Cognitive health and distribution of mild cognitive impairment of women aged 45-65 in communities of Shanghai: a cross-sectional study based on Montreal cognitive assessment

HUANG Yu; CHEN Hong; JIN Chenyang; ZHANG Yuge; JIANG Weili; ZHAO Qi; ZHU Liping; XU Biao

doi:10.16462/j.cnki.zhjbkz.2024.09.006

Volume 28 Issue 9

Sep. 2024

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(9): 1023-1029

HUANG Yu, CHEN Hong, JIN Chenyang, ZHANG Yuge, JIANG Weili, ZHAO Qi, ZHU Liping, XU Biao. Cognitive health and distribution of mild cognitive impairment of women aged 45-65 in communities of Shanghai: a cross-sectional study based on Montreal cognitive assessment[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1023-1029. doi: 10.16462/j.cnki.zhjbkz.2024.09.006

Citation:

HUANG Yu, CHEN Hong, JIN Chenyang, ZHANG Yuge, JIANG Weili, ZHAO Qi, ZHU Liping, XU Biao. Cognitive health and distribution of mild cognitive impairment of women aged 45-65 in communities of Shanghai: a cross-sectional study based on Montreal cognitive assessment[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1023-1029. doi: 10.16462/j.cnki.zhjbkz.2024.09.006

Citation:

HUANG Yu, CHEN Hong, JIN Chenyang, ZHANG Yuge, JIANG Weili, ZHAO Qi, ZHU Liping, XU Biao. Cognitive health and distribution of mild cognitive impairment of women aged 45-65 in communities of Shanghai: a cross-sectional study based on Montreal cognitive assessment[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1023-1029. doi: 10.16462/j.cnki.zhjbkz.2024.09.006

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Cognitive health and distribution of mild cognitive impairment of women aged 45-65 in communities of Shanghai: a cross-sectional study based on Montreal cognitive assessment

doi: 10.16462/j.cnki.zhjbkz.2024.09.006

HUANG Yu^{1, 2},
CHEN Hong³,
JIN Chenyang^{1, 2},
ZHANG Yuge^{1, 2},
JIANG Weili^{1, 2},
ZHAO Qi^{1, 2},
ZHU Liping⁴,
XU Biao^{1, 2
,
,}

1.
Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
2.
Key Lab of Health Technology Assessment, National Health Commission, Fudan University, Shanghai 200032, China
3.
Department of Health Care for Women, Shanghai Fengxian Center for Women and Children′s Health, Shanghai 201400, China
4.
Shanghai Municipal Center for Health Promotion, Shanghai 200040, China

HUANG Yu and CHEN Hong contributed equally to this article

Funds:

Three-year Action Plan of Shanghai Public Health System Construction (2020-2022) Optimization of MCH Whole Life Cycle Health Management Service Model GWV-9.4

More Information

Corresponding author: XU Biao, E-mail: bxu@shmu.edu.cn
Received Date: 2024-01-04
Rev Recd Date: 2024-05-15

Available Online: 2024-10-24

Publish Date: 2024-09-10

Abstract

Abstract

Objective To investigate the cognitive level of women aged 45-65 in the community in Shanghai, and to describe the distribution of mild cognitive impairment (MCI) and its influencing factors. Methods The study subjects were women aged 45-65 in communities of 8 districts in Shanghai who volunteered to participate in the "bone health cohort". General information questionnaire was used to collect demographic information, lifestyle, menopausal status, reproductive history and chronic disease. Montreal cognitive assessment (MoCA) was used to measure cognitive function and screen for patients with MCI. Multivariate Logistic regression was used to analyze the influencing factors of MCI. Results A total of 2 205 women aged 45-65 in communities completed the questionnaire interview and MoCA-B assessment. The average score of MoCA-B was (26.47±3.14), points and the prevalence of mild cognitive impairment (MCI) was 10.25%. The results of the multivariate Logistic regression showed that the incidence of MCI was positively correlated with age (OR=2.393, 95% CI: 1.345-4.256). Compared to those with the education level of primary school or below, women completed junior high school (OR=0.375, 95% CI: 0.240-0.585), senior high school or technical school (OR=0.185, 95%CI: 0.115-0.298) and college or above (OR=0.067, 95% CI: 0.033-0.135) had a reduced risk ofMCI. The risk ofMCI in participating women living in urban areas (OR=0.563, 95% CI: 0.405-0.785) was significantly lower than those living in rural areas, and women having a balanced diet (OR=0.678, 95% CI: 0.466-0.986) also had a significantly lower risk of MCI than those having a vegetarian diet. Conclusions The prevalence of MCI among women aged 45-65 in communities of Shanghai was 10.25%. Age, education, living area and dietary habit were associated with MCI prevalence. Cognitive function assessment on women at peri-menopausal and early menopausal stage in community could provide basic evidences for developing early intervention strategies to prevent MCI and its progression.
- Mild cognitive impairment,
- Montreal cognitive assessment,
- Women in communities,
- Menopause

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References(14)

