of Neurology (AAN) guideline update on MCI found that its prevalence is high among the older adult population and increases with age. The prevalence estimate was 6.7% in the 60-64 year age group and increased to 25.2% for ages 80-84. […] Other studies have reported prevalence rates of up to 22% in community-dwelling older adults above 71 years of age and 40% among older adults in memory care practices. […] The differences in the reported prevalence of MCI worldwide are due to the lack of standardized cut-off for neuropsychology test scores, use of population versus clinic-based cohorts, and algorithmic (non-informant-based) versus clinical approaches to assign the MCI diagnosis. […] A recent study from China estimated that MCI prevalence was 15.5 % among Chinese adults. […] There are fewer studies on the incidence rate of MCI. The reported incidence rate of MCI varies from 5.1 to 168 (1000 person-years), while that of A-MCI is estimated between 10 to 14 (1000 person-years).
- #24https://link.springer.com/article/10.1007/s40120-022-00338-8
The incidence of clinically diagnosed MCI has been examined in a systematic review of studies in Europe, the Americas, and Australia. […] The progression rates reported in studies can also be influenced by the source of recruitment of patients: the aforementioned meta-analysis of 33 studies also classified patients as community-dwelling or from specialist clinics and showed that rates of progression were higher for patients from specialist clinics vs. community samples. […] The risk of dementia increases with stages of progression, from normal cognition with no A deposition to A deposition, hyperphosphorylated tau, and neuronal injury, and subsequently to MCI due to AD. […] Current research suggests that almost 40% of patients with clinically diagnosed MCI progress to AD dementia over an average of 18 months.
- #25 Dementiahttps://www.asha.org/practice-portal/clinical-topics/dementia/?srsltid=AfmBOopRLJksqg-bNg9RepumcyXGHnKkKPUVZYomj9C2pUPhdjduBDPK
Mild cognitive impairment (MCI), also known as mild neurocognitive disorder (mild NCD), is a clinical syndrome that is characterized by a modest decline in one or more cognitive domains. MCI is often referred to as an early stage of cognitive impairment that is in between typical aging and dementia; however, MCI does not always progress to dementia (Petersen et al., 2014). Early identification of MCI may enable the use of cognitive interventions to slow the progression of decline (Huckans et al., 2013; Qualls, 2005; Tsolaki et al., 2011). […] The estimated incidence of mild cognitive impairment increases with increased age. The estimated number of new diagnoses of mild cognitive impairment each year per every 1,000 individuals is approximately 22.5 for individuals aged 75-79 years, 60.1 for individuals aged 80-84 years, and 60.1 for individuals aged 85 years or older (Gillis et al., 2019).
- #26 State of the science on mild cognitive impairment (MCI) | CNS Spectrums | Cambridge Corehttps://www.cambridge.org/core/journals/cns-spectrums/article/state-of-the-science-on-mild-cognitive-impairment-mci/9E28EC622A1911D82E18E4023811D79D
Mild cognitive impairment (MCI) represents a transitional stage between healthy aging and dementia, and affects 10-15% of the population over the age of 65. […] Prevalence estimates of MCI vary widely, with one review reporting prevalence as low as 3% to as high as 42% across 35 studies, varying across country of study origin, and as a function of the age range of study inclusion, with lower prevalence in studies that included younger participants. […] Approximately 10-15% of people with amnestic MCI progress to AD each year, compared to 1-2% of the healthy older adult population. […] It is thus imperative that we understand the phenomenology, neurobiology, and clinical characteristics of MCI, and how best to treat it, in efforts to improve functioning and delay progression to dementia.
- #27 Mild cognitive impairment – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/symptoms-causes/syc-20354578
Mild cognitive impairment, also known as MCI, raises the risk of developing dementia caused by Alzheimer’s disease or other brain conditions. […] There’s no single cause of mild cognitive impairment. In some people, mild cognitive impairment is due to Alzheimer’s disease. But there’s no single outcome. Symptoms may remain stable for years or they may improve over time. Or mild cognitive impairment may progress to Alzheimer’s disease dementia or another type of dementia. […] Studies suggest that around 10% to 15% of people with mild cognitive impairment go on to develop dementia each year. […] Mild cognitive impairment can’t be prevented. But research has found that some lifestyle factors may lower the risk of getting it.
