One‐Year Change in the Japanese Version of the Montreal Cognitive Assessment Performance and Related Predictors in Community‐Dwelling Older Adults. Issue 9 (27th August 2015)

• Record Type: Journal Article
• Authors: Suzuki, Hiroyuki; Kawai, Hisashi; Hirano, Hirohiko; Yoshida, Hideyo; Ihara, Kazushige; Kim, Hunkyung; Chaves, Paulo H. M.; Minami, Ushio; Yasunaga, Masashi; Obuchi, Shuichi; Fujiwara, Yoshinori
• Is Part Of: Journal of the American Geriatrics Society. Volume 63:Issue 9(2015:Sep.)
• Page Start: 1874
• Page End: 1879
• Publication Date: 2015-08-27
• Subjects: Geriatrics -- Periodicals; 618.97
• DOI: 10.1111/jgs.13595
• Languages: English
• ISSNs: 0002-8614

Abstract

<abstract abstract-type="main" id="jgs13595-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jgs13595-sec-0001" sec-type="section"> <title>Objectives</title> <p>To examine the distribution and associated predictors of 1‐year changes in the Japanese version of the Montreal Cognitive Assessment (MoCA‐J) in community‐dwelling older adults.</p> </sec> <sec id="jgs13595-sec-0002" sec-type="section"> <title>Design</title> <p>Prospective cohort study.</p> </sec> <sec id="jgs13595-sec-0003" sec-type="section"> <title>Setting</title> <p>Population‐based cohort study in Tokyo, Japan.</p> </sec> <sec id="jgs13595-sec-0004" sec-type="section"> <title>Participants</title> <p>Individuals aged 65 to 84 (N = 496).</p> </sec> <sec id="jgs13595-sec-0005" sec-type="section"> <title>Measurements</title> <p>Multinomial logistic regression analysis was performed to estimate the odds of experiencing subsequent improvement in MoCA‐J performance, as opposed to stable or deteriorating, while simultaneously adjusting for baseline MoCA‐J score and major confounders.</p> </sec> <sec id="jgs13595-sec-0006" sec-type="section"> <title>Results</title> <p>Mean age was 74.0 ± 4.8; mean MoCA‐J score was 23.7 ± 3.6. Only 40% had stable MoCA‐J performance; 30% experienced deterioration and 30% improvement. Age increment, hospitalization in previous year, slower Timed Up and Go (TUG) score, and slower maximum walking speed were predictive of subsequent MoCA‐J performance deterioration.</p> </sec> <sec id="jgs13595-sec-0007" sec-type="section"> <title>Conclusion</title> <p>Slower TUG and walking speed performances were independent predictors of short‐term MoCA‐J deterioration. Research aimed at assessing lower‐extremity performance‐based tests in MCI‐related decision‐making is warranted.</p> </sec> </abstract>