MCI MoCA adults cognitive decline cutoff highly educated neuropsychological tests. Therefore, it is crucial to use the age- and education-related norms for the MoCA in order to avoid misdiagnosis of cognitive decline. Our study demonstrates that the currently used MoCA cutoff is too high even for highly educated, cognitively normal older adults. However, in substantial contrast, all other neuropsychological scores and the MoCA standardized scores were within the normal range and even above in all years. From the second year and forward, the average MoCA total score was below the cutoff of 26/30. Repeated-measures ANOVA for MoCA raw scores yielded significant decline across the years ( P <. Repeated measures analysis of variance (ANOVA) was used to analyze all standardized scores as well as MoCA standardized and raw scores across all years. The cognitive assessment included MoCA Rey Auditory Verbal Learning Test Rey Osterrieth Complex Figure test Wechsler Adult Intelligence Scale Information and Digit Span Subtest Trail Making Test Verbal Fluency Test and Beck Depression Inventory questionnaire. Twenty-seven participants aged 68 to 83 (mean = 75.07, standard deviation = 4.62), with high education level (mean = 17.14 years, SD = 3.21) underwent cognitive assessment once a year for 5 consecutive years. The core and orientation domains in both tests best distinguished HC from MCI groups, whereas comprehension/executive function and attention/calculation were not helpful. To identify whether the MoCA cutoff is too stringent for cognitively normal older adults. ROC analysis found MoCA 17 as the cutoff between MCI and dementia that emphasized high sensitivity (92.3 ) to capture MCI cases. Although, age and education-related norms have been published, the vast majority of diagnostic clinicians use the MoCA cutoff score to identify patients with cognitive impairment. The Montreal Cognitive Assessment (MoCA) is widely used to evaluate cognitive decline in older individuals.
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