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Rate of progression of mild cognitive impairment to dementia – meta‐analysis of 41 robust inception cohort studies
Open accessAbstract
Objective: To quantify the risk of developing dementia in those with mild cognitive impairment (MCI). Method: Meta‐analysis of inception cohort studies. Results: Forty‐one robust cohort studies were identified. To avoid heterogeneity clinical studies, population studies and clinical trials were analysed separately. Using Mayo defined MCI at baseline and adjusting for sample size, the cumulative proportion who progressed to dementia, to Alzheimer’s disease (AD) and to vascular dementia (VaD) was 39.2%, 33.6% and 6.2%, respectively in specialist settings and 21.9%, 28.9% and 5.2%, respectively in population studies. The adjusted annual conversion rate (ACR) from Mayo defined MCI to dementia, AD and VaD was 9.6%, 8.1% and 1.9%, respectively in specialist clinical settings and 4.9%, 6.8% and 1.6% in community studies. Figures from non‐Mayo defined MCI and clinical trials are also reported. Conclusion: The ACR is approximately 5–10% and most people with MCI will not progress to dementia even after 10 years of follow‐up.
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“Individuals diagnosed with MCI are a heterogeneous group, with only about 30 % of them developing Alzheimer’s dementia within 3 years after clinical MCI diagnosis [8].”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [8]
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“Conversion to dementia is estimated at 9.6 (Mitchell and Shiri-Feshki, 2009) to 15 percent per year (Alzheimer’s Association, 2015).”
InfluentialMarcos, G., Santabárbara, J., López‐Antón, R., De‐la‐Cámara, C., Gracia‐García, P., Lobo, E., Pírez, G., Menchón, J. M., Palomo, T., Stephan, B. C. M., et al. (2015) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12543 · Cited by 53
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Conversion and Reversion Rates in Japanese Older People With Mild Cognitive Impairment
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“In people aged 70 years and older, the reported prevalence of MCI ranges from 14 to 18% and the progression rate to dementia is 5–15% per year [2]; considerably greater than the 1–6% per year for people without MCI [1].”
BackgroundMild cognitive impairment in adult: A neuropsychological review
Chandra, M., Yanhong, O., & Venkatesh, D. (2013) · Annals of Indian Academy of Neurology · doi:10.4103/0972-2327.116907 · Cited by 57
“[107] In the meta analysis, the annual rate of conversion to dementia, Alzheimer’s dementia, and vascular dementia was 9.6%, 8.1%, and 1.9%, respectively, in specialist clinical settings and 4.9%, 6.8%, and 1.6% in community studies.”
InfluentialCiro, C. A., Anderson, M. P., Hershey, L. A., Prodan, C. I., & Holm, M. B. (2015) · American Journal of Occupational Therapy · doi:10.5014/ajot.2014.015198 · Cited by 54
“A diagnosis of a-MCI appears to hold the highest risk of conversion to Alzheimer’s disease (AD), with approximately 10%–15% of affected people converting per year (Mitchell & Shiri-Feshki, 2009; Petersen, 2003; Petrella, Sheldon, Prince, Calhoun, & Doraiswamy, 2011).”
Berna, F. S., Schönknecht, P., Seidl, U., Toro, P., & Schröder, J. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.03.022 · Cited by 57
“Focusing on patients with amnestic, but also multi domain MCI is important when studying memory in aging due to the high risk of converting to Alzheimer’s disease, which is higher than that of patients with non-amnestic MCI (Mitchell and Shiri-Feshki, 2009).”
BackgroundReorientation Deficits Are Associated With Amnestic Mild Cognitive Impairment
Caffò, A., Caro, M. D. D., Picucci, L., Notarnicola, A., Settanni, A., Livrea, P., Lancioni, G., & Bosco, A. (2012) · American Journal of Alzheimers Disease & Other Dementias · doi:10.1177/1533317512452035 · Cited by 49
“Non-aMCI conditions are instead more likely to convert in other types of dementia, such as vascular dementia, frontotemporal dementia, or dementia with Lewy body.(1) In individuals having MCI, the conversion to dementia is often predicted by different cognitive impairments such as mnemonic and executive dysfunction.”
