中国重庆老年人轻度认知功能障碍的患病率

Yanlin Li, Jie Lyu
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摘要

轻度认知障碍(MCI)是发现痴呆的一个窗口,蒙特利尔认知评估(MoCA)是筛查 MCI 的常用工具。本研究以MoCA为工具,调查了重庆老年人MCI的患病率。本研究收集了 14 名老年人(55 岁,男性占 51.75%)的有效数据。研究人员收集了 12 项人口统计学信息,并对每位受试者进行了两个版本(北京 7.1 版和优化版)的 MoCA 测试。这两个版本是在北京 7.1 版的基础上开发的,并根据母语和文化背景对四个测试部分进行了优化。发现了五种危险的人口统计学因素。优化版MoCA检测出的MCI发生率从原版的94.4%降至83.3%,命名部分也有明显改善。总体患病率的大幅下降表明,MoCA 的优化在一定程度上使其更适合重庆老年人。因此,我们建议进一步对MoCA进行专业、细致的改进。
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The Prevalence of Mild Cognitive Impairment in Elders in Chongqing, China
Mild cognitive impairment (MCI) is a window to detect dementia, and to screen MCI, Montreal Cognitive Assessment (MoCA) is commonly used. This work investigated the prevalence of MCI in Chongqing elderlies by using MoCA as a tool. One hundred fourteen valid data from older adults ( 55 years, 51.75% males) were recruited for this research. Twelve demographic information were collected, and each participant did one of the two versions of MoCA tests (Beijing 7.1, and the optimized version). They were developed based on the Beijing 7.1 version, and four test sections were optimized to adapt to the native speaking and cultural background. Five risky demographic factors were found. The incidence of MCI detected by the optimized MoCA version was lowered to 83.3% compared to 94.4% in the original version, and the naming section was significantly improved. The significant decrease in the overall prevalence indicates that the optimization of the MoCA has, to some extent, made it more suitable for Chongqing elders. Accordingly, we suggest further professional and detailed improvements to MoCA.
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