- #28 Mild Cognitive Impairment (MCI) | Symptoms & Treatments | alz.orghttps://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment
Mild cognitive impairment (MCI) is an early stage of memory loss or other cognitive ability loss (such as language or visual/spatial perception) in individuals who maintain the ability to independently perform most activities of daily living. […] Mild cognitive impairment causes cognitive changes that are serious enough to be noticed by the person affected and by family members and friends but do not affect the individuals ability to carry out everyday activities. MCI can develop for multiple reasons, and individuals living with MCI may go on to develop dementia; others will not. […] The causes of MCI are not yet completely understood. Experts believe that many cases but not all result from brain changes occurring in the very early stages of Alzheimer’s or other neurodegenerative diseases that cause dementia. The risk factors most strongly linked to MCI when the underlying cause is neurodegenerative disease and not another cause are advancing age, family history of Alzheimer’s or another dementia, and conditions that raise risk for cardiovascular disease. […] Approximately 12% to 18% of people age 60 or older are living with MCI. An estimated 10% to 15% of individuals living with MCI develop dementia each year. About one-third of people living with MCI due to Alzheimers disease develop dementia within five years.
- #29 Mild cognitive impairment | Medicina Universitariahttps://www.elsevier.es/es-revista-medicina-universitaria-304-articulo-mild-cognitive-impairment-X1665579614283699
Mild Cognitive Impairment (MCI) is a disease between normal cognitive ageing and dementia. In recent years the term MCI has been recognized as a pre-dementia state, raising an important subject for investigation in the prevention of dementia. […] The prevalence of MCI is 10%-11% and the risk of progression to dementia is about 5%-16%. […] Prevalence is 3-19% in the elderly population, with an incidence between 8 to 58 per 1,000 people a year and a risk of developing into dementia of 11-33% within 2 years. […] There is a great variation between the reported prevalence rates, fluctuating between 2% and 20% in different series. […] The National Health and Aging Study in Mexico (ENASEM by its Spanish acronym) assessed the prevalence of cognitive impairment and its relationship with sociodemographic factors in the population, finding that just 7% had cognitive impairment and 3.3% had cognitive impairment and functional dependency.
- #30 Mild cognitive impairment | Medicina Universitariahttps://www.elsevier.es/es-revista-medicina-universitaria-304-articulo-mild-cognitive-impairment-X1665579614283699
The risk of dementia progression is estimated to be 10% per year; as for MCI patients, yearly progression rates fluctuate between 5% and 16%. […] The American Academy of Neurology’s evidence-based guidelines for early detection states that MCI patients should be detected early and followed long-term, because of their high risk of subsequent development of dementia.
- #31https://link.springer.com/article/10.1007/s40120-022-00338-8
The incidence of clinically diagnosed MCI has been examined in a systematic review of studies in Europe, the Americas, and Australia. […] The progression rates reported in studies can also be influenced by the source of recruitment of patients: the aforementioned meta-analysis of 33 studies also classified patients as community-dwelling or from specialist clinics and showed that rates of progression were higher for patients from specialist clinics vs. community samples. […] The risk of dementia increases with stages of progression, from normal cognition with no A deposition to A deposition, hyperphosphorylated tau, and neuronal injury, and subsequently to MCI due to AD. […] Current research suggests that almost 40% of patients with clinically diagnosed MCI progress to AD dementia over an average of 18 months.
- #32 Mild Cognitive Impairment (MCI): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17990-mild-cognitive-impairment
Mild cognitive impairment (MCI) happens when you experience a slight but noticeable decline in mental abilities compared to others your age. […] The American Academy of Neurology estimates that mild cognitive impairment is present in the following populations: 8% of people aged 65 to 69, 15% of people aged 75 to 79, 25% of people aged 80 to 84, and 37% of people 85 or older. […] The prognosis (outlook) for mild cognitive decline varies based on the cause and other factors. Researchers are still learning more about this condition. Studies show that about 15% of people with MCI older than age 65 years developed dementia within two years of the initial MCI diagnosis. They also show that about 14% to 38% of people with MCI returned to their normal cognition level. […] The strongest risk factors for mild cognitive impairment are the same as those for dementia: being 65 or older, having a biological family history of dementia, and having conditions that increase your risk of cardiovascular disease, including high blood pressure, high cholesterol levels, diabetes, and obesity.
- #33 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #34 Outcomes after Diagnosis of Mild Cognitive Impairment in a Large Autopsy Serieshttps://uknowledge.uky.edu/epidemiology_facpub/70/
OBJECTIVE: To determine clinical and neuropathological outcomes following a clinical diagnosis of mild cognitive impairment (MCI). […] METHODS: Data were drawn from a large autopsy series (N = 1,337) of individuals followed longitudinally from normal or MCI status to death, derived from 4 Alzheimer Disease (AD) Centers in the United States. […] RESULTS: Mean followup was 7.9 years. Of the 874 individuals ever diagnosed with MCI, final clinical diagnoses were varied: 39.2% died with an MCI diagnosis, 46.8% with a dementia diagnosis, and 13.9% with a diagnosis of intact cognition. The latter group had pathological features resembling those with a final clinical diagnosis of MCI. […] INTERPRETATION: MCI diagnosis usually was associated with comorbid neuropathologies; less than one-quarter of MCI cases showed „pure” AD at autopsy.
