Prevalence of mild cognitive impairment and its subtypes in the Heinz Nixdorf Recall study cohort

Dement Geriatr Cogn Disord. 2010;30(4):362-73. doi: 10.1159/000320988. Epub 2010 Oct 19.

Abstract

Aims: We investigated the prevalence of mild cognitive impairment (MCI) and its subtypes according to the original (MCI-original) and modified (MCI-modified; neglecting cognitive complaints) Petersen criteria.

Methods: 4,145 subjects (aged 50-80 years) from a German population-based study completed a cognitive screening test and were poststratified into 2 groups with sample sizes of 1,125 for impaired and 3,020 for age-appropriate performance. Random samples of 445 impaired participants and 211 age-appropriate participants received a detailed neuropsychological evaluation. The prevalence of MCI was estimated by a bias correction estimator based on stratum weights. The association between MCI and age, gender and education was analyzed in a logistic regression model.

Results: The estimated MCI prevalence was 7.8% (95% CI: 5.7-9.9%) for the original, and 12.1% (95% CI: 9.8-14.4%) for the modified criteria. In the MCI-original group, amnestic MCI subtypes were slightly less common than non-amnestic MCI subtypes (3.5 vs. 4.3%). MCI-original was associated with lower education and older age. In the MCI-modified group, the amnestic subtypes were more common than the non-amnestic MCI subtypes (7.8 vs. 4.3%), and MCI was associated with age, gender and education.

Conclusions: Prevalence rates of MCI are high in the general population and vary considerably according to the criteria applied.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Distribution
  • Aged
  • Amnesia / classification
  • Amnesia / diagnosis
  • Amnesia / epidemiology*
  • Cognition Disorders / classification*
  • Cognition Disorders / diagnosis
  • Cognition Disorders / epidemiology
  • Cohort Studies
  • Dementia / classification
  • Dementia / diagnosis
  • Dementia / epidemiology*
  • Diagnosis, Differential
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Geriatric Assessment / methods*
  • Germany / epidemiology
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Prevalence
  • Registries
  • Sex Distribution