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The Montreal Cognitive Assessment in cognitively-intact elderly: a case for age-adjusted cutoffs
Noga Oren1, Galit Yogev-Seligmann2, Elissa Ash3
1Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel Center for Memory and Attention Disorders, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Abstract:
The Montreal Cognitive Assessment (MoCA) is a widely used screening test for evaluation of mild cognitive impairment (MCI), with a single cutoff for all ages. We examined whether it is associated with age in a sample of cognitively-intact elderly (CIE). The average MoCA score was negatively correlated with age and was significantly higher for younger than older CIE. Additionally, 42% of the older elderly fell below the proposed MCI cutoff score, although all subjects were CIE. Thus, cognitive abilities captured by the MoCA test decrease with age, even in CIE. Therefore, cutoff scores by age for the MoCA are needed.
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