- #35 Outcomes after Diagnosis of Mild Cognitive Impairment in a Large Autopsy Serieshttps://uknowledge.uky.edu/epidemiology_facpub/70/
OBJECTIVE: To determine clinical and neuropathological outcomes following a clinical diagnosis of mild cognitive impairment (MCI). […] METHODS: Data were drawn from a large autopsy series (N = 1,337) of individuals followed longitudinally from normal or MCI status to death, derived from 4 Alzheimer Disease (AD) Centers in the United States. […] RESULTS: Mean followup was 7.9 years. Of the 874 individuals ever diagnosed with MCI, final clinical diagnoses were varied: 39.2% died with an MCI diagnosis, 46.8% with a dementia diagnosis, and 13.9% with a diagnosis of intact cognition. The latter group had pathological features resembling those with a final clinical diagnosis of MCI. […] INTERPRETATION: MCI diagnosis usually was associated with comorbid neuropathologies; less than one-quarter of MCI cases showed „pure” AD at autopsy.
- #36 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #37 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #38 The epidemiology of mild cognitive impairment (MCI) and Alzheimerâs disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg | BMC Public Health | Full Texthttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-519
Cognitive impairment and Alzheimers disease (AD) are increasingly considered a major public health problem. The MemoVie cohort study aims to investigate the living conditions or risk factors under which the normal cognitive capacities of the senior population in Luxembourg (65-year-old) evolve (1) to mild cognitive impairment (MCI) transitory non-clinical stage and (2) to AD. Identifying MCI and AD predictors undeniably constitutes a challenge in public health in that it would allow interventions which could protect or delay the occurrence of cognitive disorders in elderly people. […] The study has been designed with a view to highlighting the prevalence in Luxembourg of MCI and AD in the first step of the survey, conducted among participants selected from a random sample of the general population.
- #39 The epidemiology of mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg. – Santé Publique à l’Insermhttps://dumas.ccsd.cnrs.fr/SANTE_PUB_INSERM/inserm-00732105v1
The epidemiology of mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg. […] Cognitive impairment and Alzheimer’s disease (AD) are increasingly considered a major public health problem. […] The MemoVie cohort study aims to investigate the living conditions or risk factors under which the normal cognitive capacities of the senior population in Luxembourg ([greater than or equal to] 65 year-old) evolve (1) to mild cognitive impairment (MCI) – transitory non-clinical stage – and (2) to AD. […] Identifying MCI and AD predictors undeniably constitutes a challenge in public health in that it would allow interventions which could protect or delay the occurrence of cognitive disorders in elderly people. […] The study has been designed with a view to highlighting the prevalence in Luxembourg of MCI and AD in the first step of the survey, conducted among participants selected from a random sample of the general population.
- #40 The epidemiology of mild cognitive impairment (MCI) and Alzheimerâs disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg | BMC Public Health | Full Texthttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-519
Given longer life expectancy along with the lack of efficient therapeutic strategies, cognitive disorders and Alzheimers disease (AD) are increasingly considered a major public health problem. […] Up to now, few studies have explored MCI in healthy people from the general population, and the most recent results have shown the difficulty in approaching MCI prevalence, which obviously vary considerably according the criteria applied. […] Moreover, no national statistics on AD are available in Luxembourg, let alone on MCI. […] The first goal of the present study is to provide the national prevalence of subjects suffering from MCI and from AD as well as to identify the environmental conditions and biological factors in association with the occurrence of MCI and their evolution to AD. […] The MemoVie study has been set up to depict the senior population of Luxembourg and to identify the conditions that could promote CI and evolution to AD. This study is planned to allow a long-term follow-up of the cognitive status of the population. […] The results of the MemoVie study, more specifically focused on Luxembourgs population, should provide insights to design new efficient approaches for community-level interventions intended to preserve overall health status and well-being in the global aging population.
