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.

World Journal of Psychiatry
|December 20, 2024
PubMed
Abstract

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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