Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older
In Asia, including Japan, dementia incidence peaks in older adults over ≥75 years; it is therefore important to detect mild cognitive impairment (MCI), and prevent its onset in this age group. Our study hypothesized that physical and psychological status would be associated with MCI incidence among...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-10-01
|
Series: | Geriatrics |
Subjects: | |
Online Access: | https://www.mdpi.com/2308-3417/6/4/104 |
_version_ | 1827672270163673088 |
---|---|
author | Akio Goda Shin Murata Kayoko Shiraiwa Teppei Abiko Hideki Nakano Koji Nonaka Hiroaki Iwase Kunihiko Anami Yuki Kikuchi Jun Horie |
author_facet | Akio Goda Shin Murata Kayoko Shiraiwa Teppei Abiko Hideki Nakano Koji Nonaka Hiroaki Iwase Kunihiko Anami Yuki Kikuchi Jun Horie |
author_sort | Akio Goda |
collection | DOAJ |
description | In Asia, including Japan, dementia incidence peaks in older adults over ≥75 years; it is therefore important to detect mild cognitive impairment (MCI), and prevent its onset in this age group. Our study hypothesized that physical and psychological status would be associated with MCI incidence among community-dwelling people aged 75 years and older. The study population comprised 291 such individuals. Participants with a Mini-Mental State Examination score of 28 or more were considered non-MCI, and those with a score of less than 28 and greater than 24 were considered to have MCI. Several other measures were also evaluated, including information about their current medical visits due to diseases, depressive symptom severity, various physical functions (trunk function, 30 s chair-stand test, one-legged stance test, timed up and go test time, 5 m walking time, grip strength, knee-extension strength, and toe-grip strength), and body composition (body fat and skeletal muscle mass). Participants suspected of having MCI had significantly shorter educational histories, higher rates of medical visits due to hypertension, and poorer balance abilities. The results suggest that these indices can be considered screening indicators for detecting MCI in people aged 75 years and older, which may be useful for planning intervention programs for this population. |
first_indexed | 2024-03-10T04:01:14Z |
format | Article |
id | doaj.art-2f7ea838d54544f1a43ebece37f16b64 |
institution | Directory Open Access Journal |
issn | 2308-3417 |
language | English |
last_indexed | 2024-03-10T04:01:14Z |
publishDate | 2021-10-01 |
publisher | MDPI AG |
record_format | Article |
series | Geriatrics |
spelling | doaj.art-2f7ea838d54544f1a43ebece37f16b642023-11-23T08:32:50ZengMDPI AGGeriatrics2308-34172021-10-016410410.3390/geriatrics6040104Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and OlderAkio Goda0Shin Murata1Kayoko Shiraiwa2Teppei Abiko3Hideki Nakano4Koji Nonaka5Hiroaki Iwase6Kunihiko Anami7Yuki Kikuchi8Jun Horie9Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanDepartment of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara 631-8524, JapanDepartment of Physical Therapy, Faculty of Rehabilitation, Kobe International University, Kobe 658-0032, JapanDepartment of Rehabilitation, Faculty of Health Sciences, Naragakuen University, Nara 631-8524, JapanDepartment of Rehabilitation, Mitsubishi Kyoto Hospital, Kyoto 615-8087, JapanDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, JapanIn Asia, including Japan, dementia incidence peaks in older adults over ≥75 years; it is therefore important to detect mild cognitive impairment (MCI), and prevent its onset in this age group. Our study hypothesized that physical and psychological status would be associated with MCI incidence among community-dwelling people aged 75 years and older. The study population comprised 291 such individuals. Participants with a Mini-Mental State Examination score of 28 or more were considered non-MCI, and those with a score of less than 28 and greater than 24 were considered to have MCI. Several other measures were also evaluated, including information about their current medical visits due to diseases, depressive symptom severity, various physical functions (trunk function, 30 s chair-stand test, one-legged stance test, timed up and go test time, 5 m walking time, grip strength, knee-extension strength, and toe-grip strength), and body composition (body fat and skeletal muscle mass). Participants suspected of having MCI had significantly shorter educational histories, higher rates of medical visits due to hypertension, and poorer balance abilities. The results suggest that these indices can be considered screening indicators for detecting MCI in people aged 75 years and older, which may be useful for planning intervention programs for this population.https://www.mdpi.com/2308-3417/6/4/104balance abilitycommunity-dwellingdementiaeducational historyhypertensionmild cognitive decline |
spellingShingle | Akio Goda Shin Murata Kayoko Shiraiwa Teppei Abiko Hideki Nakano Koji Nonaka Hiroaki Iwase Kunihiko Anami Yuki Kikuchi Jun Horie Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older Geriatrics balance ability community-dwelling dementia educational history hypertension mild cognitive decline |
title | Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older |
title_full | Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older |
title_fullStr | Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older |
title_full_unstemmed | Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older |
title_short | Factors Influencing the Development of Mild Cognitive Impairment in Community-Dwelling People Aged 75 Years and Older |
title_sort | factors influencing the development of mild cognitive impairment in community dwelling people aged 75 years and older |
topic | balance ability community-dwelling dementia educational history hypertension mild cognitive decline |
url | https://www.mdpi.com/2308-3417/6/4/104 |
work_keys_str_mv | AT akiogoda factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT shinmurata factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT kayokoshiraiwa factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT teppeiabiko factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT hidekinakano factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT kojinonaka factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT hiroakiiwase factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT kunihikoanami factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT yukikikuchi factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder AT junhorie factorsinfluencingthedevelopmentofmildcognitiveimpairmentincommunitydwellingpeopleaged75yearsandolder |