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Sugarman, M. A., Alosco, M. L., Tripodis, Y., Steinberg, E. G., & Stern, R. A. (2018) · Journal of Alzheimer s Disease · doi:10.3233/jad-170527 · Cited by 57
“6 years, the progression rates from MCI to AD dementia were 34% and 29% in specialty memory clinics and community clinics, respectively [2].”
Bright Light Therapy and Circadian Cycles in Institutionalized Elders
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Differences in fall-related characteristics across cognitive disorders
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“MCI is considered to be a preclinical stage of dementia with an annual conversion rate of 10% (Mitchell and Shiri-Feshki, 2009).”
BackgroundA Survey of Deep Learning for Alzheimer’s Disease
Zhou, Q., Wang, J., Yu, X., Wang, S., & Zhang, Y. (2023) · Machine Learning and Knowledge Extraction · doi:10.3390/make5020035 · Cited by 58
“Multiple studies have analyzed the demographics and progression of MCI and have found the following: 15–20% of people age 65 or older have MCI from a range of possible causes [23]; 15% of people age 65 or older with MCI developed dementia at two years follow-up [24]; and 32% developed AD and 38% developed dementia at…”
BackgroundAgostini, S., Mancuso, R., Baglio, F., Cabinio, M., Hernis, A., Costa, A. S., Calabrese, E., Nemni, R., & Clerici, M. (2016) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2016.07.153 · Cited by 51
“MCI can herald the development of AD, and it is estimated that, on a yearly basis, 10–15% of MCI individuals convert to AD, a form of dementia characterized by progressive memory loss and impairment of cognitive function (Petersen, 2011; Mitchell and Shiri-Feshki, 2009).”
BackgroundGLYNN, K. P., O’Callaghan, M. E., Hannigan, O., Bruce, I., Gibb, M., Coen, R. F., Green, E., LAWLOR, B. A., & Robinson, D. J. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5385 · Cited by 48
“Subscale scores (cut-offs to signify impairment) used for our analysis were as follows: Orientation 10 (8), Attention 9 (7), Language 30 (24), Memory 27 (18), Praxis 12 (10), Perception 11 (8) and Abstraction 8 (5).”
BackgroundMethodThe plant sterol brassicasterol as additional CSF biomarker in Alzheimer’s disease
Vanmierlo, T., Popp, J., Kölsch, H., Friedrichs, S., Jessen, F., Stoffel‐Wagner, B., Bertsch, T., Hartmann, T., Maier, W., von Bergmann, K., et al. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01713.x · Cited by 49
Papma, J. M., den Heijer, T., de Koning, I., Mattace-Raso, F. U., van der Lugt, A., van der Lijn, F., van Swieten, J. C., Koudstaal, P. J., Smits, M., & Prins, N. D. (2013) · NeuroImage: Clinical · doi:10.1016/j.nicl.2012.11.005 · Cited by 48
“All rights re MCI cases (Petersen et al., 2001; Meyer et al., 2002; Mitchell and Shiri-Feshki, 2009).”
Trajectories of cognitive decline and dementia development: A 12‐year longitudinal study
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Reduced Walking Speed in Subjective and Mild Cognitive Impairment: A Cross-Sectional Study
Knapstad, M. K., Steihaug, O. M., Aaslund, M. K., Nakling, A. E., Naterstad, I. F., Fladby, T., Aarsland, D., & Giil, L. M. (2018) · Journal of Geriatric Physical Therapy · doi:10.1519/jpt.0000000000000157 · Cited by 49
El‐Yacoubi, M. A., Garcia-Salicetti, S., Kahindo, C., Rigaud, A., & Cristancho‐Lacroix, V. (2018) · Pattern Recognition · doi:10.1016/j.patcog.2018.07.029 · Cited by 53
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“In fact, several longitudinal studies have found that the conversion rate from MCI to AD is 10–15%/year (Mitchell and Shiri-Feshki, 2009).”
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“Duration of T2DM (years), Md (Q1,Q3) 7 (3,13) 7 (3, 12) 8 (4, 15) 0.”
