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Updated: Nov 20, 2025

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Prevalence of Mild Cognitive Impairment in the Lothian Birth Cohort 1936
Miles Welstead1, Michelle Luciano1, Graciela Muniz-Terrera2
1Lothian Birth Cohorts, Department of Psychology.
Background:
The Lothian Birth Cohort 1936 (LBC1936) is a highly phenotyped longitudinal study of cognitive and brain ageing. Given its substantial clinical importance, we derived an indicator of mild cognitive impairment (MCI) and amnestic and nonamnestic subtypes at 3 time points.
Methods:
MCI status was derived at 3 waves of the LBC1936 at ages 76 (n=567), 79 (n=441), and 82 years (n=341). A general MCI category was derived as well as amnestic MCI (aMCI) and nonamnestic MCI (naMCI). A comparison was made between MCI derivations using normative data from the LBC1936 cohort versus the general UK population.
Results:
MCI rates showed a proportional increase at each wave between 76 and 82 years from 15% to 18%. Rates of MCI subtypes also showed a proportional increase over time: aMCI 4% to 6%; naMCI 12% to 16%. Higher rates of MCI were found when using the LBC1936 normative data to derive MCI classification rather than UK-wide norms.
Conclusions:
We found that MCI and aMCI rates in the LBC1936 were consistent with previous research. However, naMCI rates were higher than expected. Future LBC1936 research should assess the predictive factors associated with MCI prevalence to validate previous findings and identify novel risk factors.
Insights
Mild cognitive impairment (MCI) and its subtypes increased with age in the Lothian Birth Cohort 1936. Nonamnestic MCI rates were higher than anticipated, suggesting a need for further research into predictive factors.
Area of Science:
- Gerontology
- Neuroscience
- Epidemiology
Background:
- The Lothian Birth Cohort 1936 (LBC1936) is a key longitudinal study for understanding cognitive and brain aging.
- Mild cognitive impairment (MCI) has significant clinical implications for aging populations.
Purpose of the Study:
- To derive indicators for mild cognitive impairment (MCI) and its subtypes (amnestic and nonamnestic) at three distinct time points within the LBC1936 cohort.
- To compare MCI prevalence using cohort-specific normative data versus general UK population norms.
Main Methods:
- MCI status was assessed at ages 76, 79, and 82 in the LBC1936 study (n=567, 441, 341 respectively).
- Both a general MCI category and specific subtypes, amnestic MCI (aMCI) and nonamnestic MCI (naMCI), were derived.
- MCI classifications were compared using LBC1936 normative data against general UK population norms.
Main Results:
- Prevalence of MCI increased from 15% at age 76 to 18% by age 82.
- Rates for MCI subtypes also rose: aMCI from 4% to 6% and naMCI from 12% to 16% over the study period.
- Using LBC1936 normative data resulted in higher MCI rates compared to using general UK population norms.
Conclusions:
- MCI and aMCI prevalence align with existing research findings.
- Nonamnestic MCI (naMCI) rates were observed to be higher than previously expected.
- Further LBC1936 research is recommended to identify predictive factors for MCI prevalence and novel risk factors.
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