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Updated: Oct 3, 2025

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Poor pulmonary function is associated with mild cognitive impairment, its progression to dementia, and brain
Jiao Wang1,2,3, Abigail Dove4, Ruixue Song1,5
1Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China.
Introduction:
The relationship between pulmonary function (PF) and mild cognitive impairment (MCI), dementia, and brain pathologies remains unclear.
Methods:
A total of 1312 dementia-free participants, including a cognitively intact group (n = 985) and an MCI group (n = 327), were followed for up to 21 years to detect incident MCI and dementia. PF was assessed at baseline with a composite score and tertiled. Over follow-up, 540 participants underwent autopsies for neuropathological assessment.
Results:
Compared to the highest PF, the hazard ratios (95% confidence intervals [CIs]) of the lowest PF were 1.95 (1.43-2.66) for MCI in the cognitively intact group and 1.55 (1.03-2.33) for dementia in the MCI group. Low PF was further related to Alzheimer's disease pathology (odds ratio [OR] 1.32, 95% CI 1.19-1.47) and vascular pathology (OR 3.05, 95% CI 1.49-6.25).
Discussion:
Low PF increases MCI risk and accelerates MCI progression to dementia. Both neurodegenerative and vascular mechanisms may underlie the PF-dementia association.
Insights
Poor pulmonary function (PF) is linked to increased risk of mild cognitive impairment (MCI) and dementia. Low PF may also accelerate MCI progression to dementia through brain pathologies.
Area of Science:
- Neurology
- Pulmonology
- Gerontology
Background:
- The connection between pulmonary function (PF) and cognitive decline, including mild cognitive impairment (MCI) and dementia, is not fully understood.
- Brain pathologies underlying cognitive impairment require further investigation in relation to respiratory health.
Purpose of the Study:
- To investigate the association between baseline pulmonary function and the incidence and progression of mild cognitive impairment (MCI) and dementia.
- To explore the relationship between pulmonary function and neuropathological findings, including Alzheimer's disease and vascular pathology.
Main Methods:
- A longitudinal study followed 1312 dementia-free participants (cognitively intact and MCI groups) for up to 21 years.
- Pulmonary function was assessed at baseline using a composite score.
- Neuropathological assessment through autopsy was performed on 540 participants.
Main Results:
- Lowest PF was associated with a 1.95-fold increased hazard for MCI in cognitively intact individuals.
- Lowest PF was associated with a 1.55-fold increased hazard for dementia in the MCI group.
- Low PF correlated with both Alzheimer's disease (OR 1.32) and vascular pathology (OR 3.05).
Conclusions:
- Reduced pulmonary function is a significant risk factor for developing MCI and progressing to dementia.
- Both neurodegenerative and vascular mechanisms may mediate the link between poor pulmonary function and dementia.
- Pulmonary health may play a crucial role in maintaining cognitive function and preventing dementia.
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