Tao, D., Scully, R., Ash, G. I., Pei, Z., Gu, Y., Gao, Y., Cole, A. M., & Baker, J. S. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.102120 · Cited by 59
The development of effective biomarkers for Alzheimer's disease: a review
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“A recent meta-analysis concluded that, for memory clinic attendees with subjective memory complaints fulfilling an MCI diagnosis, the risk of progression to dementia was 9.6% per year (Mitchell and Shiri-Feshki, 2009).”
MethodInfluentialFunctional signature of conversion of patients with mild cognitive impairment
Pizzi, S. D., Punzi, M., Sensi, S. L., & Initiative, F. T. A. D. N. (2018) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2018.10.004 · Cited by 54
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Living with stable MCI: Experiences among 17 individuals evaluated at a memory clinic
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“…health, and finally a dementia diagnosis, the conversation rate from MCI to dementia diagnosis varies from 10% to 40% per year, leaving a substantial portion of MCI individuals that stay stable over long periods of time (Geslani, Tierney, Herrmann, & Szalai, 2005; Mitchell & Shiri-Feshki, 2009).”
BackgroundThe Fate of the 0.5s: Predictors of 2-Year Outcome in Mild Cognitive Impairment
Aretouli, E., Okonkwo, O. C., Samek, J., & Brandt, J. (2010) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617710001621 · Cited by 49
“%) remain stable when followed for up to 10 years (Fisk & Rockwood, 2005; Ganguli, Dodge, Shen, & DeKosky, 2004; Mitchell & Shiri-Feshki, 2009; Visser, Kester, Jolles, & Verhey, 2006).”
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Li, X., Wang, H., Tian, Y., Zhou, S., Li, X., Wang, K., & Yu, Y. (2016) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2016.00250 · Cited by 48
“MCI is an umbrella term for a heterogeneous group of cognitive impairments; however amnestic MCI (aMCI) in particular, is thought to be a transition stage between normal aging and AD (Jicha et al., 2006;Whitwell et al., 2008; Mitchell and Shiri-Feshki, 2009).”
BackgroundLiving with mild cognitive impairment: the patient's and carer's experience
Dean, K., & Wilcock, G. (2012) · International Psychogeriatrics · doi:10.1017/s104161021100264x · Cited by 47
“The annual incidence of dementia is around 3% in those with MCI in the general population (Mitchell and Shiri-Feshki, 2009) compared to approximately 0.”
BackgroundInfluentialFactors that predict cognitive decline in patients with subjective cognitive impairment
Fonseca, J. A. S., Ducksbury, R., Rodda, J. E., Whitfield, T. J., Nagaraj, C., Suresh, K., Stevens, T., Walker, Z., & Brodaty, H. (2015) · International Psychogeriatrics · doi:10.1017/s1041610215000356 · Cited by 49
“Studies based on community samples show lower rates of progression from MCI to dementia than clinicbased studies (Mitchell and Shiri-Feshki, 2009).”
BackgroundZhang, W., Liu, S., Sun, F., & Dong, X. (2018) · Aging & Mental Health · doi:10.1080/13607863.2018.1480705 · Cited by 47
“Mild congitive impairment is ususally a precoursor to various forms of dementias (Mitchell & Shiri-Feshki, 2009), which in turn, contributes to disabilitiy and loss of independence and subsequent mortality (Cotter, 2007; Gill, Richardson, & Tinetti, 1995; Phelan, Borson, Gorthaus, Balch, & Larson,…”
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Wimo, A. B., Handels, R. L. H., Winblad, B. G., Black, C. M., Johansson, G., Salomonsson, S., Eriksdotter, M., & Khandker, R. K. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-191055 · Cited by 46
“For unspecified MCI, the progression to dementia rate decreases over time with a relatively higher rate in the beginning [18], declining to a very small risk after 10 years.”
BackgroundJin, R., Pilozzi, A. R., & Huang, X. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103287 · Cited by 53
“However, individuals with mild NCDs have a significantly higher risk of developing major NCDs [8,9], particularly in cases of the amnestic mild NCD subtypes [10].”
