Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.
Age Ageing. 2022 Aug 2;51(8). doi: 10.1093/ageing/afac173.
BACKGROUND: Mild cognitive impairment (MCI) is the preclinical and transitional stage between healthy ageing and dementia that may be a potential 'target' for interventions designed to delay progression to dementia. In this systematic review and meta-analysis, we assessed the prevalence of MCI worldwide in community-dwelling adults aged 50 years and older. METHODS: PubMed, Web of Science, Embase and PsycINFO database searches were conducted from their respective inception dates to 1 September 2021. Data on the overall prevalence of MCI were synthesised using random effects models. RESULTS: A total of 66 articles covering 242,804 participants fulfilled study criteria for inclusion. The overall prevalence of MCI was 15.56% (95%CI: 13.24-18.03%). Prevalence rates of amnestic MCI and non-amnestic MCI were 10.03% (95%CI: 7.98-12.27%) and 8.72% (95%CI: 6.78-10.89%), respectively. The prevalence of MCI increased with age and decreased with education level. Subgroup and meta-regression analyses revealed that region of study site and male gender proportion per sample were significant correlates of MCI prevalence. CONCLUSION: The global prevalence of MCI among community dwellers is over 15% and is affected by age, gender, education level and region of study sites. Assessment and interventions targeting MCI within at-risk population subgroups should be considered toward the prevention of dementia.
背景:轻度认知障碍 (MCI) 是健康衰老与痴呆之间的临床前期和过渡阶段,可能是干预措施的潜在“目标”,旨在延缓向痴呆的进展。在这项系统评价和荟萃分析中,我们评估了全球社区居住的 50 岁及以上成年人中 MCI 的患病率。
方法:从各自的创建日期到 2021 年 9 月 1 日,对 PubMed、Web of Science、Embase 和 PsycINFO 数据库进行了检索。使用随机效应模型综合 MCI 的总体患病率数据。
结果:共有 66 篇文章涵盖了 242804 名符合纳入标准的参与者。MCI 的总体患病率为 15.56%(95%CI:13.24-18.03%)。遗忘型 MCI 和非遗忘型 MCI 的患病率分别为 10.03%(95%CI:7.98-12.27%)和 8.72%(95%CI:6.78-10.89%)。MCI 的患病率随年龄增长而增加,随教育水平降低而降低。亚组和荟萃回归分析表明,研究地点的区域和样本中的男性比例是 MCI 患病率的显著相关因素。
结论:社区居民中 MCI 的全球患病率超过 15%,且受年龄、性别、教育水平和研究地点区域的影响。应考虑针对高危人群亚组的 MCI 评估和干预措施,以预防痴呆症。
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