{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:20:07Z","timestamp":1771928407539,"version":"3.50.1"},"reference-count":74,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dement."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Illiteracy may overestimate screening test interpretation for older adults with suspected cognitive decline. In rural areas of Brazil, the illiteracy rate and the lack of valid cognitive instruments may postpone the diagnosis of cognitive disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the diagnostic accuracy of the Addenbrooke\u2019s Cognitive Examination (ACE-R) and Mini-Mental State Exam (MMSE) as well as the prevalence of mild cognitive impairment (MCI) for older adults with low education in a Quilombola community placed in Northeast Brazil, compared to cognitively healthy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>204 participants were collected from a sociodemographic and clinical evaluation and were subsequently the ACE-R and MMSE. Among them, 25 subjects presented MCI, and 179 were classified as cognitively healthy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of MCI was 12.3%; optimal accuracy yielded highest values for the comparison between controls and MCI for both ACE-R [Area Under the Curve (AUC)\u202f=\u202f0.96] and MMSE (AUC\u202f=\u202f0.96).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings support establishing reliable cutoff scores for cognitive assessment of older adults with low educational attainment, living in rural areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frdem.2025.1673362","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T05:16:08Z","timestamp":1770009368000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of the revised Addenbrooke Cognitive Examination (ACE-R) and Mini-Mental (MMSE) in a Quilombola community with low education attainment: results of a cross-sectional study"],"prefix":"10.3389","volume":"4","author":[{"given":"Jo\u00e3o","family":"de Deus Cabral J\u00fanior","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health Sciences (PPGCS), Federal University of Maranh\u00e3o","place":["S\u00e3o Lu\u00eds, Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno Luciano Carneiro Alves","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Department of Public Health, Federal University of Maranh\u00e3o","place":["S\u00e3o Lu\u00eds, Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon Sanz","family":"Simon","sequence":"additional","affiliation":[{"name":"Krieger Klein Alzheimer\u2019s Research Center, Rutgers University","place":["Newark, NJ, United States"]},{"name":"Department of Psychiatry, New Jersey Medical School, Rutgers University","place":["Newark, NJ, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jhule Silva","family":"Passinho","sequence":"additional","affiliation":[{"name":"CARE - Research Center on Health and Social Sciences","place":["Portalegre, Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Cappi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Icahn School of Medicine at Mount Sinai","place":["New York, NY, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laiss","family":"Bertola","sequence":"additional","affiliation":[{"name":"Geriatrics Service, Faculty of Medicine, University of S\u00e3o Paulo","place":["S\u00e3o Paulo, Brazil"]},{"name":"Department of Psychology - Faculty of Medical Sciences of Minas Gerais","place":["Belo Horizonte, Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candida Helena L.","family":"Alves","sequence":"additional","affiliation":[{"name":"CARE - Research Center on Health and Social Sciences","place":["Portalegre, Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanda M. 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Geriatr. Cogn. Disord."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"S45","DOI":"10.3233\/JAD-240554","article-title":"Improved accuracy of the Addenbrooke\u2019s cognitive examination\u2013revised in the diagnosis of mild cognitive impairment, mild dementia due to Alzheimer\u2019s disease and behavioral variant frontotemporal dementia using Mokken scale analysis","volume":"100","author":"Amaral-Carvalho","year":"2024","journal-title":"J Alzheimer's Dis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1097\/WNN.0b013e318259594b","article-title":"Normative data for healthy middle-aged and elderly performance on the Addenbrooke cognitive examination-revised","volume":"25","author":"Amaral-Carvalho","year":"2012","journal-title":"Cogn. Behav. Neurol."