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ABSTRACT: Background
The Montreal Cognitive Assessment (MoCA) is sensitive to cognitive impairment; however, it is also sensitive to demographic and socio-cultural factors. This necessitates reliable sub-population norms, but these are often lacking for older adults.Objective
To present demographically adjusted regression-based MoCA norms for cognitively healthy Swedish older adults.Methods
A pseudo-random sample of community-dwelling 80- to 94-year-olds, stratified by age and gender, was invited to the study. Initial telephone interviews and medical records searches (n = 218) were conducted to screen for cognitive impairment. N = 181 eligible participants were administered a protocol including the Swedish version of the MoCA and assessments of global cognition (Mini-Mental State Examination, MMSE) and depression (Patient Health Questionnaire-9, PHQ-9). Individuals scoring in the range of possible cognitive impairment on the MMSE or more than mild depression on the PHQ-9 were excluded (n = 23); three discontinued the test-session.Results
Norms were derived from the remaining n = 158. They were evenly distributed by gender, on average 85 years old, and with a mean education of 11 years. MoCA scores were independently influenced by age and education, together explaining 17.2% of the total variance. Higher age and lower education were associated with lower performance and 46% performed below the original cut-off (< 26/30).Conclusion
The negative impact of increasing age on MoCA performance continues linearly into the nineties in normal aging. Demographic factors should be considered when interpreting MoCA performance and a tool for computing demographically corrected standard scores is provided.
SUBMITTER: Classon E
PROVIDER: S-EPMC9198733 | biostudies-literature | 2022
REPOSITORIES: biostudies-literature
Classon Elisabet E van den Hurk Wobbie W Lyth Johan J Johansson Maria M MM
Journal of Alzheimer's disease : JAD 20220101 3
<h4>Background</h4>The Montreal Cognitive Assessment (MoCA) is sensitive to cognitive impairment; however, it is also sensitive to demographic and socio-cultural factors. This necessitates reliable sub-population norms, but these are often lacking for older adults.<h4>Objective</h4>To present demographically adjusted regression-based MoCA norms for cognitively healthy Swedish older adults.<h4>Methods</h4>A pseudo-random sample of community-dwelling 80- to 94-year-olds, stratified by age and gend ...[more]