title: Application and Revision of Montreal Cognitive Assessment in China's Military Retirees with Mild Cognitive Impairment.
abstract: OBJECTIVE
  In an effort to accommodate MOCA to better fit for the Chinese context, this study was designed to employ the MOCA criteria to screen mild cognitive impairment (MCI) and analyze associated risk factors in military retirees.
  
  
  METHODS
  Three hundred and four retired military cadres were recruited using a random cluster sampling technique with information collected including personal, prevalence, MOCA scale, and related neuropsychiatry scale. Thirty retirees were randomly chosen to be further analyzed one month later using the revised MOCA scale.
  
  
  RESULTS
  ①Our data indicated an incidence rate of 64.8% for mild cognitive impairment in retired military cadres. The incidence rate for MCI was significantly higher in those aged 80 or above compared with those 80 years of age or younger (P<0.05). The incidence rate of MCI was significantly higher in those with fewer than 6 years of education compared with those with over 7 years of education (P<0.05). The MCI incidence was higher for those with little exercise than those taking regular exercise (P<0.01). Moreover, the MCI incidence was higher in stroke patients than those who never had a stroke episode (P<0.05). ②There was a significant correlation between MOCA and MMSE scale scores (r = 0.81). MOCA scale scores were negatively correlated with ADL and CES-D scores (although not PSQI scores). ③ MOCA recension Cronbach's alpha value was 0.862. The related coefficient of MOCA and MOCA recension was 0.878(P<0.01). When the Score of cut-off -point of the MOCA recension was 28, the area in ROC curve analyses was 0.859, as well as the largest area.
  
  
  CONCLUSIONS
  Retired cadres exhibited a greater incidence of MCI (than general population), which was closely associated with age, level of education and physical exercise and cerebral apoplexy. Revised MOCA scale displays a better validity and reaction degree of reliability and is more suitable for screening and diagnosis of MCI in the elderly in China.
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Yali
authors.initials: Y
authors.lastname: Zhai
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.|Center for Ageing and Health Research, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
authors.forename: Qiuling
authors.initials: Q
authors.lastname: Chao
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Epidemic, Fourth Military Medical University, Xi'an, Shaanxi, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Rong
authors.initials: R
authors.lastname: Xu
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Yajun
authors.initials: Y
authors.lastname: Han
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Xiaole
authors.initials: X
authors.lastname: He
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Jia
authors.affiliation: Department of Geriatrics, Xijing Hospital, Fourth Military Medical University. Xi'an, Shaanxi, China.
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Wang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003072:Cognition Disorders / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D012179:Retirement