References

[1]	霍永彦, 陆媛, 于德华, 等. 上海农村地区老年居民轻度认知障碍患病情况及影响因素分析[J]. 山东医药, 2020, 60(14): 67-70. DOI: 10.3969/j.issn.1002-266X.2020.14.020. Huo YY, Lu Y, Yu DH, et al. Prevalence and influencing factors of mild cognitive impairment in elderly residents in rural areas of Shanghai[J]. Shandong Medical Journal, 2020, 60(14): 67-70. DOI: 10.3969/j.issn.1002-266X.2020.14.020.
[2]	Rao RV, Subramaniam KG, Gregory J, et al. Rationale for a multi-factorial approach for the reversal of cognitive decline in alzheimer's disease and MCI: a review[J]. Int J Mol Sci, 2023, 24(2): 1659. DOI: 10.3390/ijms24021659.
[3]	Iraniparast M, Shi Y, Wu Y, et al. Cognitive reserve and mild cognitive impairment: predictors and rates of reversion to intact cognition vs progression to dementia[J]. Neurology, 2022.98(11): 1114-1123. DOI: 10.1212/WNL.0000000000200051.
[4]	张一方, 张海鑫, 张纹菱, 等. 基于Meta分析的中国老年人轻度认知障碍风险评估模型的构建与验证[J]. 中华疾病控制杂志, 2023, 27(6): 705-710. DOI: 10.16462/j.cnki.zhjbkz.2023.06.015. Zhang YF, Zhang HX, Zhang WL, et al. Construction and validation of a risk assessment model for mild cognitive impairment in Chinese elderly based on Meta-analysis[J]. Chin J Dis Control Prev, 2023, 27(6): 705-710. DOI: 10.16462/j.cnki.zhjbkz.2023.06.015.
[5]	Chen KL, Xu Y, Chu AQ, et al. Validation of the Chinese version of montreal cognitive assessment basic for screening mild cognitive impairment[J]. J Am Geriatr Soc, 2016, 64(12): 285-290. DOI: 10.1111/jgs.14530.
[6]	上海市老龄事业发展促进中心. 2022年上海市老年人口和老龄事业监测统计信息[EB/OL]. (2023-04-12)[2024-06-20]. https://wsjkw.sh.gov.cn/tjsj2/20230412/899c76cbff2e4c93997b03593ccb946e.html.
[7]	黄武全, 陆媛, 于德华. 上海市某近郊城区老年人轻度认知障碍患病率及其影响因素分析[J]. 中国医药导报, 2019, 16(21): 59-63, 68. Huang WQ, Lu Y, Yu DH. Prevalence rate of mild cognitive impairment among the elderly in a suburban area of Shanghai City and analysis on its influencing factors[J]. China Medical Herald, 2019, 16(21): 59-63, 68.
[8]	Goldberg SM, Zhao Y, Cheng Y, et al. Clinical progression of baseline risk states for mild cognitive impairment[J]. J Alzheimers Dis, 2022, 88(4): 1377-1384. DOI: 10.3233/JAD-215607.
[9]	唐毅, 吕佩源. 2018中国痴呆与认知障碍诊治指南(七): 阿尔茨海默病的危险因素及其干预[J]. 中华医学杂志, 2018, 98(19): 1461-1466. DOI: 10.3760/cma.j.issn.0376-2491.2018.19.002. Tang Y, Lyu PY. Chinese guidelines for the diagnosis and treatment of dementia and cognitive impairment in 2018(seven): risk factors and interventions for Alzheimer's disease[J]. Natl Med J Chin, 2018, 98(19): 1461-1466. DOI: 10.3760/cma.j.issn.0376-2491.2018.19.002.
[10]	Oveisgharan S, Yang J, Yu L, et al. Estrogen receptor genes, cognitive decline, and alzheimer disease[J]. Neurology, 2023, 100(14): e1474-e1487. DOI: 10.1212/WNL.0000000000206833.
[11]	Baumgartner NE, Daniel JM. Estrogen receptor α: a critical role in successful female cognitive aging[J]. Climacteric, 2021, 24(4): 333-339. DOI: 10.1080/13697137.2021.1875426.
[12]	Zhang NJ, Qian ZD, Zeng YB, et al. Incidence and risk factors associated with progression to mild cognitive impairment among middle aged and older adults[J]. Eur Rev Med Pharmacol Sci, 2022, 26(23): 8852-8859. DOI: 10.26355/eurrev_202212_30557.
[13]	Manacharoen A, Jayanama K, Ruangritchankul S, et al. Association of body mass index and dietary intake with mild cognitive impairment and dementia: a retrospective cohort study[J]. BMC Geriatr, 2023, 23(1): 3. DOI: 10.1186/s12877-022-03700-5.
[14]	Duan H, Sun C, Zhu Y, et al. Association of dietary habits with mild cognitive impairment among elderly in rural area of north China[J]. Curr Alzheimer Res, 2021, 18(3): 256-264. DOI: 10.2174/1567205018666210617152205.