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Red Cell Distribution Width is Related to Mild Cognitive Impairment: A Cross-Sectional Study of Community Residents
Juan Yang1, Haijing Sui2, Haihan Song3
1Department of Neurology, Shanghai Pudong New Area People's Hospital, Shanghai, China.
Background And Objective:
Previous literature has reported that red cell distribution width (RDW) correlated with Alzheimer's disease (AD), but the correlation with mild cognitive impairment (MCI) was not clear. This study aimed to investigate MCI in the residents aged ≥65 living in the suburban of Shanghai, China.
Materials And Methods:
A total of 550 participants were recruited as MCI (MCI group, 226) and normal (NC group, 284) groups and received blood examination voluntarily. Blood routine indexes were tested by blood tests using Sysmex XT-4000i (Japan). The Chi-square test, t-test, and linear regression analysis were used to find the statistical difference and correlation of data, respectively.
Results:
Each cognition domain of MCI was found to be impaired, the weight of which, however, was different in integral damage. Most MCI people had impairment of attention among cognitive domains (235, 88.3%). According to the results of the binary logistic regression, the highest weight among impaired cognitive domains was for attention in MCI, and the Wald value of attention was higher than those of others (Wald = 51.83). Additionally, RDW had the greatest negative correlation with attention score (P < 0.05).
Conclusions:
Increased RDW may be considered as a biomarker of MCI.
Insights
Red cell distribution width (RDW) is a potential biomarker for mild cognitive impairment (MCI). Increased RDW showed a significant negative correlation with attention in MCI patients, suggesting its role in cognitive decline.
Area of Science:
- Gerontology
- Neurology
- Hematology
Background:
- Red cell distribution width (RDW) is linked to Alzheimer's disease (AD).
- The association between RDW and mild cognitive impairment (MCI) remains unclear.
- This study focuses on elderly residents in Shanghai, China.
Purpose of the Study:
- To investigate the correlation between RDW and MCI in older adults.
- To identify potential biomarkers for early detection of cognitive impairment.
Main Methods:
- 550 participants (226 MCI, 284 normal controls) aged ≥65 were recruited.
- Blood routine indexes, including RDW, were analyzed using Sysmex XT-4000i.
- Statistical analyses included Chi-square, t-test, and linear regression.
Main Results:
- MCI patients exhibited impairments across cognitive domains, with attention being the most affected (88.3%).
- RDW showed the strongest negative correlation with attention scores in the MCI group (P < 0.05).
- Attention impairment had the highest weight among cognitive domains in MCI.
Conclusions:
- Elevated RDW may serve as a potential biomarker for mild cognitive impairment.
- RDW's negative correlation with attention highlights its role in cognitive function decline.
- Further research can explore RDW's utility in diagnosing and monitoring MCI.
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