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Updated: Jun 4, 2025

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Predictive value of nutritional status and serological indicators in elderly patients with mild cognitive impairment
Ying Yang1,2, Shou-Rong Lu1,2, Qiao Xu1,2
1Department of Geriatrics, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi 214023, Jiangsu Province, China.
Background:
Mild cognitive impairment (MCI) in elderly individuals is a transitional stage between normal cognition and dementia. Understanding the risk factors for MCI and identifying those at high risk are extremely important for the elderly population.
Aim:
To analyze the risk factors for MCI in the elderly population and construct a clinical prediction model.
Methods:
Total 295 elderly individuals presenting with memory loss diagnosed at Wuxi People's Hospital between March 2021 and March 2024 were included. Comprehensive demographic, clinical, and serological data were collected for analysis. Participants were categorized into either an MCI group or a normal group based on their performance on the Montreal Cognitive Assessment Scale. An elaborate clinical predictive model was developed to predict the likelihood of MCI in stroke patients; its accuracy was evaluated using area under curve values and calibration curves.
Results:
The results of the study showed that old age, hypertension, diabetes, hyperlipidemia, smoking, high-salt diet, high-cholesterol diet, decreased red blood count, increased neutrophil lymphocyte ratio and increased low-density lipoprotein cholesterol were risk factors for the onset of MCI, with A high vitamin diet and elevated high-density lipoprotein cholesterol being protective factors. In addition, the prediction model constructed in this study exhibits good degrees of differentiation and calibration.
Conclusion:
The risk factors for MCI are diverse. Early identification of individuals at high risk of MCI can better intervene and improve their quality of life of MCI patients.
Insights
Identifying risk factors for mild cognitive impairment (MCI) in the elderly is crucial. Old age, hypertension, diabetes, and diet are key factors, while a high vitamin diet is protective.
Area of Science:
- Gerontology
- Neurology
- Epidemiology
Background:
- Mild cognitive impairment (MCI) represents a critical transitional phase between normal aging and dementia in older adults.
- Understanding MCI risk factors is vital for timely intervention and improving quality of life in the elderly population.
Purpose of the Study:
- To investigate the diverse risk factors associated with mild cognitive impairment (MCI) in an elderly cohort.
- To develop and validate a clinical prediction model for identifying individuals at high risk of MCI.
Main Methods:
- A cohort of 295 elderly individuals with memory loss was analyzed.
- Demographic, clinical, and serological data were collected and assessed using the Montreal Cognitive Assessment Scale.
- A predictive model for MCI likelihood was developed and evaluated for accuracy and calibration.
Main Results:
- Identified risk factors for MCI include advanced age, hypertension, diabetes, hyperlipidemia, smoking, and specific dietary habits (high-salt, high-cholesterol).
- Protective factors identified were a high-vitamin diet and elevated high-density lipoprotein cholesterol.
- The developed clinical prediction model demonstrated good differentiation and calibration capabilities.
Conclusions:
- Mild cognitive impairment (MCI) in the elderly is influenced by a multifactorial array of risk and protective elements.
- Early identification of high-risk individuals through predictive modeling is essential for effective intervention strategies.
- Improving the quality of life for elderly individuals affected by MCI can be achieved through proactive risk management.
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