Prevalence and pattern of cognitive impairment in a community cohort of men in South Wales: methodology and findings from the Caerphilly Prospective Study

Neuroepidemiology. 2008;30(1):25-33. doi: 10.1159/000115439. Epub 2008 Feb 6.

Abstract

Background/aims: The prevalence of dementia and cognitive impairment not dementia was investigated in the Caerphilly Prospective Study cohort (men currently aged 65-84 years).

Methods: Of 1,633 men eligible for cognitive screening, 1,225 (75%) were seen, with those failing the screening criteria (CAMCOG <83 or decline in CAMCOG >9) being neurologically examined.

Results: For dementia, diagnosed by DSM-IV criteria, the population prevalence was 5.2% rising to 6.1% in the screened population. For cognitive impairment not dementia, the prevalence in the screened population was 15.6% giving an overall prevalence of cognitive impairment of 21.8%. Prevalence rose fivefold between ages of 65 and 84 years to reach over 50%.

Conclusion: These figures are likely to underestimate actual prevalence in this population, and developing effective interventions should be a public health priority.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cognition Disorders / diagnosis
  • Cognition Disorders / epidemiology*
  • Cognition Disorders / psychology
  • Cohort Studies
  • Dementia / diagnosis
  • Dementia / epidemiology
  • Dementia / psychology
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / psychology
  • Mass Screening / statistics & numerical data
  • Neuropsychological Tests / statistics & numerical data
  • Prevalence
  • Prospective Studies
  • Residence Characteristics / statistics & numerical data*
  • Wales / epidemiology