- #41 The epidemiology of mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg. – Santé Publique à l’Insermhttps://dumas.ccsd.cnrs.fr/SANTE_PUB_INSERM/inserm-00732105v1
The epidemiology of mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg. […] Cognitive impairment and Alzheimer’s disease (AD) are increasingly considered a major public health problem. […] The MemoVie cohort study aims to investigate the living conditions or risk factors under which the normal cognitive capacities of the senior population in Luxembourg ([greater than or equal to] 65 year-old) evolve (1) to mild cognitive impairment (MCI) – transitory non-clinical stage – and (2) to AD. […] Identifying MCI and AD predictors undeniably constitutes a challenge in public health in that it would allow interventions which could protect or delay the occurrence of cognitive disorders in elderly people. […] The study has been designed with a view to highlighting the prevalence in Luxembourg of MCI and AD in the first step of the survey, conducted among participants selected from a random sample of the general population.
- #42 Dementiahttps://www.asha.org/practice-portal/clinical-topics/dementia/?srsltid=AfmBOopRLJksqg-bNg9RepumcyXGHnKkKPUVZYomj9C2pUPhdjduBDPK
Mild cognitive impairment (MCI), also known as mild neurocognitive disorder (mild NCD), is a clinical syndrome that is characterized by a modest decline in one or more cognitive domains. MCI is often referred to as an early stage of cognitive impairment that is in between typical aging and dementia; however, MCI does not always progress to dementia (Petersen et al., 2014). Early identification of MCI may enable the use of cognitive interventions to slow the progression of decline (Huckans et al., 2013; Qualls, 2005; Tsolaki et al., 2011). […] The estimated incidence of mild cognitive impairment increases with increased age. The estimated number of new diagnoses of mild cognitive impairment each year per every 1,000 individuals is approximately 22.5 for individuals aged 75-79 years, 60.1 for individuals aged 80-84 years, and 60.1 for individuals aged 85 years or older (Gillis et al., 2019).
- #43 The epidemiology of mild cognitive impairment (MCI) and Alzheimerâs disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg | BMC Public Health | Full Texthttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-519
Given longer life expectancy along with the lack of efficient therapeutic strategies, cognitive disorders and Alzheimers disease (AD) are increasingly considered a major public health problem. […] Up to now, few studies have explored MCI in healthy people from the general population, and the most recent results have shown the difficulty in approaching MCI prevalence, which obviously vary considerably according the criteria applied. […] Moreover, no national statistics on AD are available in Luxembourg, let alone on MCI. […] The first goal of the present study is to provide the national prevalence of subjects suffering from MCI and from AD as well as to identify the environmental conditions and biological factors in association with the occurrence of MCI and their evolution to AD. […] The MemoVie study has been set up to depict the senior population of Luxembourg and to identify the conditions that could promote CI and evolution to AD. This study is planned to allow a long-term follow-up of the cognitive status of the population. […] The results of the MemoVie study, more specifically focused on Luxembourgs population, should provide insights to design new efficient approaches for community-level interventions intended to preserve overall health status and well-being in the global aging population.
- #44 Mild Cognitive Impairment | Treatment & Management | Point of Carehttps://www.statpearls.com/point-of-care/144392
MCI is a heterogeneous syndrome as there is a wide variation of cognitive and functional severity within the MCI definition. […] The 2018 American Academy of Neurology (AAN) guideline update on MCI found that its prevalence is high among the older adult population and increases with age. The prevalence estimate was 6.7% in the 60-64 year age group and increased to 25.2% for ages 80-84. […] Other studies have reported prevalence rates of up to 22% in community-dwelling older adults above 71 years of age and 40% among older adults in memory care practices. […] The differences in the reported prevalence of MCI worldwide are due to the lack of standardized cut-off for neuropsychology test scores, use of population versus clinic-based cohorts, and algorithmic (non-informant-based) versus clinical approaches to assign the MCI diagnosis. […] A recent study from China estimated that MCI prevalence was 15.5 % among Chinese adults. […] There are fewer studies on the incidence rate of MCI. The reported incidence rate of MCI varies from 5.1 to 168 (1000 person-years), while that of A-MCI is estimated between 10 to 14 (1000 person-years).
- #45 Estimating prevalence of subjective cognitive decline in and across international cohort studies of aging: a COSMIC study | Alzheimer’s Research & Therapy | Full Texthttps://alzres.biomedcentral.com/articles/10.1186/s13195-020-00734-y
Despite the growing research interest in SCD, the concept still faces methodological challenges regarding its operationalization. […] The SCD-I emphasized the need for harmonized observational studies that can attenuate some of the limitations associated with SCD operationalization. […] Overall, both the QH and IRT approach robustly suggested a SCD prevalence of roughly one in four in the older population without cognitive impairment across studies (QH 23.8% [95%CI=23.3-24.4%]; IRT 25.6% [95%CI=25.1-26.1%]). […] SCD prevalence significantly differed according to level of education. […] Age- and gender-standardized SCD prevalence was significantly associated with country income. […] SCD prevalence was lower in high-income countries compared to low- and middle-income countries. […] The frequent occurrence of SCD warrants further research of its significance for dementia, and, importantly, on ways to manage SCD in clinical practice.
