Journal article
Memory complaint is not necessary for diagnosis of mild cognitive impairment and does not predict 10-year trajectories of functional disability, word recall, or short portable mental status questionnaire limitations
Journal of the American Geriatrics Society (JAGS), Vol.54(2), pp.335-338
02/2006
DOI: 10.1111/j.1532-5415.2005.00589.x
PMID: 16460388
Abstract
To evaluate the prevalence and utility of memory complaint in a geographically representative cohort and, in cases with mild cognitive impairment (MCI), to determine whether memory complaint alters 10-year trajectories of disability in activities of daily living (ADLs), Short Portable Mental Status Questionnaire (SPMSQ) score, and 20-item word recall.
Prospective cohort study.
Washington and Iowa counties, Iowa.
Iowa Established Populations for Epidemiologic Studies of the Elderly (N = 3,673; aged > or =65; 61.3% female; 99.9% white).
Age, sex, education, SPMSQ score, 20-item word recall, ADL or instrumental ADL disability, and chronic medical conditions.
The prevalence of memory complaint was 34%. Although proportionally more cognitively impaired individuals were in the memory complaint group (34% vs 27%), the pattern of subclassification into cognitively intact and MCI Stage 1 and 2 subgroups was similar for people with and without memory complaint. Median SPMSQ score and number of words recalled at baseline were comparable across memory complaint categories in each subgroup. MCI participants without subjective memory complaint constituted a larger proportion of the overall sample than individuals with subjective memory complaint (460 (14%) vs 295 (8.9%)) and of persons objectively classified as having MCI (61% vs 39%). The distribution of individual 10-year change in ADL disability, SPMSQ score, and word recall were similar for those with and without memory complaint across all subgroups of cognitive impairment.
Memory complaint is not necessary for MCI diagnosis and does not distinguish cases with different progression rates in disability or cognitive impairment. 2006.
Details
- Title: Subtitle
- Memory complaint is not necessary for diagnosis of mild cognitive impairment and does not predict 10-year trajectories of functional disability, word recall, or short portable mental status questionnaire limitations
- Creators
- Jama L Purser - American Physical Therapy AssociationGerda G Fillenbaum - Duke UniversityRobert B Wallace - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American Geriatrics Society (JAGS), Vol.54(2), pp.335-338
- DOI
- 10.1111/j.1532-5415.2005.00589.x
- PMID
- 16460388
- NLM abbreviation
- J Am Geriatr Soc
- ISSN
- 0002-8614
- eISSN
- 1532-5415
- Grant note
- P60-AG11268 / NIA NIH HHS K01 HD049593 / NICHD NIH HHS AG00029-27 / NIA NIH HHS N01-AG-2106 / NIA NIH HHS R37-AG08937 / NIA NIH HHS K01 HD049593-01A1 / NICHD NIH HHS
- Language
- English
- Date published
- 02/2006
- Academic Unit
- Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984363627202771
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