Montreal cognitive assessment (MoCA): Normative data for old and very old Czech adults

Abstract

The principal aim of our study was to present norms for old and very old Czech adults on the Czech version of the Montreal Cognitive Assessment (MoCA) and investigate the influence of social and demographic factors on MoCA performance. We analyzed 540 adults aged ≥ 60 years (5-year age categories; nationally representative sample in terms of sex and educational level), who met strict inclusion criteria for the absence of neurodegenerative disorders and performed within normal range in neuropsychological assessment. Using multiple regression model, we found that MoCA performance was affected by age and education (both p < .001) but not sex. The study provides normed percentile estimates for MoCA performance stratified by age (60-74 years; ≥ 75 years) and education lower versus higher. We also present percentile equivalents for the MoCA and Mini-Mental State Examination (MMSE) for use in clinical practice. We found age- and education-related effects on MoCA performance which support the use of culturally adapted normative data.

[P3–284]: The Montreal Cognitive Assessment: Normative Data From a Large Swedish Population‐based Cohort

“…Consistent with previous findings, older age was associated with lower scores [11][12][13][14][15][16][17][18][31][32][33][34][35]. We found a 1.0-point difference between the youngest (65-75) and oldest (75-85) groups; other studies have reported a difference of 0.6-2.4 points between similar age groups [13,[15][16][17]31].…”

“…We found a 1.0-point difference between the youngest (65-75) and oldest (75-85) groups; other studies have reported a difference of 0.6-2.4 points between similar age groups [13,[15][16][17]31]. Lower level of education was significantly associated with lower scores, correlating with results from other studies [11][12][13][14][15][16][17][18][31][32][33][34][35]. The difference in mean score was 1.4 points between the least and highest educated groups, in agreement with the original suggested method of adding an extra point for low education (≤12 years).…”

“…When interpreting cognitive assessments, it is important to have population-based normative data suitable for the population on which it is being used. Several previous studies on normative data for the MoCA have included age groups below the average age of patients who are being assessed for cognitive impairment (including participants below the age of 45) [11][12][13][14][15], and some studies have derived norms based on a relatively small normal population [13,[16][17][18]. Hence, there is a need for normative data from a large population in a representative age group.…”

Validation of the Czech Montreal Cognitive Assessment for Mild Cognitive Impairment due to Alzheimer Disease and Czech Norms in 1,552 Elderly Persons

“…This was validation for mild AD dementia with MoCA-CZ scores of 18 ± 5 points which correspond to the estimated MMSE score of 24 points on average [11, 23, 24, 29]. The similar cutoff for AD-MCI in the current study may be explained by the mode of distinction between MCI and dementia patients.…”

Screening of cognitive impairment in the old and old-old population with the 3-CT scale

“…Чувствительность и специфичность MMSE и МоСА в разных возрастных группах вариабельны и зависят от нейропсихологического профиля и уровня образования [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Кроме того, большин-ство шкал адаптировано к амбулаторной оценке и их использование в условиях стационара может быть затруднено.…”