Correlation between the Montreal Cognitive Assessment-Indonesian Version (Moca-INA) and the Mini-Mental State Examination (MMSE) in Elderly
Keywords:MMSE, MoCA-INA, Cognitive screening, Elderly
BACKGROUND: As the rapid growth of the elderly population and the increased prevalence of Alezheimerâ€™s Disease and related disorders, there is an increasing need for effective cognitive screening. The Mini Mental State Examination (MMSE) is the most frequently used screening test of cognitive impairment because of its convenience. The Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) has been validated and recently been used as a cognitive screening tool.
OBJECTIVES: The aim of this study was to compare the MMSE and MoCA-INA scores and to determine the correlation between the MMSE and MoCA-INA scores in elderly.
MATERIAL AND METHODS: This was a cross-sectional study including 83 elderly subjects from November 2016 until June 2017. We performed MMSE and MoCA-INA for assessment of cognitive function and the time between each test was at least 30 minutes.
RESULTS: The study included 83 subjects which were consisted of 46 (55.4%) males and 37 (44.6%) females. The mean age was 69.19 Â± 4.23 ranging from 65 to 79 years old. The average MMSE scores was 24.96 Â± 3.38 (range 14 to 30). The average MoCA-INA scores was 21.06 Â± 4.56 (range 5 to 30). The Pearson correlation coefficient between the scores was 0.71 (p<0.005). There were no significant differences of both scores based on history of hypertension, diabetes mellitus and previous stroke, but there was a significant difference in MMSE scores based on level of education.CONCLUSION: The MoCA-INA score showed a good correlation with the MMSE score. Both tests showed comparable results but MoCA-INA showed lower average with wider range of scores.
Plum Analytics Artifact Widget Block
Cullen B, O'Neill B, Evans JJ, et al. A review of screening tests for cognitive impairment. J Neurol Neurosurg Psychiatry. 2007; 78: 790-9. https://doi.org/10.1136/jnnp.2006.095414 PMid:17178826 PMCid:PMC2117747
Roalf DR, Moberg PJ, Xie SX, et al. Comparative accuracies of two common screening instruments for classification of Alzheimer's disease, mild cognitive impairment, and healthy aging. Alzheimer's & Dementia. 2012:1-9.
Moyer VA. Screening for Cognitive Impairment in Older Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2014; 160:791-7. https://doi.org/10.7326/M14-0496 PMid:24663815
Aggarwal A, Kean E. Comparison of the Folstein Mini Mental State Examination (MMSE) to the Montreal Cognitive Assessment (MoCA) as a Cognitive Screening Tool in an Inpatient Rehabilitation Setting. Neuroscience & Medicine. 2010; 1: p. 39-42. https://doi.org/10.4236/nm.2010.12006
Folstein MF, Folstein SE, McHugh PR. "Mini-mental state." A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12:189â€“98. https://doi.org/10.1016/0022-3956(75)90026-6
Sjahrir H, Ritarwan K, Tarigan S, Rambe AS, Lubis ID, Bhakti I. The mini mental state examination in healthy individuals in Medan Indonesia by age and education level. Neurol J Southeast Asia. 2001;6:19-22.
Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695â€“9. https://doi.org/10.1111/j.1532-5415.2005.53221.x PMid:15817019
Husein N, Silvia L, Yetty R, dkk. Uji Validitas dan Reabilitas Montreal Cognitive Assessment Versi Indonesia (MoCA-Ina) Untuk Skrining Gangguan Fungsi Kognitif. Neurona Neuro Sains. 2010; 27(4):15-22.
Ohta K, Osada T, Shinohara Y, Suzuki N, Takahashi K, Seki M, et al. Comparing the Montreal Cognitive Assessment with Mini-Mental State Examination in japanese parkinson's disease patients. Neurology and Clinical Neuroscience. 2014;2:44-49. https://doi.org/10.1111/ncn3.80
Woodford HJ, George J. Cognitive assessment in the elderly: a review of clinical methods. Q J Med. 2007; 100:469-484. https://doi.org/10.1093/qjmed/hcm051 PMid:17566006
Trzepacz PT, Hochstetler H, Wang S, et al. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. BMC Geriatrics. 2015; 15:107. https://doi.org/10.1186/s12877-015-0103-3 PMid:26346644 PMCid:PMC4562190
Smith, T.; Gildeh, N. and Holmes, C. The Montreal Cognitive Assessment: Validity and Utility in a Memory Clinic Setting. Can J Psychiatry. 2007; 52(5): 329-32. https://doi.org/10.1177/070674370705200508 PMid:17542384
Godefroy O, Fickl A, Roussel M, Auribault C, Bugnicourt JM, Lamy C, et al. Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation. Stroke. 2011;42:1712-1716. https://doi.org/10.1161/STROKEAHA.110.606277 PMid:21474808
Wong GK, Lam SW, Wong A, Ngai K, Poon WS, Mok V. Comparison of montreal cognitive assessment and mini-mental state examination in evaluating cognitive domain deficit following aneurysmal subarachnoid haemorrhage. PLoS One. 2013;8(4):e59946. https://doi.org/10.1371/journal.pone.0059946
Nathami R, Amirthalingam P, Mukunthu et al.Sensitivity of Montreal Cognitive Assessment in Comparison with Mini MentalStatus Examination in Testing Cognitive Status in Epilepsy Patients with Phenytoin Monotherapy. AJPCT. 2015; 3(03): 237-244.
Hoops S, Nazem S, Siderowf AD, et al. Validity of the MoCA and MMSE in the detection of MCI and dementia inParkinson disease. Neurology. 2009; 73:1738-1745. https://doi.org/10.1212/WNL.0b013e3181c34b47 PMid:19933974 PMCid:PMC2788810
Cordell CB, Borson S, Boustani M, Chodosh J, Reben D, Verghese J, et al. Alzheimer's association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in primary care setting. Alzheimer's & Dementia. 2013;9:141-150. https://doi.org/10.1016/j.jalz.2012.09.011 PMid:23265826
Roalf DR, Moore TM, Hamilton DM, Wolk DA, Arnold SE, Weintraub DA, et al. Bridging cognitive screening tests in neurologic disorders: A crosswalk between the short Montreal Cognitive Assessment and Mini-Mental State Examination. Alzheimer's & Dementia. 2017;1-6. https://doi.org/10.1016/j.jalz.2017.01.015
How to Cite
All rights reserved.