BackgroundChun, M.-Y., Park, C. J., Kim, J.-H., Jeong, J., Jang, H., Kim, K., & Seo, S. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.898940 · Cited by 39
“However, some aMCI patients maintain a stable state of cognitive function or reverted to normal cognition (Busse et al., 2006; Mitchell and Shiri-Feshki, 2009).”
BackgroundState inequality, socioeconomic position and subjective cognitive decline in the United States
Peterson, R. L., Carvajal, S. C., McGuire, L. C., Fain, M. J., & Bell, M. L. (2019) · SSM - Population Health · doi:10.1016/j.ssmph.2019.100357 · Cited by 46
DeBuc, D. C., Gaca-Wysocka, M., Grzybowski, A. E., & Kanclerz, P. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8070996 · Cited by 47
“Also, not all MCI patients convert to AD [68].”
BackgroundAlmeida, A. L. M., Pires, L. A., Figueiredo, E. A., Costa-Cunha, L. V. F., Zacharias, L. C., Preti, R. C., Monteiro, M. L. R., & Cunha, L. P. (2019) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1016/j.dadm.2019.08.006 · Cited by 46
“The rate of conversion to dementia is 1% to 2% per year in the general population, 5% to 10% in subjects with MCI [2], and up to 50% in 30 months for aMCI [3].”
BackgroundThe reality of at risk mental state services: a response to recent criticisms
Yung, A. R., Wood, S. J., MALLA, A. K., Nelson, B., McGorry, P. D., & Shah, J. L. (2019) · Psychological Medicine · doi:10.1017/s003329171900299x · Cited by 48
“6% (Mitchell and Shiri‐Feshki, 2009) and development of diabetes from pre-diabetes of 5–10% (Tabák et al.”
BackgroundJiang, J., Wang, M., Alberts, I., Sun, X., Li, T., Rominger, A., Zuo, C., Han, Y., Shi, K., & Initiative, A. D. N. (2022) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/s00259-022-05687-y · Cited by 46
Xia, Y., Eeles, E. M., Fripp, J., Pinsker, D. M., Thomas, P. A., Latter, M. J., Doré, V., Fazlollahi, A., Bourgeat, P., Villemagne, V. L., et al. (2022) · NeuroImage Clinical · doi:10.1016/j.nicl.2022.102992 · Cited by 44
Godinho, C., Camozzato, A. L., Onyszko, D., & Chaves, M. L. F. (2011) · International Psychogeriatrics · doi:10.1017/s1041610211002043 · Cited by 44
“49 (Bruscoli and Lovestone, 2004; Ishikawa et al., 2006; Dickerson et al., 2007; Palmer et al.2008; Matthews et al., 2008; Mitchell and Shiri-Feshki, 2009; Ganguli et al., 2011) and therefore the observed risk can be considered high.”
BackgroundInfluentialDoes Vascular Burden Contribute to the Progression of Mild Cognitive Impairment to Dementia?
Clerici, F., Caracciolo, B., Cova, I., Imperatori, S. F., Maggiore, L., Galimberti, D., Scarpini, E. A., Mariani, C. B., & Fratiglioni, L. (2012) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000343776 · Cited by 45
Patterns of Cognitive Decline, Conversion Rates, and Predictive Validity for 3 Models of MCI
Ritchie, L. J., & Tuokko, H. A. (2010) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317510382286 · Cited by 49
“9 depending on the operationalization of MCI in a meta-analytic review of MCI cohort studies.(22) Additionally, the removal of a single criterion causes marked differences in prevalence rates.”
BackgroundFalahati, F., Ferreira, D., Soininen, H. S., Mecocci, P., Vellas, B. J., Tsolaki, M., Kłoszewska, I., Lovestone, S., Eriksdotter, M., Wahlund, L., et al. (2015) · Brain Topography · doi:10.1007/s10548-015-0455-1 · Cited by 48
“Some MCI subjects progress to AD or even other neurological disorders, some remain stable over time, with a smaller number reverting to a cognitively normal status (Mitchell and Shiri-Feshki 2009).”
BackgroundFramingham Risk Score and the Risk of Progression from Mild Cognitive Impairment to Dementia
Viticchi, G., Falsetti, L., Buratti, L., Sajeva, G., Luzzi, S., Bartolini, M., Provinciali, L., & Silvestrini, M. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-170160 · Cited by 45
“We only collected amnestic MCI (aMCI) because, according to literature, this subtype has the highest risk of conversion to AD [15, 16].”
