The Prevalence of Mild Cognitive Impairment Worldwide

Published on October 27, 2023

Imagine a small town where some people are in the middle stage between being healthy and having dementia. Researchers used a powerful strategy called meta-analysis to study how many people were in this intermediate stage, known as mild cognitive impairment (MCI), all over the world. They analyzed data from 233 studies involving over 676,974 individuals aged above 50 years. The results showed that the global prevalence of MCI was 19.7%. Interestingly, they found that the prevalence of MCI increased after 2019, especially in hospitals. This might be due to the impact of the COVID-19 outbreak. It’s clear we need to pay more attention to MCI and allocate resources accordingly. If you want to dive into the research methodology and findings, check out the full article!

ObjectiveMild cognitive impairment (MCI) is a preclinical and transitional stage between healthy ageing and dementia. The purpose of our study was to investigate the recent pooled global prevalence of MCI.MethodsThis meta-analysis was in line with the recommendations of Cochrane’s Handbook and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. We conducted a comprehensive search using the PubMed, Embase, Web of Science, CNKI, WFD, VIP, and CBM from their inception to March 1, 2023. Quality assessment was guided by the Agency for Healthcare Research and Quality (AHRQ) methodology checklist. The pooled global prevalence of MCI was synthesized using meta-analysis via random effect model. Subgroup analyses were performed to examine considered factors potentially associated with MCI prevalence.ResultsWe identified 233 studies involving 676,974 individuals aged above 50 years. All the studies rated as moderated-to-high quality. The overall prevalence of MCI was 19.7% [95% confidence interval (95% CI): 18.3–21.1%]. Subgroup analyses revealed that the global prevalence of MCI increased over time, with a significant rise [32.1% (95% CI: 22.6–41.6%)] after 2019. Additionally, MCI prevalence in hospitals [34.0% (95% CI: 22.2–45.7%)] was higher than in nursing homes [22.6% (95% CI: 15.5–29.8%)] and communities [17.9% (95% CI: 16.6–19.2%)], particularly after the epidemic of coronavirus disease 2019 (COVID-19).ConclusionThe global prevalence of MCI was 19.7% and mainly correlated with beginning year of survey and sample source. The MCI prevalence increased largely in hospitals after 2019 may be related to the outbreak of COVID-19. Further attention to MCI is necessary in the future to inform allocation of health resources for at-risk populations.

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