Risk factors of mild behavioral impairment: a systematic review

Song Lin Tang1,2, Ponnusamy Subramaniam2, Ching Sin Siau3

  • 1Department of Geriatrics, Zhoushan Hospital, Wenzhou Medical University, Zhoushan, China.

PubMed
Abstract

Insights

Mild Behavioral Impairment (MBI) is a predementia syndrome. Key factors include genetics, motor and sensory deficits, metabolic issues, and brain changes, highlighting the need for early detection in neurodegenerative disorders.

Area of Science:

  • Neuroscience
  • Gerontology
  • Psychiatry

Background:

  • Mild Behavioral Impairment (MBI) is a syndrome of neuropsychiatric symptoms preceding cognitive decline.
  • Identifying MBI-associated factors is crucial for neurodegenerative disorder prevention.

Purpose of the Study:

  • To systematically review factors associated with Mild Behavioral Impairment (MBI).
  • To synthesize evidence for MBI pathogenesis and inform prevention strategies.

Main Methods:

  • Systematic review following PRISMA 2020 guidelines.
  • Searched major databases (PubMed, Scopus, Web of Science, etc.) through May 2024.
  • Included 41 human studies selected via dual independent screening.

Main Results:

  • Five key domains associated with MBI identified: genetic susceptibility (APOE ε4), motor pathology (Parkinsonism), multisensory deficits (auditory), metabolic dysregulation (diabetes, frailty), and neuroanatomical correlates (frontolimbic atrophy).
  • Interaction between genetic and environmental/lifestyle factors is central to MBI development.

Conclusions:

  • MBI is a complex interface between molecular mechanisms and clinical presentation.
  • Supports transdiagnostic screening integrating behavioral biomarkers and cognitive assessments.
  • Recommends longitudinal studies to establish causal pathways and intervention thresholds.

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