MethodMicroRNAs and mild cognitive impairment: A systematic review
Piscopo, P., Lacorte, E., Feligioni, M., Mayer, F., Crestini, A., Piccolo, L., Bacigalupo, I., Filareti, M., Ficulle, E., Confaloni, A., et al. (2018) · Ageing Research Reviews · doi:10.1016/j.arr.2018.11.005 · Cited by 45
Gupta, Y., Kim, J., Kim, B. C., & Kwon, G. (2020) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.00238 · Cited by 45
Angevaare, M. J., Vonk, J. M. J., Bertola, L., Zahodne, L. B., Watson, C. W., Boehme, A., Schupf, N., Mayeux, R. P., Geerlings, M. I., & Manly, J. J. (2021) · Neurology · doi:10.1212/wnl.0000000000013017 · Cited by 45
Detecting MCI and dementia in primary care: efficiency of the MMS, the FAQ and the IQCODE
Cruz, I., Bellón, J. M., Torrero, P., Aparicio, E., Sanz, A., Mula, N., Marzana, G., Begué, C., Cabezon, D., & Olazarán, J. (2011) · Family Practice · doi:10.1093/fampra/cmr114 · Cited by 46
Hildreth, K. L., Pelt, R. E. V., Moreau, K. L., Grigsby, J., Hoth, K. F., Pelak, V. S., Anderson, C. A., Parnes, B. L., Kittelson, J. M., Wolfe, P., et al. (2015) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000371509 · Cited by 46
Clinical Measures of Prospective Memory in Amnestic Mild Cognitive Impairment
Delprado, J., Kinsella, G., Ong, B., Pike, K. E., Ames, D. J., Storey, E., Saling, M. M., Clare, L., Mullaly, E., & Rand, E. H. (2012) · Journal of the International Neuropsychological Society · doi:10.1017/s135561771100172x · Cited by 51
“Although exact figures vary, an annual conversion rate of 5% to 12%, as compared with 1% to 2% of cognitively healthy older adults, has been reported (Mitchell & Shiri-Feshki, 2009).”
BackgroundLiu, J., Yin, C., Xia, S., Jia, L., Guo, Y., Zhao, Z., Li, X., Han, Y., & Jia, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0059440 · Cited by 43
“A meta-analysis reported the annual conversion rate from aMCI to AD at 5%–10% [8].”
BackgroundBody weight status and onset of cognitive impairment among U.S. middle-aged and older adults
Xiang, X., & An, R. (2015) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2015.02.008 · Cited by 44
Stephan, B. C. M., Brayne, C., Savva, G. M., & Matthews, F. E. (2011) · Age and Ageing · doi:10.1093/ageing/afr057 · Cited by 46
“Not all individuals with MCI progress to dementia, with some individuals remaining stable or reverting to normal [4, 5].”
BackgroundZotcheva, E., Håberg, A. K., Wisløff, U., Salvesen, Ø., Selbæk, G., Stensvold, D., & Ernstsen, L. (2022) · Sports Medicine · doi:10.1007/s40279-021-01608-5 · Cited by 43
“Men in the ExComb group had 36% lower odds of MCI, which is a smaller effect than in observational studies of physical activity and cognitive impairment [37, 38], but still can be of significance to public health given that approximately 5–10% of individuals with MCI will progress to dementia annually [41].”
BackgroundCoutinho, A. M., Porto, F. H. G., Duran, F., Prando, S., Ono, C. R., Feitosa, E. D. A. A. F., Spíndola, L., de Oliveira, M. O., do Vale, P. H. F., Gomes, H. R., et al. (2015) · Alzheimer s Research & Therapy · doi:10.1186/s13195-015-0143-0 · Cited by 45
“Most studies indicate a preferential conversion of aMCI to AD, but other variables such as the presence of more than one affected domain, type of impairment, intensity of cognitive impairment at baseline, and presence of apolipoprotein E epsilon 4 allele may possibly influence the conversion to dementia [7].”