},{"key":"ref5","volume-title":"O Exame Cognitivo de Addenbrooke - vers\u00e3o revisada (ACE-R) no diagn\u00f3stico diferencial das dem\u00eancias degenerativas","author":"Amaral-Carvalho","year":"2022"},{"key":"ref6","volume-title":"The diagnostic and statistical manual of mental disorders, fifth edition: DSM 5","year":"2022"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"255","DOI":"10.3389\/fnagi.2014.00255","article-title":"Psychometric properties of the Brazilian version of Pfeffer\u2019s functional activities questionnaire","volume":"6","author":"Assis","year":"2014","journal-title":"Front. Aging Neurosci."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e230076","DOI":"10.1590\/1981-22562023026.230076.en","article-title":"Association of self-perceived depressive feelings and cognitive performance with prevalence of depression among quilombola elderly people","volume":"26","author":"Barros","year":"2023","journal-title":"Rev. Bras. Geriatr. E Gerontol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1s","DOI":"10.11606\/S1518-8787.201805200supl2ed","article-title":"Challenges of aging in the context of social inequalities","volume":"52","author":"Barros","year":"2019","journal-title":"Rev. Saude Publica"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1093\/gerona\/glad025","article-title":"Prevalence of dementia and cognitive impairment no dementia in a large and diverse nationally representative sample: the ELSI-Brazil study","volume":"78","author":"Bertola","year":"2023","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1017\/S1355617719000717","article-title":"Predictors of episodic memory performance across educational strata: multiple-group comparisons","volume":"25","author":"Bertola","year":"2019","journal-title":"J. Int. Neuropsychol. Soc."},{"key":"ref12","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1057\/978-1-137-60047-9_9","article-title":"The Quilombolas\u2019 refuge in Brazil: social economy, communal space, and shared identity","volume-title":"The black social economy in the Americas","author":"Bohn","year":"2018"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1037\/a0028517","article-title":"Differential involvement of knowledge representation and executive control in episodic memory performance in young and older adults","volume":"67","author":"Bouazzaoui","year":"2013","journal-title":"Can. J. Exp. Psychol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1002\/gps.5016","article-title":"Cognitive tests for the detection of mild cognitive impairment (MCI), the prodromal stage of dementia: meta-analysis of diagnostic accuracy studies","volume":"34","author":"Breton","year":"2019","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1590\/S1980-57642010DN40200008","article-title":"Mini-Mental State Examination among lower educational levels and illiterates: Transcultural evaluation","volume":"4","author":"Brucki","year":"2010","journal-title":"Dement. Neuropsychol."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1590\/S0004-282X2003000500014","article-title":"Suggestions for utilization of the mini-mental state examination in Brazil","volume":"61","author":"Brucki","year":"2003","journal-title":"Arq. Neuropsiquiatr."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1590\/s0004-282x2012000100006","article-title":"Translation, cultural adaptation and psychometric evaluation of the Legan\u00e9s cognitive test in a low educated elderly Brazilian population","volume":"70","author":"Caldas","year":"2012","journal-title":"Arq. Neuropsiquiatr."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.bandc.2004.08.031","article-title":"Influence of education on the pattern of cognitive deterioration in AD patients: the cognitive reserve hypothesis","volume":"57","author":"Carret","year":"2005","journal-title":"Brain Cogn."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1590\/s1980-57642008dn10200015","article-title":"Brazilian adaptation of the Addenbrooke\u2019s cognitive examination-revised (ACE-R)","volume":"1","author":"Carvalho","year":"2007","journal-title":"Dement. Neuropsychol."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"P1138","DOI":"10.1016\/j.jalz.2017.06.1659","article-title":"The ADDENBROOKE\u2019S cognitive examination-revised (ace-r) in the diagnosis of mild cognitive impairment due to Alzheimer\u2019s disease: a preliminary analysis","volume":"13","author":"Carvalho","year":"2017","journal-title":"Alzheimers Dement."},{"key":"ref21","volume-title":"Abilities: Their structure, growth, and action","author":"Cattell","year":"1971"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1177\/0891988709332942","article-title":"Incidence of mild cognitive impairment and Alzheimer disease in southern Brazil","volume":"22","author":"Chaves","year":"2009","journal-title":"J. Geriatr. Psychiatry Neurol."