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The Montreal Cognitive Assessment in Cognitively-Intact Elderly: A Case for Age-adjusted Cutoffs
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2014
Year
NeuropsychologyAgingCognitionCognitive RehabilitationMoca Test DecreaseSocial SciencesAlzheimer's DiseaseAge-adjusted CutoffsCognitively-intact ElderlyNeurologyAging-associated DiseaseCognitive SciencePsychiatryGeriatricsCognitive AgingCognitive VariableMontreal Cognitive AssessmentRehabilitationMild Cognitive ImpairmentVascular Cognitive DisorderDementiaMemory AssessmentAverage Moca ScoreGeriatric AssessmentMedicine
The Montreal Cognitive Assessment (MoCA) is a widely used screening test for evaluation of mild cognitive impairment (MCI), with a single cutoff for all ages. We examined whether it is associated with age in a sample of cognitively-intact elderly (CIE). The average MoCA score was negatively correlated with age and was significantly higher for younger than older CIE. Additionally, 42% of the older elderly fell below the proposed MCI cutoff score, although all subjects were CIE. Thus, cognitive abilities captured by the MoCA test decrease with age, even in CIE. Therefore, cutoff scores by age for the MoCA are needed.