Analysis of the Prevalence of Mild Cognitive Impairment and its Influencing Factors in the Elderly Population in Huzhou City.

IF 1 4区医学 Q4 NEUROSCIENCES

Actas espanolas de psiquiatria Pub Date : 2025-05-01 DOI:10.62641/aep.v53i3.1722

Weiliang He, Zheli Chen, Liang Xu, Fei Fang, Xin Zu, Xilong Jin, Jing Chen

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引用次数: 0

Abstract

Background: Mild cognitive impairment (MCI) is a critical stage in the development of Alzheimer's disease, and early intervention in patients during this stage may reverse or delay their disease progression. As one of the regions with severe aging in China, it is necessary to understand the prevalence of MCI in Huzhou and adopt effective intervention measures. The study was aimed to investigate the prevalence rate and influencing factors of MCI in the elderly population in Huzhou city.

Methods: A cross-sectional study was conducted involving 800 elderly residents of Huzhou city. The Montreal Cognitive Assessment (MoCA) and the activity of daily living (ADL) were used to assess the occurrence of MCI in the elderly. The influencing factors of MCI were investigated by univariate analysis and multi-factor analysis.

Results: A total of 800 questionnaires were sent out in this survey, and 778 were effectively collected, with an effective recovery rate of 97.25%. Among 778 elderly people in Huzhou city, 668 had normal cognitive function, 82 had MCI, and 28 had dementia, the prevalence rate of MCI was 10.54% (82/778). According to the presence or absence of MCI, the patients were divided into an MCI group (n = 82) and a non-MCI group (n = 668). Female (p = 0.026), high age (p = 0.009), low Community Screening Instrument for Dementia (CSI-D) score (p = 0.007), high Dementia Screening Questionnaire (AD8) score (p < 0.001), high Patient Health Questionnaire Depression Scale (PHQ-9) score (p = 0.037) were all risk factors for MCI in the urban elderly population of Huzhou City.

Conclusion: The prevalence of MCI in the elderly population in Huzhou City is high, and its occurrence is closely related to many factors. It is necessary to increase attention to the high-risk population of MCI and implement targeted intervention measures to improve their cognitive function and improve the quality of life of the elderly population.

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湖州市老年人群轻度认知障碍患病率及影响因素分析

背景：轻度认知障碍（MCI）是阿尔茨海默病发展的关键阶段，在这一阶段对患者进行早期干预可能逆转或延缓其疾病进展。湖州作为中国老龄化严重的地区之一，有必要了解MCI的流行情况，并采取有效的干预措施。本研究旨在了解湖州市老年人群轻度认知损伤患病率及影响因素。方法：采用横断面研究方法对湖州市800名老年居民进行调查。采用蒙特利尔认知评估（MoCA）和日常生活活动（ADL）评估老年人轻度认知损伤的发生情况。采用单因素分析和多因素分析对MCI的影响因素进行了探讨。结果：本次调查共发放问卷800份，回收有效问卷778份，有效回收率为97.25%。湖州市778名老年人中，认知功能正常668人，轻度认知损伤82人，痴呆28人，轻度认知损伤患病率为10.54%（82/778）。根据有无MCI分为MCI组（n = 82）和非MCI组（n = 668）。女性（p = 0.026）、年龄高（p = 0.009）、社区痴呆筛查量表（CSI-D）得分低（p = 0.007）、痴呆筛查问卷（AD8）得分高（p < 0.001）、患者健康问卷抑郁量表（PHQ-9）得分高（p = 0.037）是湖州市城市老年人群MCI的危险因素。结论：湖州市老年人群MCI患病率较高，其发生与多种因素密切相关。需要加大对MCI高危人群的重视，实施有针对性的干预措施，改善其认知功能，提高老年人群的生活质量。

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来源期刊

Actas espanolas de psiquiatria 医学-精神病学

CiteScore

1.70

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.