- #46 Mild cognitive impairment – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/mild-cognitive-impairment/diagnosis-treatment/drc-20354583
Mild cognitive impairment, also known as MCI, is an active area of research. Clinical studies are being conducted to better understand the condition and find treatments to improve symptoms or prevent or delay dementia. […] Mild cognitive impairment (MCI) care at Mayo Clinic. […] Petersen RC. Mild cognitive impairment: Epidemiology, pathology, and clinical assessment. […] 2024 Alzheimer’s disease facts and figures. Alzheimer’s Association. https://www.alz.org/alzheimers-dementia/facts-figures. Accessed Aug. 26, 2024.
- #47 What Is Mild Cognitive Impairment?https://www.alzheimers.gov/alzheimers-dementias/mild-cognitive-impairment
Mild cognitive impairment (MCI) is a condition in which people have more memory or thinking problems than other people their age. […] People with MCI are at a greater risk of developing Alzheimers disease or a related dementia. Estimates vary as to how many people who have MCI will develop dementia. […] Estimates vary, but roughly 10% to 20% of people over age 65 have MCI, with the risk increasing as someone gets older. […] People with MCI may worry that their memory problems will progress to Alzheimers disease or a related dementia. Because MCI may be an early sign of a more serious memory problem, its important to see your doctor every six to 12 months to track any changes in your memory and thinking skills over time. […] Many studies are recruiting people with MCI to test early interventions that could slow or stop the progression of cognitive impairment.
- #48 Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis | npj Digital Medicinehttps://www.nature.com/articles/s41746-023-00987-5
Cognitive intervention is generally regarded as an effective non-pharmacologic strategy to mitigate risks in neurodegeneration. […] Non-pharmacologic management for MCI is important as currently there is no disease-modifying treatment or FDA-approved medications for MCI. […] This meta-analysis evaluated the benefits of computerized cognitive training (CCT) on memory functions in individuals with MCI or dementia. […] The results suggest that CCT is efficacious on various memory domains in individuals with MCI. […] The elderly with subjective memory complaints (SMC) are shown to have a higher risk of dementia than the individuals without SMC. […] The certainty for the dementia outcome was further downgraded due to the serious risk of bias, as more than half of the included dementia studies were at high risk of bias.
- #49 Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis | npj Digital Medicinehttps://www.nature.com/articles/s41746-023-00987-5
Cognitive intervention is generally regarded as an effective non-pharmacologic strategy to mitigate risks in neurodegeneration. […] Non-pharmacologic management for MCI is important as currently there is no disease-modifying treatment or FDA-approved medications for MCI. […] This meta-analysis evaluated the benefits of computerized cognitive training (CCT) on memory functions in individuals with MCI or dementia. […] The results suggest that CCT is efficacious on various memory domains in individuals with MCI. […] The elderly with subjective memory complaints (SMC) are shown to have a higher risk of dementia than the individuals without SMC. […] The certainty for the dementia outcome was further downgraded due to the serious risk of bias, as more than half of the included dementia studies were at high risk of bias.
- #50 Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis | npj Digital Medicinehttps://www.nature.com/articles/s41746-023-00987-5
This meta-analysis demonstrates that both supervised and unsupervised CCT improve different types of memory domains among individuals with MCI. […] Our findings support supervised CCT as the preferred method to deliver the intervention as the effect sizes in verbal memory, visual memory and working memory are all significant and greater than those detected in unsupervised CCT.
- #51 Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis | npj Digital Medicinehttps://www.nature.com/articles/s41746-023-00987-5
This meta-analysis demonstrates that both supervised and unsupervised CCT improve different types of memory domains among individuals with MCI. […] Our findings support supervised CCT as the preferred method to deliver the intervention as the effect sizes in verbal memory, visual memory and working memory are all significant and greater than those detected in unsupervised CCT.
- #52 Mild Cognitive Impairment Market to Reach a CAGR of 4.02% during 2024-2034, Impelled by Non-Invasive Brain Stimulation Techniques – BioSpacehttps://www.biospace.com/mild-cognitive-impairment-market-to-reach-a-cagr-of-4-02-during-2024-2034-impelled-by-non-invasive-brain-stimulation-techniques
Advancements in diagnostic technologies have significantly enhanced the landscape of detecting and managing mild cognitive impairment, marking a pivotal moment in neurology and geriatric care. […] Overall, these advancements in diagnostic technologies not only improve early detection and accuracy in diagnosing MCI but also pave the way for developing targeted therapies and interventions. […] They empower healthcare providers to intervene earlier in the disease course, potentially slowing its progression and improving outcomes for individuals living with MCI and their families. […] The primary goal of disease-modifying therapies is to intervene early in the disease process to slow or halt its progression. […] By addressing these underlying pathologies, researchers aim to preserve cognitive function and delay the onset of dementia.
