INTRODUCTION
Spatial navigation deficits are reported in dementia, but their temporal relationship to cognitive decline is not established.
METHODS
Prospective cohort study in 442 non-demented adults (mean age 79.9 years). Spatial navigation measured with the Floor Maze Test, and reported as immediate maze time (IMT) and delayed maze time (DMT). Pre-dementia syndromes, Mild Cognitive Impairment (MCI) and Motoric Cognitive Risk (MCR) syndromes, were primary outcomes.
RESULTS
Over a mean follow-up of 16.5 ± 13.7 months, 41 participants developed MCI and 30 MCR. In Cox models adjusted for age, sex, education, cognitive status, comorbid illnesses, and maze errors, a 10-second increment on IMT predicted incident MCI (adjusted hazard ratio [aHR] 1.25; 95% CI 1.06 to 1.48) and MCR (aHR 1.53; 95% CI 1.23 to 1.90). DMT predicted MCR but not MCI.
DISCUSSION
Spatial navigation performance predicted pre-dementia syndromes in aging, and implicates navigational impairments as an early feature in dementias.