Yu, P., Sun, J., Wolz, R., Stephenson, D. T., Brewer, J. B., Fox, N. C., Cole, P. E., Jack, C. R., Hill, D., & Schwarz, A. J. (2013) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2013.09.039 · Cited by 45
Progression from mild cognitive impairment to dementia: A 3-year longitudinal study
Brodaty, H., Connors, M. H., Ames, D. J., Woodward, M., & on behalf of the PRIME study group (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414536237 · Cited by 44
“Most research on predictors of progression from MCI has emanated from tertiary referral centres or population studies (Mitchell and Shiri-Feshki, 2009; Petersen et al., 2009), especially from the USA.”
BackgroundResultDisclosure of amyloid imaging results to research participants: Has the time come?
Lingler, J. H., & Klunk, W. E. (2013) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2012.09.014 · Cited by 44
Martínez, G., Vernooij, R. W. M., Padilla, P. F., Zamora, J., Flicker, L. A., & Bonfill, X. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012883 · Cited by 44
Oltra‐Cucarella, J., Sánchez‐SanSegundo, M., Lipnicki, D. M., Sachdev, P. S., Crawford, J. D., Pérez-Vicente, J. A., Cabello‐Rodríguez, L., Ferrer‐Cascales, R., & Initiative, A. D. N. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15412 · Cited by 46
Kwak, K., Niethammer, M., Giovanello, K. S., Styner, M. A., Dayan, E., & Initiative, A. D. N. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab223 · Cited by 43
Bucholc, M., Bauermeister, S., Kaur, D., McClean, P. L., & Todd, S. (2022) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1002/trc2.12248 · Cited by 49
“34 As such, the method creates a socalled pseudo-population in which (1) the exposure is independent of the measured covariates and (2) drop-out is not related to the measured exposure and covariates and thus, potential selection bias due to loss to follow-up is accounted for.”
MethodHigh White Matter Lesion Load Is Associated with Hippocampal Atrophy in Mild Cognitive Impairment
Eckerström, C., Olsson, E., Klasson, N., Bjerke, M., Göthlin, M., Jonsson, M., Rolstad, S., Malmgren, H., Wallin, A., & Edman, Å. (2011) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000323014 · Cited by 43
“MCI patients are at risk for further cognitive decline, and it is estimated that roughly 40p of MCI patients will convert to dementia [”
BackgroundSmith, G., Chandler, M., Locke, D. E., Fields, J., Phatak, V., Crook, J., Hanna, S., Lunde, A., Morris, M., Graff-Radford, M., et al. (2017) · JMIR Research Protocols · doi:10.2196/resprot.8103 · Cited by 42
“Approximately 15% to 20% of people aged 65 or older have MCI, and it is estimated that 32% to 38% of individuals with MCI develop Alzheimer dementia in 5 years [10].”
BackgroundKlekociuk, S. Z., & Summers, M. J. (2014) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2014.890699 · Cited by 43
“…below age-appropriate normative references: a level of subclinical impairment that is consistent with previous research (Saunders & Summers, 2010, 2011; Summers & Saunders, 2012) and avoids the potential of cutoff scores of 1.5 standard deviations being too severe (Mitchell & Shiri-Feshki, 2009).”
BackgroundResultInfluentialBest, E. A., Juarez‐Colunga, E., James, K. A., LeBlanc, W. G., & Serdar, B. (2016) · PLoS ONE · doi:10.1371/journal.pone.0147632 · Cited by 44
“[6, 7, 8], of which 40 percent is expected to progress into the more severe dementia later in life [9].”
BackgroundBrodaty, H., Aerts, L., Crawford, J. D., Heffernan, M., Kochan, N. A., Reppermund, S., Kang, K., Maston, K., Draper, B., Trollor, J. N., et al. (2016) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2016.12.012 · Cited by 42
Patten, R. V., Britton, K. J., & Tremont, G. N. (2018) · International Psychogeriatrics · doi:10.1017/s1041610218001023 · Cited by 42
Performance on neuropsychological assessment and progression to dementia: A meta-analysis.
