title: Follow-up of mild cognitive impairment and related disorders over four years in adults in their sixties: the PATH Through Life Study.
abstract: OBJECTIVE
  The study aimed to estimate incidence rates of mild cognitive impairment and related disorders, and conversion to dementia.
  
  
  METHODS
  The data are drawn from the PATH Through Life Study. Baseline assessment in 2001-2002 included 2,551 participants 60-64 years old with 2,222 participating in a 4-year follow-up. Those screened positive with a cognitive assessment received clinical assessment for diagnoses of mild cognitive disorders (MCD) or dementia using established clinical criteria. Prevalence and incidence rates for the cohort were estimated with predictive regression models.
  
  
  RESULTS
  Annual incidence of dementia was 0.25%. Prevalence of mild cognitive impairment was 4.2%, age-associated memory impairment was 2.4%, age-associated cognitive decline was 7.6%, mild neurocognitive disorders occurred in 12.9% and other cognitive disorders in 7.3%. Prevalence of any diagnosis of any MCD (Any-MCD) was 29.5% and the annual incidence rate for Any-MCD was 5.7%. Agreement for specific diagnoses between waves 1 and 2 was fair to poor (0-47.0%), but agreement for Any-MCD over 4 years was 89.0%.
  
  
  CONCLUSIONS
  MCD diagnoses do not predict dementia at a 4-year follow-up in young-old adults. Prevalence rates for MCD vary greatly depending on the criteria and time of assessment.
authors.affiliation: Centre for Mental Health Research, Australian National University, Canberra, A.C.T., Australia. kaarin.anstey@anu.edu.au
authors.forename: Kaarin J
authors.initials: KJ
authors.lastname: Anstey
authors.forename: Nicolas
authors.initials: N
authors.lastname: Cherbuin
authors.forename: Helen
authors.initials: H
authors.lastname: Christensen
authors.forename: Richard
authors.initials: R
authors.lastname: Burns
authors.forename: Chantal
authors.initials: C
authors.lastname: Reglade-Meslin
authors.forename: Agus
authors.initials: A
authors.lastname: Salim
authors.forename: Rajeev
authors.initials: R
authors.lastname: Kumar
authors.forename: Anthony F
authors.initials: AF
authors.lastname: Jorm
authors.forename: Perminder
authors.initials: P
authors.lastname: Sachdev
mesh_terms: D003072:Cognition Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D003704:Dementia / Q000175:diagnosis* / Q000453:epidemiology*; D042241:Early Diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011237:Predictive Value of Tests; D015995:Prevalence; D012720:Severity of Illness Index
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