One‐Year Change in the Japanese Version of the Montreal Cognitive Assessment Performance and Related Predictors in Community‐Dwelling Older Adults

Abstract

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.

Trajectory and variability characterization of the Montreal cognitive assessment in older adults

“…A linear trajectory of decline across the 60–99 age span was noted while at the individual level, MoCA scores can vary by approximately zero to three points between assessments among older adults. These results contrast with those reported by Suzuki et al [10] whose parameters used to define stability (± 1 point change = stable, ≥+2 point change = improvement, ≥ − 2 point change = decline) were within the expected range of individual variation based on the ISD values we report here. Krishnan et al [9] derived a reliable change index (RCI) for the MoCA and found that a change of ± 1.73 points is clinically meaningful.…”

“…Krishnan et al [9] found a larger, but still moderate effect size ( d = 0.63) for the degree of change in MCI patients over 3.5 years. Among NCI individuals, the variability in longitudinal MoCA performance is relatively high with only 40% remaining stable (within one point of first MoCA score) after 1 year [10]. In this same study, 30% of individuals had MoCA scores that were two points higher than the first assessment with the remaining individuals showing a decline of at least two points after 1 year [10].…”

Fear of falling, but not gait impairment, predicts subjective memory complaints in cognitively intact older adults

“…To our knowledge, this is the only prospective study to investigate the risk factors for developing SMC. Given the close relationship between SMC and cognitive function, those with poor gait function, which is a risk factor for MCI and dementia, might develop SMC before actual cognitive decline, although this is not reported . Recently, a new concept relating to SMC and poor gait performance was introduced as motor cognitive risk syndrome, defined by slowed gait and SMC .…”

Lack of posterior occlusal support predicts the reduction in walking speed in 80‐year‐old Japanese adults: A 3‐year prospective cohort study with propensity score analysis by the SONIC Study Group

“…MoCA‐J scores range from 0 to 30, with higher scores indicating better cognitive performance. MoCA‐J has greater sensitivity for evaluating community‐dwelling older adults than the Mini‐Mental State Examination …”