- #53 Mild Cognitive Impairment Market to Reach a CAGR of 4.02% during 2024-2034, Impelled by Non-Invasive Brain Stimulation Techniques – BioSpacehttps://www.biospace.com/mild-cognitive-impairment-market-to-reach-a-cagr-of-4-02-during-2024-2034-impelled-by-non-invasive-brain-stimulation-techniques
Clinical trials play a crucial role in evaluating the safety and efficacy of disease-modifying therapies for MCI. […] Successful trials are essential for gaining regulatory approval and advancing these therapies to market, where they can potentially transform the treatment landscape for MCI. […] The major markets for mild cognitive impairment include the United States, Germany, France, the United Kingdom, Italy, Spain, and Japan. […] According to projections by IMARC, the United States has the largest patient pool for mild cognitive impairment while also representing the biggest market for its treatment. […] This can be attributed to the increased awareness about cognitive health and aging-related disorders that have led to more proactive screening and diagnostic initiatives. […] Moreover, the integration of digital health technologies, such as mobile apps and wearable devices, is transforming how MCI is monitored and managed. […] Additionally, there is a growing emphasis on holistic, patient-centered care for individuals with MCI. […] Besides this, numerous changes in healthcare policy and reimbursement models influence access to diagnostic services and treatment options for MCI patients across the country.
- #54 Mild Cognitive Impairment | Emory University | Atlanta GAhttps://alzheimers.emory.edu/healthy_aging/articles/mild-impairment.html
Mild cognitive impairment (MCI) is a condition characterized by clear evidence of problems with cognitive abilities, most often with short term memory. […] Some studies show that 44% of the people with MCI progress to Alzheimer’s within three years; however, that means over 50% of people living with MCI do not develop Alzheimer’s. […] One important area of research is learning to distinguish between the people with MCI who will likely develop Alzheimer’s and those who likely will not. […] The Goizueta Alzheimers Disease Research Center has a major research emphasis on learning more about normal age-related memory loss, mild cognitive impairment, and early Alzheimers disease.
- #55 Mild Cognitive Impairment | Emory University | Atlanta GAhttps://alzheimers.emory.edu/healthy_aging/articles/mild-impairment.html
Mild cognitive impairment (MCI) is a condition characterized by clear evidence of problems with cognitive abilities, most often with short term memory. […] Some studies show that 44% of the people with MCI progress to Alzheimer’s within three years; however, that means over 50% of people living with MCI do not develop Alzheimer’s. […] One important area of research is learning to distinguish between the people with MCI who will likely develop Alzheimer’s and those who likely will not. […] The Goizueta Alzheimers Disease Research Center has a major research emphasis on learning more about normal age-related memory loss, mild cognitive impairment, and early Alzheimers disease.
- #56 CD-Tron: Leveraging Large Clinical Language Model for Early Detection of Cognitive Decline from Electronic Health Records | medRxivhttps://www.medrxiv.org/content/10.1101/2024.10.31.24316386v2
Background: Early detection of cognitive decline during the preclinical stage of Alzheimer’s disease and related dementias (AD/ADRD) is crucial for timely intervention and treatment. […] We collected clinical notes from 2,166 patients spanning the 4 years preceding their initial mild cognitive impairment (MCI) diagnosis from the Enterprise Data Warehouse of Mass General Brigham. […] CD-Tron significantly outperforms baseline models, achieving notable improvements in precision, recall, and AUC metrics for detecting cognitive decline (CD). […] Tested on many real-world clinical notes, CD-Tron demonstrated high sensitivity with only one false negative, crucial for clinical applications prioritizing early and accurate CD detection. […] CD-Tron offers a novel approach to early cognitive decline detection by applying large clinical language models to free-text EHR data.