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1590\/0004-282X20140033","article-title":"Cognitive assessment in severe dementia and lower levels of education: reducing negligence","volume":"72","author":"Chaves","year":"2014","journal-title":"Arq. Neuropsiquiatr."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1007\/s10389-020-01198-y","article-title":"Survey of the living conditions and health status of older persons living in Quilombola communities in Bequim\u00e3o, Brazil: the IQUIBEQ project","volume":"29","author":"Costa","year":"2021","journal-title":"J. Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1590\/1516-4446-2017-2284","article-title":"Diagnosing dementia in lower educated older persons: validation of a Brazilian Portuguese version of the Rowland universal dementia assessment scale (RUDAS)","volume":"40","author":"de Araujo","year":"2018","journal-title":"Rev. Bras. Psiquiatr."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1590\/2237-6089-2017-0046","article-title":"Accuracy of the 15-item geriatric depression scale (GDS-15) in a community-dwelling oldest-old sample: the Piet\u00e0 study","volume":"39","author":"Dias","year":"2017","journal-title":"Trends Psychiatry Psychother."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1097\/WAD.0b013e31811ff2b4","article-title":"Validity of the clinical dementia rating scale for the detection and staging of dementia in Brazilian patients","volume":"21","author":"Fagundes Chaves","year":"2007","journal-title":"Alzheimer Dis. Assoc. Disord."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1590\/0004-282X20150202","article-title":"Brief cognitive screening battery (BCSB) is a very useful tool for diagnosis of probable mild Alzheimer\u2019s disease in a geriatric clinic","volume":"74","author":"Fichman-Charchat","year":"2015","journal-title":"Arq. Neuropsiquiatr."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1017\/S1041610211002043","article-title":"Estimation of the risk of conversion of mild cognitive impairment of Alzheimer type to Alzheimer\u2019s disease in a south Brazilian population-based elderly cohort: the PALA study","volume":"24","author":"Godinho","year":"2012","journal-title":"Int. Psychogeriatr."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1657","DOI":"10.1212\/01.wnl.0000278163.82636.30","article-title":"Education delays accelerated decline on a memory test in persons who develop dementia","volume":"69","author":"Hall","year":"2007","journal-title":"Neurology"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1097\/00002093-200204000-00007","article-title":"Epidemiologic survey of dementia in a community-dwelling Brazilian population","volume":"16","author":"Herrera","year":"2002","journal-title":"Alzheimer Dis. Assoc. Disord."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1192\/bjp.140.6.566","article-title":"A new clinical scale for the staging of dementia","volume":"140","author":"Hughes","year":"1982","journal-title":"Br. J. Psychiatry"},{"key":"ref34","year":"2010"},{"key":"ref35","year":"2022"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1080\/13803395.2014.890699","article-title":"Exploring the validity of mild cognitive impairment (MCI) subtypes: multiple-domain amnestic MCI is the only identifiable subtype at longitudinal follow-up","volume":"36","author":"Klekociuk","year":"2014","journal-title":"J. Clin. Exp. Neuropsychol."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1017\/S1041610213002329","article-title":"A meta-analysis of the accuracy of the Addenbrooke\u2019s cognitive examination (ACE) and the Addenbrooke\u2019s cognitive examination-revised (ACE-R) in the detection of dementia","volume":"26","author":"Larner","year":"2014","journal-title":"Int. Psychogeriatr."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1016\/S0140-6736(24)01296-0","article-title":"Dementia prevention, intervention, and care: 2024 report of the lancet standing commission","volume":"404","author":"Livingston","year":"2024","journal-title":"Lancet"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1192\/bjp.bp.110.077958","article-title":"Predicting outcome in mild cognitive impairment: 4-year follow-up study","volume":"197","author":"Lonie","year":"2010","journal-title":"Br. J. Psychiatry"},{"key":"ref40","doi-asserted-by":"crossref","DOI":"10.5772\/intechopen.91315","article-title":"Socioeconomic and demographic characteristics of living conditions of elderly Quilombolas from Maranh\u00e3o, northeast region, Brazil","volume-title":"Quality of life - biopsychosocial perspectives","author":"Macedo Pires Ferreira","year":"2020"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1076\/jcen.25.5.680.14579","article-title":"Literacy and memory decline among ethnically diverse elders","volume":"25","author":"Manly","year":"2003","journal-title":"J. Clin. Exp. Neuropsychol."