Prado, C. E., Watt, S., Treeby, M. S., & Crowe, S. F. (2019) · Psychology and Aging · doi:10.1037/pag0000410 · Cited by 42
Comorbidity‐driven multi‐modal subtype analysis in mild cognitive impairment of Alzheimer's disease
Katabathula, S., Davis, P. B., & Xu, R. (2022) · Alzheimer s & Dementia · doi:10.1002/alz.12792 · Cited by 43
“2,3 Some individuals with MCI stay stable after 10-years’ follow-up or even return to normal cognitive status by timely interventions, 4 whereas others progress to AD and die within 3 years after diagnosis.”
LUPIEN, S. J., Lord, C., Sindi, S., Wilkinson, C. W., & Fiocco, A. J. (2009) · Elsevier eBooks · doi:10.1016/b978-008088783-8.00097-8 · Cited by 42
Signature of Alzheimer’s Disease in Intestinal Microbiome: Results From the AlzBiom Study
Laske, C., Müller, S., Preische, O., Ruschil, V., Munk, M. H. J., Honold, I., Peter, S., Schoppmeier, U., & Willmann, M. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.792996 · Cited by 39
“Both results are conflicting and also surprising, because MCI is a heterogeneous syndrome with varying clinical outcomes: up to 60% of MCI patients develop dementia within a 10year period, however, many people remain cognitively stable or regain normal cognitive function (Manly et al., 2008; Mitchell and Shiri-Feshki,…”
ResultXie, H., Mayo, N. E., & Koski, L. M. (2011) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000323568 · Cited by 41
Cause of death in mild cognitive impairment: a prospective study (NEDICES)
Contador, I., Bermejo‐Pareja, F., Mitchell, A. J., Trincado, R., Villarejo‐Galende, A., Sánchez‐Ferro, Á., & Benito‐León, J. (2013) · European Journal of Neurology · doi:10.1111/ene.12278 · Cited by 41
“MCI research has become highly relevant during the last decade, especially as people with MCI have a higher risk of developing dementia than age-matched population controls [2].”
BackgroundResultSelf-citationMessinis, L., Nasios, G., Mougias, A. A., Politis, A. M., Zampakis, P. E., Tsiamaki, E., Malefaki, S., Gourzis, P., & Papathanasopoulos, P. (2015) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2015.1085496 · Cited by 43
“Due to a significant increase in elderly patients’ subjective memory complaints (Zygouris & Tsolaki, 2015) and reports (Mitchell & Shiri-Feshki, 2009; Summers & Saunders, 2012) that patients with MCI have elevated rates of conversion to dementia, the objective and accurate assessment of episodic…”
BackgroundHandels, R. L. H., Vos, S. J. B., Kramberger, M. G., Jelić, V., Blennow, K., van Buchem, M. A., van der Flier, W. M., Freund‐Levi, Y., Hampel, H. J., Rikkert, M. G. M. O., et al. (2017) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2016.12.015 · Cited by 41
“However, generalizability to old age might be limited as the average age was 69 years, and diagnostic performance has been shown to decrease with age [37], and a 40% a priori risk is higher than other observed proportions [38].”
BackgroundQuantitative MRI of Perivascular Spaces at 3T for Early Diagnosis of Mild Cognitive Impairment
Niazi, M. Z., Karaman, M., Das, S. R., Zhou, X. J., Yushkevich, P. A., & Cai, K. (2018) · American Journal of Neuroradiology · doi:10.3174/ajnr.a5734 · Cited by 41
“Current research suggests that the MCI population progresses to dementia at a greater rate than those without this condition.(31,32) Anywhere from 32%–38% of individuals with MCI progress to AD in 5 years or longer.”
BackgroundWalton, S. R., BRETT, B. L., Chandran, A. S., DEFREESE, J. D., Mannix, R., Echemendía, R. J., MEEHAN, W. P., McCrea, M., GUSKIEWICZ, K. M., & KERR, Z. Y. (2021) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002802 · Cited by 45
“Copyright © 2022 by the American College of Sports Medicine conditions is estimated around 24%–32% (4).”
