title: Mild cognitive impairment: incidence and risk factors: results of the leipzig longitudinal study of the aged.
abstract: OBJECTIVE
  To provide information on age- and sex-specific incidence rates of mild cognitive impairment (MCI) and risk factors for incident MCI.
  
  
  METHODS
  Prospective longitudinal cohort.
  
  
  METHODS
  Leipzig Longitudinal Study of the Aged, a population-based German study of the epidemiology of dementia and mild cognitive impairment.
  
  
  METHODS
  At baseline, 1,692 subjects aged 75 and older were included in the sample.
  
  
  METHODS
  Trained psychologists and physicians conducted structured clinical interviews including neuropsychological assessment and questions about sociodemographics, familial history of dementia, activities of daily living, subjective memory impairment, and lifestyle (alcohol consumption, smoking) at participants' homes. Structured third-party interviews were conducted with proxies. Incidence was calculated according to the person-years-at-risk method. Cox proportional hazards models were used to examine the association between risk factors and incident MCI.
  
  
  RESULTS
  During an 8-year follow-up period, 26.4% (n=137) of the 519 study participants (population at risk) were identified as incident MCI cases (person-years=1,791.1). The overall incidence rate of MCI was 76.5 (95% confidence interval=64.7-90.4) per 1,000 person-years. Older age, subjective memory impairment, impairment in instrumental activities of daily living, and antecedent lower cognitive performance were found to be significantly associated with the development of future MCI.
  
  
  CONCLUSIONS
  MCI is highly incident in the elderly population. For the purpose of early detection of dementia, subjective memory impairment should be taken seriously as a possible prestage of MCI.
authors.affiliation: Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany. tobias.luck@medizin.uni-leipzig.de
authors.forename: Tobias
authors.initials: T
authors.lastname: Luck
authors.forename: Melanie
authors.initials: M
authors.lastname: Luppa
authors.forename: Susanne
authors.initials: S
authors.lastname: Briel
authors.forename: Herbert
authors.initials: H
authors.lastname: Matschinger
authors.forename: Hans-Helmut
authors.initials: HH
authors.lastname: König
authors.forename: Stefan
authors.initials: S
authors.lastname: Bleich
authors.forename: Arno
authors.initials: A
authors.lastname: Villringer
authors.forename: Matthias C
authors.initials: MC
authors.lastname: Angermeyer
authors.forename: Steffi G
authors.initials: SG
authors.lastname: Riedel-Heller
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology*; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment / Q000379:methods*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D066298:In Vitro Techniques; D015994:Incidence; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors