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Montreal Cognitive Assessment: Normative Data for Cognitively Healthy Swedish 80- to 94-Year-Olds.


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

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Publications

Montreal Cognitive Assessment: Normative Data for Cognitively Healthy Swedish 80- to 94-Year-Olds.

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]

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