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"8943","DOI":"10.5380\/ce.v21i3.48943","article-title":"Avalia\u00e7\u00e3o do desempenho cognitivo em idosos residentes em zona rural","volume":"21","author":"Martins","year":"2016","journal-title":"Cogitare Enferm."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1212\/WNL.0000000000004058","article-title":"Diagnosis and management of dementia with Lewy bodies: fourth consensus report of the DLB consortium","volume":"89","author":"McKeith","year":"2017","journal-title":"Neurology"},{"key":"ref44","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511804786","volume-title":"Data analysis using SAS Enterprise guide","author":"Meyers","year":"2009"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"2437","DOI":"10.4102\/hsag.v29i0.2437","article-title":"Screening for dementia and associated factors in older adults from low socioeconomic communities in iLembe, KwaZulu-Natal","volume":"29","author":"Mfene","year":"2024","journal-title":"Health SA"},{"key":"ref46","volume-title":"Identifica\u00e7\u00e3o da Dem\u00eancia na Aten\u00e7\u00e3o Prim\u00e1ria","year":""},{"key":"ref47","volume-title":"Relat\u00f3rio Nacional sobre a Dem\u00eancia: epidemiologia, (re)conhecimento e proje\u00e7\u00f5es futuras","year":""},{"key":"ref48","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1590\/1980-57642018dn12-040005","article-title":"The Mini-Addenbrooke\u2019s cognitive examination (M-ACE) as a brief cognitive screening instrument in mild cognitive impairment and mild Alzheimer\u2019s disease","volume":"12","author":"Miranda","year":"2018","journal-title":"Dement. Neuropsychol."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1111\/j.1600-0447.2008.01326.x","article-title":"Rate of progression of mild cognitive impairment to dementia - meta-analysis of 41 robust inception cohort studies","volume":"119","author":"Mitchell","year":"2009","journal-title":"Acta Psychiatr. Scand."},{"key":"ref50","volume-title":"Desenvolvimento da Mini-Addenbrooke\u2019s Cognitive Examination brasileira (MINI-ACE BR)","author":"Okada","year":"2021"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"3111","DOI":"10.1590\/1413-812320232811.16702022","article-title":"Changes in health behaviors in elderly Brazilians: data from the 2013 and 2019 National Health Surveys","volume":"28","author":"Oliveira","year":"2023","journal-title":"Ci\u00eanc. Sa\u00fade Colet."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"e20230035","DOI":"10.1590\/0047-2085-2023-0035","article-title":"Accuracy of the revised Addenbrooke cognitive examination (ACE-R) in older adults with low education and mild cognitive impairment: results of a cross-sectional study in two metropolitan areas of Northeast Brazil","volume":"73","author":"Passinho","year":"2024","journal-title":"J. Bras. Psiquiatr."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1111\/j.1365-2796.2004.01388.x","article-title":"Mild cognitive impairment as a diagnostic entity","volume":"256","author":"Petersen","year":"2004","journal-title":"J. Intern. Med."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"1447","DOI":"10.1001\/archneurol.2009.266","article-title":"Mild cognitive impairment: ten years later","volume":"66","author":"Petersen","year":"2009","journal-title":"Arch. Neurol."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1093\/geronj\/37.3.323","article-title":"Measurement of functional activities in older adults in the community","volume":"37","author":"Pfeffer","year":"1982","journal-title":"J. Gerontol."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1080\/23279095.2023.2170800","article-title":"Ecological validity in neurocognitive assessment: systematized review, content analysis, and proposal of an instrument","volume":"32","author":"Pinto","year":"2025","journal-title":"Appl. Neuropsychol. Adult"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1037\/a0023422","article-title":"Verbal knowledge, working memory, and processing speed as predictors of verbal learning in older adults","volume":"47","author":"Rast","year":"2011","journal-title":"Dev. Psychol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1590\/S1983-14472010000200008","article-title":"Capacidade funcional de idosos de uma comunidade rural do Rio Grande do Sul","volume":"31","author":"Rigo","year":"2010","journal-title":"Rev. Ga\u00facha Enferm."