Mild cognitive impairment: vascular risk factors in community elderly in four cities of Hebei Province, China

PLoS One. 2015 May 11;10(5):e0124566. doi: 10.1371/journal.pone.0124566. eCollection 2015.

Abstract

Background: Evidence has demonstrated that vascular risk factors (VRFs) contribute to mild cognitive impairment (MCI) in the elderly population. Because of the race and different diagnosis standard, there is still no definitive conclusions.

Objective: To estimate the VRFs and potential protective factors for MCI in elderly population living in the community in North China.

Methods: A total of 3136 participants entered the study. They were screened for hypertension, coronary heart disease (CHD), and cerebrovascular disease (CVD). Cognitive function was assessed with Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). The diagnosis of MCI was made according to Petersen's criteria. We investigated the relationship between vascular risk factors, potential protective factors and MCI.

Results: A total of 2511 (80%) participant belonged to normal group and 625 (20%) participants showed MCI. Multiple logistic regression analysis demonstrated that stroke and diabetes, but not hypertension or CHD was associated with MCI. Besides, exercise habit could lower the risk of MCI.

Conclusions: Vascular Risk Factors, including stroke and diabetes, rather than hypertension and CHD are independent risk factors of MCI. Involvement in physical activities seems to reduce the risk of MCI.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cardiovascular Diseases / epidemiology
  • China / epidemiology
  • Cities*
  • Cognitive Dysfunction / diagnosis
  • Cognitive Dysfunction / epidemiology*
  • Cognitive Dysfunction / etiology*
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Public Health Surveillance
  • Risk Factors
  • Surveys and Questionnaires

Grants and funding

This work was supported by the Science and Technology Support Program of Hebei Province (No.09276103D and Hebei province funded project for returned people (No.C2013005008) and the National Science Foundation of China (No.81401101 and 81271489). The funder had no role in study design, data collection and analysis, decision to publish and preparation of the manuscript.