Occurrence and risk factors of mild cognitive impairment in the older Chinese population: a 3-year follow-up study

Int J Geriatr Psychiatry. 2012 Jul;27(7):703-8. doi: 10.1002/gps.2768. Epub 2011 Sep 13.

Abstract

Objective: To investigate the occurrence and risk factors of mild cognitive impairment (MCI) and the conversion rates to dementia in Chinese people over 80 years of age.

Methods: Two hundred and two participants (>80 years old) without dementia were assessed clinically using neuropsychological tests; they were re-assessed at 1, 2, and 3 years.

Results: The results revealed that 30.2% of the study population was classified as having MCI at baseline. Multivariate linear regression analysis showed that coronary heart disease, hypertension, and stroke were risk factors of MCI. During the 3 years follow-up, the occurrence of MCI increased, and 21.8% of the participants with MCI progressed to dementia.

Conclusions: These results suggest that in the older elderly, prevention and early treatment of cardiovascular and cerebrovascular diseases may be effective in lowering the risk of MCI. MCI is a high risk factor for dementia.

MeSH terms

  • Aged, 80 and over
  • Alcohol Drinking
  • China / epidemiology
  • Cognitive Dysfunction / epidemiology*
  • Cognitive Dysfunction / etiology
  • Coronary Disease / complications
  • Dementia / epidemiology*
  • Disease Progression
  • Educational Status
  • Female
  • Follow-Up Studies
  • Humans
  • Hypertension / complications
  • Logistic Models
  • Male
  • Prevalence
  • Risk Factors
  • Stroke / complications