Unidad de Investigación Epidemiológica y en Servicios de Salud, Área de Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, Mexico.
Dement Geriatr Cogn Disord. 2012;34(5-6):271-81. doi: 10.1159/000345251. Epub 2012 Nov 29.
BACKGROUND/AIM: To estimate the prevalence of mild cognitive impairment (MCI) and its subtypes, taking into account education and health status.
This is the first report of our Study on Aging and Dementia in Mexico. This study included 2,944 elderly individuals 60 years old or more with in-home assessment for cognitive impairment. The prevalence of MCI was based on Petersen criteria. MCI was classified as amnestic of single domain (a-MCI-s) or multiple domain (a-MCI-md) or nonamnestic of single domain (na-MCI-s) or multiple domain (na-MCI-md). In addition to a battery of neuropsychological measures, a self-report depression measure and a medical history including history of stroke, heart disease and other health conditions were recorded.
The global estimated prevalence of MCI in the Mexican population was 6.45%. Of these subjects, 2.41% met criteria for a-MCI-s, 2.56% for a-MCI-md, 1.18% for na-MCI-s and 0.30% for na-MCl-md. Women showed a higher prevalence of MCI than men (63.7 vs. 36.3%, respectively). The analysis showed that heart disease [odds ratio (OR) 1.5], stroke (OR 1.2) and depression (OR 2.1) were associated with an increased risk of MCI.
The prevalence of MCI in Mexico is similar to that in other countries. The results suggest that stroke, heart disease and depression may have an important role in the etiology of MCI.
背景/目的:考虑到教育和健康状况,估计轻度认知障碍(MCI)及其亚型的患病率。
这是我们在墨西哥进行的衰老和痴呆研究的第一份报告。本研究纳入了 2944 名 60 岁及以上的老年人,他们在家中接受了认知障碍评估。MCI 的患病率基于 Petersen 标准。MCI 分为单域遗忘型(a-MCI-s)或多域遗忘型(a-MCI-md)、非遗忘型单域(na-MCI-s)或多域(na-MCI-md)。除了一系列神经心理学测试外,还记录了自我报告的抑郁量表和包括中风、心脏病和其他健康状况在内的病史。
墨西哥人口中 MCI 的全球估计患病率为 6.45%。在这些患者中,2.41%符合 a-MCI-s 的标准,2.56%符合 a-MCI-md 的标准,1.18%符合 na-MCI-s 的标准,0.30%符合 na-MCI-md 的标准。女性的 MCI 患病率高于男性(分别为 63.7%和 36.3%)。分析显示,心脏病(比值比[OR] 1.5)、中风(OR 1.2)和抑郁(OR 2.1)与 MCI 风险增加相关。
墨西哥的 MCI 患病率与其他国家相似。结果表明,中风、心脏病和抑郁可能在 MCI 的病因学中发挥重要作用。