Gopalakrishnan Priya, Tiwari Shivani, Nagaraja Ravishankar, Krishnan Gopee
Manipal Academy of Higher Education, Manipal College of Health Professions, Department of Speech and Hearing, Manipal, Karnataka, India.
University of Delhi, Vallabhbhai Patel Chest Institute, Department of Biostatistics, Delhi, India.
Dement Neuropsychol. 2024 Aug 26;18:e20230093. doi: 10.1590/1980-5764-DN-2023-0093. eCollection 2024.
The global increase in the aging population has raised concerns over various age-related conditions like dementia and mild cognitive impairment (MCI) and their consequences on the affected persons. People with MCI exhibit cognitive deficits more significantly than expected for their age and literacy level. Though the nature of this condition is considered "mild", studies have reported that even more subtle deficits can influence the quality of life (QOL).
The present work aimed at exploring and comparing QOL in older adults with and without MCI through a systematic review and meta-analysis.
After a detailed search of articles till May 2021 in the relevant electronic databases (PubMed Central, PubMed, Scopus, CINAHL Plus, Web of Science, ProQuest, and Cochrane) using the keywords "mild cognitive impairment", "quality of life", "old", "old aged", "aged", "older adult", "geriatrics", "healthy controls", "healthy participants", and "normal controls", we included 23 articles in the systematic review and 12 in the meta-analysis.
The quality of all the included articles were assessed using the Modified Downs and Black tool. Most of the studies in the systematic review demonstrated differences in QOL scores in older adults with MCI compared to healthy older adults. However, meta-analysis findings suggest that older adults with MCI had statistically non-significant yet lower differences in QOL compared to their healthy counterparts.
Future research should focus on developing QOL assessment tools specifically for older adults with MCI and follow-up studies that could provide better knowledge of their changing cognitive profile and life quality.
全球老龄化人口的增加引发了人们对各种与年龄相关的疾病(如痴呆症和轻度认知障碍(MCI))及其对患者影响的担忧。患有MCI的人表现出的认知缺陷比同年龄和识字水平的人预期的更为明显。尽管这种情况的性质被认为是“轻度的”,但研究报告称,即使是更细微的缺陷也会影响生活质量(QOL)。
本研究旨在通过系统评价和荟萃分析,探索和比较有MCI和无MCI的老年人的生活质量。
在相关电子数据库(PubMed Central、PubMed、Scopus、CINAHL Plus、Web of Science、ProQuest和Cochrane)中使用关键词“轻度认知障碍”、“生活质量”、“老年人”、“高龄老人”、“老年人”、“老年成年人”、“老年医学”、“健康对照”、“健康参与者”和“正常对照”对截至2021年5月的文章进行详细检索后,我们在系统评价中纳入了23篇文章,在荟萃分析中纳入了12篇文章。
使用改良的唐斯和布莱克工具对所有纳入文章的质量进行评估。系统评价中的大多数研究表明,与健康老年人相比,患有MCI的老年人的生活质量得分存在差异。然而,荟萃分析结果表明,与健康同龄人相比,患有MCI的老年人在生活质量方面的差异在统计学上不显著,但较低。
未来的研究应侧重于开发专门针对患有MCI的老年人的生活质量评估工具,以及能够更好地了解其认知特征和生活质量变化的随访研究。