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The prevalence and risk factors study of cognitive impairment: Analysis of the elderly population of Han nationality in Hunan province, China
Tianyan Xu, Guiwen Bu, Yuan Li, Lu Zhou, Qijie Yang, Yuan O. Zhu, Sizhe Zhang, Qianqian Liu et al.. CNS Neuroscience & Therapeutics, 2023-09-22
Topic: Risk, prevention and care in population studies
The prevalence of cognitive impairment, MCI, and dementia among participants aged 60 years and older were 21.48% (95% CI, 19.90-23.10), 15.70% (95% CI, 14.30-17.10), and 5.77 (95% CI, 4.90-6.70), respectively. And residents in villagers were more likely to have cognitive impairment than in urban communities (p < 0.001). Age growth and education level were independent influencing factors for cognitive impairment in all populations (p < 0.001). For lifestyles factors, both smoking and drinking reduced the risk of cognitive impairment (p < 0.05), but when further quantified, the link disappeared. Moreover, having cerebrovascular disease and severe vision impairment were risk factors (p < 0.05). A representative prevalence of cognitive impairment, MCI, and dementia was found in the elderly Han Chinese population in Southern China. And we further explored the role of known risk factors, particularly in physical activity, smoking, and alcohol consumption.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Xu, T., Bu, G., Li, Y., Zhou, L., Yang, Q., Zhu, Y. O., et al. (2023). The prevalence and risk factors study of cognitive impairment: Analysis of the elderly population of Han nationality in Hunan province, China. CNS Neuroscience & Therapeutics. https://doi.org/10.1111/cns.14478
Vancouver
Xu T, Bu G, Li Y, Zhou L, Yang Q, Zhu YO, et al. The prevalence and risk factors study of cognitive impairment: Analysis of the elderly population of Han nationality in Hunan province, China. CNS Neuroscience & Therapeutics. 2023. doi:10.1111/cns.14478. PMID: 37736696.
BibTeX
@article{xu2023-37736696,
author = {Xu, Tianyan and Bu, Guiwen and Li, Yuan and Zhou, Lu and Yang, Qijie and Zhu, Yuan O. and Zhang, Sizhe and Liu, Qianqian and others},
title = {{The prevalence and risk factors study of cognitive impairment: Analysis of the elderly population of Han nationality in Hunan province, China}},
journal = {CNS Neuroscience \& Therapeutics},
year = {2023},
doi = {10.1111/cns.14478},
pmid = {37736696},
url = {https://doi.org/10.1111/cns.14478}
}
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Key findings
- The prevalence of cognitive impairment, MCI, and dementia among participants aged 60 years and older were 21.48% (95% CI, 19.90-23.10), 15.70% (95% CI, 14.30-17.10), and 5.77 (95% CI, 4.90-6.70), respectively.
- And residents in villagers were more likely to have cognitive impairment than in urban communities (p < 0.001).
- Age growth and education level were independent influencing factors for cognitive impairment in all populations (p < 0.001).
- For lifestyles factors, both smoking and drinking reduced the risk of cognitive impairment (p < 0.05), but when further quantified, the link disappeared.
- Moreover, having cerebrovascular disease and severe vision impairment were risk factors (p < 0.05).
Why it matters
This study found that age and education were independently associated with cognitive impairment in older Han Chinese adults, and that some lifestyle factors showed links that disappeared when quantified. It is a cross-sectional study and cannot show cause or effect, so it does not provide evidence for treating, curing, or preventing Alzheimer's disease.
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Study details
- Study designcross-sectional
- Participants3,233
- Effect size21.48%; 15.70%
- Evidence strengthLow
How this study scored 51/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (CNS Neuroscience & Therapeutics) |
| Journal's citation record | 1 / 4 | CNS Neuroscience & Therapeutics: journal h-index 120 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2023 — within 6 year(s) of the newest study here |
| Sample size | 3 / 4 | 3,233 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 19 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 3.8 citations a year over 5 year(s) since 2023 |
| Impact for its field and year | 3 / 6 | Cited 3.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 2 / 4 | Cited 18 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Lu Hua Shen: h-index 49 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Central South University: institution h-index 699 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 37736696) |
| Free to read | 2 / 2 | Free to read |
| Total | 51 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/cns.14478
- PubMed: 37736696
- Original source →
- Free full text: CNS Neuroscience & Therapeutics →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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