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Updated: Jun 15, 2025

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Quality of life in persons with mild cognitive impairment: a systematic review and meta-analysis
Priya Gopalakrishnan1, Shivani Tiwari1, Ravishankar Nagaraja2
1Manipal Academy of Higher Education, Manipal College of Health Professions, Department of Speech and Hearing, Manipal, Karnataka, India.
Abstract:
The global increase in the aging population has raised concerns over various age-related conditions like dementia and mild cognitive impairment (MCI) and their consequences on the affected persons. People with MCI exhibit cognitive deficits more significantly than expected for their age and literacy level. Though the nature of this condition is considered "mild", studies have reported that even more subtle deficits can influence the quality of life (QOL).
Objective:
The present work aimed at exploring and comparing QOL in older adults with and without MCI through a systematic review and meta-analysis.
Methods:
After a detailed search of articles till May 2021 in the relevant electronic databases (PubMed Central, PubMed, Scopus, CINAHL Plus, Web of Science, ProQuest, and Cochrane) using the keywords "mild cognitive impairment", "quality of life", "old", "old aged", "aged", "older adult", "geriatrics", "healthy controls", "healthy participants", and "normal controls", we included 23 articles in the systematic review and 12 in the meta-analysis.
Results:
The quality of all the included articles were assessed using the Modified Downs and Black tool. Most of the studies in the systematic review demonstrated differences in QOL scores in older adults with MCI compared to healthy older adults. However, meta-analysis findings suggest that older adults with MCI had statistically non-significant yet lower differences in QOL compared to their healthy counterparts.
Conclusion:
Future research should focus on developing QOL assessment tools specifically for older adults with MCI and follow-up studies that could provide better knowledge of their changing cognitive profile and life quality.
Insights
Older adults with mild cognitive impairment (MCI) may experience a lower quality of life (QOL) compared to healthy peers. Further research is needed to develop specific QOL assessment tools for this population.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Global aging population increases concerns about age-related cognitive conditions like dementia and mild cognitive impairment (MCI).
- Mild cognitive impairment (MCI) involves cognitive deficits exceeding age and literacy expectations, potentially impacting quality of life (QOL).
Purpose of the Study:
- To systematically review and compare the QOL of older adults with and without MCI.
- To conduct a meta-analysis to quantitatively assess QOL differences between these groups.
Main Methods:
- Comprehensive literature search across major databases (PubMed, Scopus, Web of Science, etc.) up to May 2021.
- Inclusion of 23 articles for systematic review and 12 for meta-analysis.
- Quality assessment of included studies using the Modified Downs and Black tool.
Main Results:
- Most studies indicated QOL differences between older adults with MCI and healthy controls.
- Meta-analysis revealed that older adults with MCI had lower QOL scores, though the difference was not statistically significant.
- The Modified Downs and Black tool was used to assess study quality.
Conclusions:
- Older adults with MCI may experience diminished QOL compared to their healthy counterparts.
- Future research should prioritize developing tailored QOL assessment tools for individuals with MCI.
- Longitudinal studies are recommended to track cognitive changes and QOL in this demographic.
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