- #57 CD-Tron: Leveraging Large Clinical Language Model for Early Detection of Cognitive Decline from Electronic Health Records | medRxivhttps://www.medrxiv.org/content/10.1101/2024.10.31.24316386v2
Background: Early detection of cognitive decline during the preclinical stage of Alzheimer’s disease and related dementias (AD/ADRD) is crucial for timely intervention and treatment. […] We collected clinical notes from 2,166 patients spanning the 4 years preceding their initial mild cognitive impairment (MCI) diagnosis from the Enterprise Data Warehouse of Mass General Brigham. […] CD-Tron significantly outperforms baseline models, achieving notable improvements in precision, recall, and AUC metrics for detecting cognitive decline (CD). […] Tested on many real-world clinical notes, CD-Tron demonstrated high sensitivity with only one false negative, crucial for clinical applications prioritizing early and accurate CD detection. […] CD-Tron offers a novel approach to early cognitive decline detection by applying large clinical language models to free-text EHR data.
- #58 Mild Cognitive Impairment Market to Reach a CAGR of 4.02% during 2024-2034, Impelled by Non-Invasive Brain Stimulation Techniques – BioSpacehttps://www.biospace.com/mild-cognitive-impairment-market-to-reach-a-cagr-of-4-02-during-2024-2034-impelled-by-non-invasive-brain-stimulation-techniques
Clinical trials play a crucial role in evaluating the safety and efficacy of disease-modifying therapies for MCI. […] Successful trials are essential for gaining regulatory approval and advancing these therapies to market, where they can potentially transform the treatment landscape for MCI. […] The major markets for mild cognitive impairment include the United States, Germany, France, the United Kingdom, Italy, Spain, and Japan. […] According to projections by IMARC, the United States has the largest patient pool for mild cognitive impairment while also representing the biggest market for its treatment. […] This can be attributed to the increased awareness about cognitive health and aging-related disorders that have led to more proactive screening and diagnostic initiatives. […] Moreover, the integration of digital health technologies, such as mobile apps and wearable devices, is transforming how MCI is monitored and managed. […] Additionally, there is a growing emphasis on holistic, patient-centered care for individuals with MCI. […] Besides this, numerous changes in healthcare policy and reimbursement models influence access to diagnostic services and treatment options for MCI patients across the country.
- #59 Spatial and Temporal Neuronal Specificity of acupuncture on mild cogni | JMDHhttps://www.dovepress.com/acupuncture-modulates-spatiotemporal-neuronal-dynamics-in-mild-cogniti-peer-reviewed-fulltext-article-JMDH
Mild cognitive impairment (MCI) is characterized by abnormal changes in spatiotemporal neuronal specificity responses. […] Mild cognitive impairment (MCI) affects 10-20% of adults over age 50 globally, presenting a pressing public health issue amid aging populations. […] Despite extensive research, no pharmacological treatments have proven effective in reversing the progression of MCI or dementia. […] Acupuncture has demonstrated effectiveness as a treatment for mild cognitive impairment (MCI). […] Our previous systematic review revealed that acupuncture can modulate the activity of critical brain regions and networks, in MCI patients. […] This protocol represents the first study to investigate the spatiotemporal neural mechanisms underlying acupuncture in the treatment of mild cognitive impairment (MCI) through simultaneous EEG-fMRI.
- #60 The epidemiology of mild cognitive impairment (MCI) and Alzheimerâs disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg | BMC Public Health | Full Texthttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-519
Cognitive impairment and Alzheimers disease (AD) are increasingly considered a major public health problem. The MemoVie cohort study aims to investigate the living conditions or risk factors under which the normal cognitive capacities of the senior population in Luxembourg (65-year-old) evolve (1) to mild cognitive impairment (MCI) transitory non-clinical stage and (2) to AD. Identifying MCI and AD predictors undeniably constitutes a challenge in public health in that it would allow interventions which could protect or delay the occurrence of cognitive disorders in elderly people. […] The study has been designed with a view to highlighting the prevalence in Luxembourg of MCI and AD in the first step of the survey, conducted among participants selected from a random sample of the general population.
- #61 The epidemiology of mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in community-living seniors: protocol of the MemoVie cohort study, Luxembourg. – Santé Publique à l’Insermhttps://dumas.ccsd.cnrs.fr/SANTE_PUB_INSERM/inserm-00732105v1
A prospective cohort is consequently set up in the second step, and appropriate follow-up of the non-demented participants allows improving the knowledge of the preclinical stage of MCI. […] By means of the multidisciplinary MemoVie study, new insights into the onset of cognitive impairment during aging should be put forward, much to the benefit of intervention strategies as a whole.
