Vascular risk factors in mild cognitive impairment subtypes. Findings from the ReGAl project

Dement Geriatr Cogn Disord. 2007;24(6):448-56. doi: 10.1159/000110653. Epub 2007 Nov 1.

Abstract

Background and aim: To investigate the role of vascular risk factors in different subtypes of mild cognitive impairment (MCI) in a multicentric, clinic-based, cross-sectional study.

Methods: Two-hundred and seven subjects with MCI were included in the study: 33 with single non-memory MCI (snmMCI), 42 with multiple-domain amnestic MCI (mdMCI-a) and 132 with amnestic MCI (aMCI). Several clinical vascular risk factors and magnetic resonance imaging (MRI) brain lesions were evaluated.

Results: snmMCI showed a higher frequency of ischaemic heart disease and of transient ischaemic attack (TIA)/stroke, a higher Hachinski ischaemic score and a higher frequency of white-matter lesions on MRI compared to aMCI. Subjects with mdMCI-a showed clinical characteristics similar to aMCI, except for a higher frequency of a history of TIA/stroke.

Conclusion: Our findings suggest that snmMCI may be considered a vascular cognitive disorder.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Atrophy / pathology
  • Brain / pathology*
  • Cognition Disorders* / classification
  • Cognition Disorders* / diagnosis
  • Cognition Disorders* / epidemiology
  • Female
  • Humans
  • Ischemic Attack, Transient / epidemiology*
  • Magnetic Resonance Imaging
  • Male
  • Neuropsychological Tests
  • Prevalence
  • Risk Assessment
  • Risk Factors
  • Severity of Illness Index
  • Surveys and Questionnaires