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[Mild cognitive impairment: a prodromal phase of dementia?]
1VU medisch centrum, EMGO Instituut, Amsterdam. c.jonker@vumc.nl
Abstract:
Cognitive decline without dementia is common among older persons. A variety of clinical concepts have been introduced in the past 30 years, in order to describe these cognitive deficits arising in older persons. The most frequently used concept is Mild Cognitive Impairment (MCI). MCI is generally seen as a prodromal phase of Alzheimer disease (AD). Several concepts are described, with the neuropsychiatric features and predictors of conversion to dementia c.q. AD. Finally, consequences of preclinically diagnoses for health care are clarified.
Insights
Mild Cognitive Impairment (MCI) is a common condition in older adults, often preceding Alzheimer disease (AD). This review clarifies MCI concepts, neuropsychiatric features, and healthcare implications of preclinical diagnoses.
Area of Science:
- Gerontology
- Neurology
- Cognitive Science
Context:
- Cognitive decline without dementia is prevalent in aging populations.
- Numerous clinical concepts have emerged to describe age-related cognitive deficits.
- Mild Cognitive Impairment (MCI) is the most recognized concept.
Purpose:
- To review various clinical concepts for cognitive deficits in older persons.
- To examine Mild Cognitive Impairment (MCI) as a prodromal phase of Alzheimer disease (AD).
- To clarify neuropsychiatric features, predictors of dementia conversion, and healthcare consequences of preclinical diagnoses.
Summary:
- Mild Cognitive Impairment (MCI) is frequently considered a precursor to Alzheimer disease (AD).
- The review discusses different conceptualizations of MCI, including its neuropsychiatric manifestations.
- Predictors for conversion to dementia and the impact of early diagnosis on healthcare are elucidated.
Impact:
- Provides a comprehensive overview of Mild Cognitive Impairment (MCI) and its relationship to Alzheimer disease (AD).
- Enhances understanding of neuropsychiatric features and conversion predictors in aging cognitive decline.
- Clarifies the implications of preclinical diagnoses for healthcare planning and patient management.
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