Health Variables Are Informative in Screening for Mild Cognitive Impairment Among Elderly African Americans

Siny Tsang, Scott A. Sperling, Moon Ho Park, Ira M. Helenius, Ishan C. Williams, Carol Manning

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    To aid primary care providers in identifying people at increased risk for cognitive decline, we explored the relative importance of health and demographic variables in detecting potential cognitive impairment using the Mini-Mental State Examination (MMSE). Participants were 94 older African Americans coming to see their primary care physicians for reasons other than cognitive complaints. Education was strongly associated with cognitive functioning. Among those with at least 9 years of education, patients with more vascular risk factors were at greater risk for mild cognitive impairment. For patients with fewer than 9 years of education, those with fewer prescribed medications were at increased risk for dementia. These results suggest that in addition to the MMSE, primary care physicians can make use of patients’ health information to improve identification of patients at increased risk for cognitive impairment. With improved identification, physicians can implement strategies to mitigate the progression and impact of cognitive difficulties.

    Original languageEnglish
    Pages (from-to)1421-1444
    Number of pages24
    JournalJournal of Applied Gerontology
    Volume38
    Issue number10
    DOIs
    Publication statusPublished - 2019 Oct 1

    Keywords

    • MMSE
    • cognitive impairment
    • mild cognitive decline

    ASJC Scopus subject areas

    • Gerontology
    • Geriatrics and Gerontology

    Fingerprint

    Dive into the research topics of 'Health Variables Are Informative in Screening for Mild Cognitive Impairment Among Elderly African Americans'. Together they form a unique fingerprint.

    Cite this