BackgroundWang, M., Greenberg, M., Forkert, N. D., Chekouo, T., Afriyie, G., Ismail, Z., Smith, E. E., & Sajobi, T. T. (2022) · BMC Medical Research Methodology · doi:10.1186/s12874-022-01754-y · Cited by 41
“On average, 5-10% of people with MCI progress to dementia per year [2]; however, not all individuals with MCI progress to dementia [3].”
BackgroundGonzález, G. O., Inzitari, M., Bellelli, G., Morandi, A., Barcons, N., & Viña, J. (2021) · IUBMB Life · doi:10.1002/iub.2507 · Cited by 40
“As such, early therapeutic interventions are required to prevent degenerative neurological damage.(5,6) Patients suffering from MCI have increased oxidative damage even before the onset of symptoms.”
BackgroundQi, S., Sun, Y., Yin, P., Zhang, H., & Wang, Z. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115695 · Cited by 42
“A meta-analysis of 41 robust inception cohort studies summarized that less than half of individuals with MCI tend to progress to dementia in 3–10 years [5], and the annual progression rate is 5–15% [5,6].”
Yeung, M. K.-C., Chau, A. K.-Y., Chiu, J. Y.-C., Shek, J. T.-L., Leung, J. P.-Y., & Wong, T. C.-H. (2022) · Ageing Research Reviews · doi:10.1016/j.arr.2022.101675 · Cited by 40
Andreescu, C., Teverovsky, E., Fu, B., Hughes, T. F., Chang, C. H., & Ganguli, M. (2013) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2012.09.010 · Cited by 42
Bermejo‐Pareja, F., Contador, I., Trincado, R., Lora, D., Sánchez‐Ferro, Á., Mitchell, A. J., Boycheva, E., Herrero, A., Hernández‐Gallego, J., Velasco, S. L., et al. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-150625 · Cited by 45
Self-citationWoods, S. W., Bearden, C. E., Sabb, F. W., Stone, W. S., Torous, J. B., Cornblatt, B. A., Perkins, D. O., Cadenhead, K. S., Addington, J., Powers, A. R., et al. (2020) · Schizophrenia Research · doi:10.1016/j.schres.2020.04.020 · Cited by 41
Criscuolo, C., Cennamo, G., Montorio, D., Carotenuto, A., Strianese, A., Salvatore, E., Tranfa, F., Cennamo, G., Lanzillo, R., & Morra, V. B. (2020) · PLoS ONE · doi:10.1371/journal.pone.0233975 · Cited by 40
“The rate of conversion to AD is 1% to 2% per year in the general population, 5% to 10% in subjects with MCI [3], and up to 50% in 30 months for aMCI [4].”
BackgroundPlanning and optimising a digital intervention to protect older adults’ cognitive health
Essery, R., Pollet, S., Smith, K. A., Mowbray, F., Slodkowska‐Barabasz, J., Denison‐Day, J., Hayter, V., Bradbury, K. J., Grey, E., Western, M. J., et al. (2021) · Pilot and Feasibility Studies · doi:10.1186/s40814-021-00884-2 · Cited by 38
Metadata
- Authors
- Mitchell, A. J., & Shiri‐Feshki, M.
- Affiliations
- University of Leicester (GB)
- Nottinghamshire Healthcare NHS Foundation Trust (GB)
- Corresponding author
- Mitchell, A. J.
- ORCID
- Mitchell, A. J.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2009-03-03
- Volume
- 119
- Issue
- 4
- Pages
- 252-265
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2052226124
- Cited by
- 1,659
- References
- 87
- Citations by year
- 2026: 84 · 2025: 98 · 2024: 135 · 2023: 118 · 2022: 129 · 2021: 176 · 2020: 165 · 2019: 115 · 2018: 96 · 2017: 86 · 2016: 88 · 2015: 85 · 2014: 62 · 2013: 75 · 2012: 55
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- mild cognitive impairment, dementia progression, Alzheimer's disease, vascular dementia, Mayo criteria
- MeSH terms
- Aged, Alzheimer Disease, Cognition Disorders, Dementia, Follow-Up Studies, Humans, Middle Aged, Neuropsychological Tests, Severity of Illness Index, Dementia, Vascular, Cohort Studies, Prevalence, Disease Progression
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