- #62 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #63 Mild Cognitive Impairment | Treatment & Management | Point of Carehttps://www.statpearls.com/point-of-care/144392
MCI is a heterogeneous syndrome as there is a wide variation of cognitive and functional severity within the MCI definition. […] The 2018 American Academy of Neurology (AAN) guideline update on MCI found that its prevalence is high among the older adult population and increases with age. The prevalence estimate was 6.7% in the 60-64 year age group and increased to 25.2% for ages 80-84. […] Other studies have reported prevalence rates of up to 22% in community-dwelling older adults above 71 years of age and 40% among older adults in memory care practices. […] The differences in the reported prevalence of MCI worldwide are due to the lack of standardized cut-off for neuropsychology test scores, use of population versus clinic-based cohorts, and algorithmic (non-informant-based) versus clinical approaches to assign the MCI diagnosis. […] A recent study from China estimated that MCI prevalence was 15.5 % among Chinese adults. […] There are fewer studies on the incidence rate of MCI. The reported incidence rate of MCI varies from 5.1 to 168 (1000 person-years), while that of A-MCI is estimated between 10 to 14 (1000 person-years).
- #64 Mild Cognitive Impairment – UCI MINDhttps://mind.uci.edu/dementia/mild-cognitive-impairment/
Mild Cognitive Impairment (MCI): Symptoms become noticeable to the affected individual and/or family and impairment is significant but does not interfere with everyday activities. […] An established risk factor for Alzheimerâs disease, MCI is a condition in which memory and/or other cognitive difficulties (e.g., language, visual-spatial skills) are noticeable to the person affected and/or others (e.g., family, friends, work colleagues), but are not severe enough to interfere with basic living skills. […] Some studies suggest that up to 10-20% of older adults age 65 and older have MCI. […] Overall, studies estimate that 10-15% of people with MCI progress to AD each year. […] Individuals with amnestic MCI, single or multiple domain, may be at increased risk for Alzheimerâs dementia. Individuals with non-amnestic MCI may be at increased risk for other dementias, such as fronto-temporal dementia, dementia with Lewy bodies, primary progressive aphasia, and Parkinsonâs disease. […] Today, researchers and clinicians are unable to definitively predict if MCI will progress to dementia.
- #65 Mild Cognitive Impairment (MCI): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17990-mild-cognitive-impairment
Mild cognitive impairment (MCI) happens when you experience a slight but noticeable decline in mental abilities compared to others your age. […] The American Academy of Neurology estimates that mild cognitive impairment is present in the following populations: 8% of people aged 65 to 69, 15% of people aged 75 to 79, 25% of people aged 80 to 84, and 37% of people 85 or older. […] The prognosis (outlook) for mild cognitive decline varies based on the cause and other factors. Researchers are still learning more about this condition. Studies show that about 15% of people with MCI older than age 65 years developed dementia within two years of the initial MCI diagnosis. They also show that about 14% to 38% of people with MCI returned to their normal cognition level. […] The strongest risk factors for mild cognitive impairment are the same as those for dementia: being 65 or older, having a biological family history of dementia, and having conditions that increase your risk of cardiovascular disease, including high blood pressure, high cholesterol levels, diabetes, and obesity.
- #66 Classification and Epidemiology of MCIhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3821397/
Mild cognitive impairment (MCI) is an intermediate stage in the trajectory from normal cognition to dementia. […] Subjects with MCI have a high rate of progression to dementia over a relatively short period. […] Even among subjects who revert to normal cognition at one point in time, the rate of subsequent MCI or dementia is higher than among those who never develop MCI. […] Subjects with MCI also experience a greater mortality than cognitively normal subjects. […] In this review, we present an overview of the classification of MCI, estimates of the incidence and prevalence of MCI, risk factors for MCI, and the outcomes following an MCI diagnosis. […] The prevalence and incidence of MCI is high among elderly persons. […] Persons with MCI have a high risk of progression to dementia. […] Several risk factors for MCI are potentially modifiable and amenable to interventions to reduce risk. […] Persons with MCI have a higher mortality than cognitively normal persons. […] Persons with MCI who revert to normal have a higher risk of developing MCI or dementia at a later date.
- #67 Worldwide prevalence of mild cognitive impairment among community dwellers aged 50 years and older: a meta-analysis and systematic review of epidemiology studies – PubMedhttps://pubmed.ncbi.nlm.nih.gov/35977150/
Mild cognitive impairment (MCI) is the preclinical and transitional stage between healthy ageing and dementia that may be a potential 'target’ for interventions designed to delay progression to dementia. […] The overall prevalence of MCI was 15.56% (95%CI: 13.24-18.03%). Prevalence rates of amnestic MCI and non-amnestic MCI were 10.03% (95%CI: 7.98-12.27%) and 8.72% (95%CI: 6.78-10.89%), respectively. […] The global prevalence of MCI among community dwellers is over 15% and is affected by age, gender, education level and region of study sites. Assessment and interventions targeting MCI within at-risk population subgroups should be considered toward the prevention of dementia.