},{"key":"ref59","first-page":"266","article-title":"Validation of the short cognitive battery (B2C). Value in screening for Alzheimer\u2019s disease and depressive disorders in psychiatric practice","volume":"29","author":"Robert","year":"2003","journal-title":"L'Enc\u00e9phale"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"18","DOI":"10.11114\/aef.v7i3.4774","article-title":"The impact of education on fluid intelligence","volume":"7","author":"Sanginabadi","year":"2020","journal-title":"Appl. Econ. Finance"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s00406-008-0827-6","article-title":"Limitations of the Mini-mental state examination for screening dementia in a community with low socioeconomic status: results from the Sao Paulo Ageing & Health Study","volume":"259","author":"Scazufca","year":"2009","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"key":"ref62","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1111\/1468-2451.5501014","article-title":"Displacement and quilombos in Alc\u00e2ntara, Brazil: modernity, identity, and place*","volume":"55","author":"Silberling","year":"2003","journal-title":"Int. Soc. Sci. J."},{"key":"ref63","doi-asserted-by":"publisher","first-page":"e090989","DOI":"10.1002\/alz.090989","article-title":"Social engagement is associated with better cognition in Quilombola communities: insights for engaging underserved Brazilian populations in Alzheimer\u2019s disease research","volume":"20","author":"Simon","year":"2024","journal-title":"Alzheimers Dement."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1093\/geronb\/gbt133","article-title":"The role of early-life educational quality and literacy in explaining racial disparities in cognition in late life","volume":"70","author":"Sisco","year":"2015","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref65","first-page":"1","article-title":"Decl\u00ednio cognitivo subjetivo, comprometimento cognitivo leve e dem\u00eancia - diagn\u00f3stico sindr\u00f4mico: recomenda\u00e7\u00f5es do Departamento Cient\u00edfico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia","volume":"16","author":"Smid","year":"2022","journal-title":"Dement. Neuropsychol."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"101209","DOI":"10.1016\/j.lana.2025.101209","article-title":"The potential for dementia prevention in Brazil: a population attributable fraction calculation for 14 modifiable risk factors","volume":"49","author":"Suemoto","year":"2025","journal-title":"Lancet Reg. Health Am."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"1849","DOI":"10.1002\/alz.12820","article-title":"Risk factors for dementia in Brazil: differences by region and race","volume":"19","author":"Suemoto","year":"2023","journal-title":"Alzheimers Dement."},{"key":"ref68","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1590\/0047-2085000000310","article-title":"Clinical characteristics and diagnostic accuracy of the revised Addenbrooke cognitive examination (ACE-R) in older adults with a low educational level","volume":"70","author":"Tavares-J\u00fanior","year":"2021","journal-title":"J. Bras. Psiquiatr."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1212\/WNL.46.3.661","article-title":"Prediction of probable Alzheimer\u2019s disease in memory-impaired patients: a prospective longitudinal study","volume":"46","author":"Tierney","year":"1996","journal-title":"Neurology"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1037\/a0014012","article-title":"The cognitive reserve hypothesis: a longitudinal examination of age-associated declines in reasoning and processing speed","volume":"45","author":"Tucker-Drob","year":"2009","journal-title":"Dev. Psychol."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1212\/WNL.57.9.1655","article-title":"Prevalence of cognitive impairment: data from the Indianapolis study of health and aging","volume":"57","author":"Unverzagt","year":"2001","journal-title":"Neurology"},{"key":"ref72","volume-title":"The ICD-10 classification of mental and Behavioural disorders: Clinical descriptions and diagnostic guidelines","year":"1992"},{"key":"ref73","volume-title":"Global status report on the public health response to dementia","year":"2021"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/0022-3956(82)90033-4","article-title":"Development and validation of a geriatric depression screening scale: a preliminary report","volume":"17","author":"Yesavage","year":"1982","journal-title":"J. Psychiatr. 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