Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos: Study of Latinos-Investigation of Neurocognitive Aging results

Hector M. González, Wassim Tarraf, Neil Schneiderman, Myriam Fornage, Priscilla M. Vásquez, Donglin Zeng, Marston Youngblood, Linda C. Gallo, Martha L. Daviglus, Richard B. Lipton, Robert Kaplan, Alberto R. Ramos, Melissa Lamar, Sonia Thomas, Albert Chai, Charles DeCarli

Research output: Contribution to journalArticle

Abstract

Introduction: We estimated the prevalence and correlates of mild cognitive impairment (MCI) among middle-aged and older diverse Hispanics/Latinos. Methods: Middle-aged and older diverse Hispanics/Latinos enrolled (n = 6377; 50–86 years) in this multisite prospective cohort study were evaluated for MCI using the National Institute on Aging–Alzheimer's Association diagnostic criteria. Results: The overall MCI prevalence was 9.8%, which varied between Hispanic/Latino groups. Older age, high cardiovascular disease (CVD) risk, and elevated depressive symptoms were significant correlates of MCI prevalence. Apolipoprotein E4 (APOE) and APOE2 were not significantly associated with MCI. Discussion: MCI prevalence varied among Hispanic/Latino backgrounds, but not as widely as reported in the previous studies. CVD risk and depressive symptoms were associated with increased MCI, whereas APOE4 was not, suggesting alternative etiologies for MCI among diverse Hispanics/Latinos. Our findings suggest that mitigating CVD risk factors may offer important pathways to understanding and reducing MCI and possibly dementia among diverse Hispanics/Latinos.

Original languageEnglish (US)
Pages (from-to)1507-1515
Number of pages9
JournalAlzheimer's and Dementia
Volume15
Issue number12
DOIs
StatePublished - Dec 2019

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Hispanic Americans
Cardiovascular Diseases
Cognitive Dysfunction
Depression
Apolipoprotein E4
Dementia
Cohort Studies
Prospective Studies

Keywords

  • Alzheimer's disease
  • Cognitive decline
  • Cognitive function
  • Dementia
  • Epidemiology
  • Hispanics
  • Hispanics/Latinos
  • Latinos
  • Mild cognitive impairment
  • Neuroepidemiology
  • Neuropsychology
  • Population neuroscience

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Cellular and Molecular Neuroscience

Cite this

Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos : Study of Latinos-Investigation of Neurocognitive Aging results. / González, Hector M.; Tarraf, Wassim; Schneiderman, Neil; Fornage, Myriam; Vásquez, Priscilla M.; Zeng, Donglin; Youngblood, Marston; Gallo, Linda C.; Daviglus, Martha L.; Lipton, Richard B.; Kaplan, Robert; Ramos, Alberto R.; Lamar, Melissa; Thomas, Sonia; Chai, Albert; DeCarli, Charles.

In: Alzheimer's and Dementia, Vol. 15, No. 12, 12.2019, p. 1507-1515.

Research output: Contribution to journalArticle

González, HM, Tarraf, W, Schneiderman, N, Fornage, M, Vásquez, PM, Zeng, D, Youngblood, M, Gallo, LC, Daviglus, ML, Lipton, RB, Kaplan, R, Ramos, AR, Lamar, M, Thomas, S, Chai, A & DeCarli, C 2019, 'Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos: Study of Latinos-Investigation of Neurocognitive Aging results', Alzheimer's and Dementia, vol. 15, no. 12, pp. 1507-1515. https://doi.org/10.1016/j.jalz.2019.08.202
González, Hector M. ; Tarraf, Wassim ; Schneiderman, Neil ; Fornage, Myriam ; Vásquez, Priscilla M. ; Zeng, Donglin ; Youngblood, Marston ; Gallo, Linda C. ; Daviglus, Martha L. ; Lipton, Richard B. ; Kaplan, Robert ; Ramos, Alberto R. ; Lamar, Melissa ; Thomas, Sonia ; Chai, Albert ; DeCarli, Charles. / Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos : Study of Latinos-Investigation of Neurocognitive Aging results. In: Alzheimer's and Dementia. 2019 ; Vol. 15, No. 12. pp. 1507-1515.
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abstract = "Introduction: We estimated the prevalence and correlates of mild cognitive impairment (MCI) among middle-aged and older diverse Hispanics/Latinos. Methods: Middle-aged and older diverse Hispanics/Latinos enrolled (n = 6377; 50–86 years) in this multisite prospective cohort study were evaluated for MCI using the National Institute on Aging–Alzheimer's Association diagnostic criteria. Results: The overall MCI prevalence was 9.8{\%}, which varied between Hispanic/Latino groups. Older age, high cardiovascular disease (CVD) risk, and elevated depressive symptoms were significant correlates of MCI prevalence. Apolipoprotein E4 (APOE) and APOE2 were not significantly associated with MCI. Discussion: MCI prevalence varied among Hispanic/Latino backgrounds, but not as widely as reported in the previous studies. CVD risk and depressive symptoms were associated with increased MCI, whereas APOE4 was not, suggesting alternative etiologies for MCI among diverse Hispanics/Latinos. Our findings suggest that mitigating CVD risk factors may offer important pathways to understanding and reducing MCI and possibly dementia among diverse Hispanics/Latinos.",
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AU - Schneiderman, Neil

AU - Fornage, Myriam

AU - Vásquez, Priscilla M.

AU - Zeng, Donglin

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AU - Daviglus, Martha L.

AU - Lipton, Richard B.

AU - Kaplan, Robert

AU - Ramos, Alberto R.

AU - Lamar, Melissa

AU - Thomas, Sonia

AU - Chai, Albert

AU - DeCarli, Charles

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