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

Author

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, and DeCarli, Charles

Subjects
Male, Aging, Epidemiology, Hispanics/Latinos, Apolipoprotein E4, Hispanics, Clinical Sciences, Cognitive decline, Population neuroscience, Neurodegenerative, Cardiovascular, Alzheimer's Disease, behavioral disciplines and activities, Sex Factors, Risk Factors, Neuropsychology, Clinical Research, Behavioral and Social Science, mental disorders, Prevalence, Acquired Cognitive Impairment, Humans, Alzheimer's Disease including Alzheimer's Disease Related Dementias, Cognitive Dysfunction, Prospective Studies, Latinos, Depression, Prevention, Puerto Rico, Neurosciences, Mild cognitive impairment, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Hispanic or Latino, Neuroepidemiology, Middle Aged, United States, Brain Disorders, Heart Disease, Mental Health, Good Health and Well Being, Cardiovascular Diseases, Geriatrics, Female, Dementia, Cognitive function, Hispanic Americans, human activities
Abstract

IntroductionWe estimated the prevalence and correlates of mild cognitive impairment (MCI) among middle-aged and older diverse Hispanics/Latinos.MethodsMiddle-aged and older diverse Hispanics/Latinos enrolled (n=6377; 50-86years) in this multisite prospective cohort study were evaluated for MCI using the National Institute on Aging-Alzheimer's Association diagnostic criteria.ResultsThe 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.DiscussionMCI 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.

Published
2019
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