The Self - mete out Gerocognitive Exam , know as SAGE , is a shortsighted penitentiary - and - paper test to detect the early sign of cognitive , memory , or thinking impairment . The examination is entail to evaluate your thinking abilities and can aid your doctor understand how well your mental capacity is officiate .
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“ Questions were designed to evaluate every part of a patient ’s learning ability , ” Dr. Scharre say .
If you notice memory or thinking problems, taking this pen-and-paper test can help identify potential issues.
The scoring for SAGE give equal free weight to questions that assess wit function for the front , back , and go away and right sides of the brain , so no area is overrepresented .
SAGE will not name any specific condition . It will not differentiate your doctor if you haveAlzheimer ’s diseaseor any other condition that can impact your thinking .
But it is a helpfulcognitive screeningtool — including formild cognitive impairment ( MCI)from any causal agency , as well as forearly - stage dementedness .
What Is Mild Cognitive Impairment?
MCI is a condition qualify by a pocket-size decline in mental abilities , according to the National Institute on Aging . These change are often obtrusive to the person see them , family fellow member , or close friends , but they are not severe enough to interfere with normal daily life and activities .
consort to the Alzheimer ’s Association , about 12 to 18 percentage of people age 60 or older have MCI .
People living with MCI are more probable to break Alzheimer ’s disease or other dementias . About 10 to 15 percent of individual with MCI go on to develop dementia each class , notes the Alzheimer ’s Association .
Symptoms of MCI are often vague but may admit the pursuit :
MCI does not always top to dementia . In some people , MCI retrovert to normal knowledge , while in others , the condition stabilizes and they experience no further cognitive declination .
There are no medication for MCI — unless it ’s determined to be anearly leg of Alzheimer ’s disease — but establish a diagnosing can be of import to help key and manage any progression of your symptom . In some suit , a diagnosing of MCI may help distinguish reversible or treatable reason of memory issue likedepression , slumber apnea , orhigh blood atmospheric pressure .
Are There Ways I Can Test My Thinking Ability and Memory on My Own?
How Does the SAGE Test Work?
SAGE pass judgment your thinking abilities by require you questions related to terminology , reasoning , problem - resolution , and storage .
Scharre explains that the questions spread over a wide range of cognitive domains , particularly power that are early predictors of mild cognitive deterioration .
SAGE measures cognitive function by assessing the follow areas :
Examples of questions include :
In addition to the score point on the test , SAGE asks interrogative about your aesculapian history , such as “ Have you suffer astroke ? ” The test enquire if you have a family story of cognitive deterioration . You ’re also asked about any current symptom you may be having , such as problems with memory or balance , or if you ’ve experienced any personality change .
These answers can help your health care supplier identify possible causes of cognitive decline .
Who Should Consider Taking the SAGE Test?
According to Scharre , anyone who is have memory , language , problem - resolution , or thinking problems should consider taking SAGE .
“ This may be especially important if you are noticing very mild symptoms , since SAGE is plan to pick up other shortage and give up your health care providers to diagnose and manage any potential conditions at an former stage , ” he says .
Friends or class members may want to promote a have intercourse one to take the test if they notice issues related to memory or thought process .
You may also bid to take SAGE to establish a baseline cognitive assessment to habituate for comparison in the futurity if you have a kinfolk account of dementedness or thinking problems .
“ Typically , we would suggest iterate the run every six month unless meaning cognitive changes are occurring , ” say Scharre .
Where Can I Find the Test?
you may download the test for free at theWexner Medical Center website .
There ’s also a digital version made for tablets , produce by a company call BrainTest . It consists of indistinguishable trial doubt . This interlingual rendition is scored by a venire , and result are transmit to you so you could take them to your doctor for further discussion . you could download the mental testing as an app or get to the online adaptation atBrainTest.comby signing up for a free trial ( but remark that you must provide requital data to make out enrollment for the trial period ) .
How to Take the SAGE Test
If you ’re taking the paper version of the trial , you ’ll find four slightly dissimilar variations on the Wexnerwebsite . It does n’t matter which one you take . The test consists of four pages . Print it out and answer the questions in ink without the assistance of others . Do n’t appear at a clock or calendar while take the run , and just do the best you could .
you could take the test in almost any setting . It will normally take about 10 to 15 minutes , but there ’s no placed clock time limit point .
To get an precise judgment , it ’s important not to cheat on .
In some cases , you might choose to take the mental test at your doctor ’s function so it can be evaluated right away .
What Are the Next Steps After Taking It?
After you fill out the test , you should take it to your healthcare provider , who can score the test and give you feedback .
According to Scharre , your doctor may suspect that a specific part of your mentality is not run as well as other parts , depending on how you answer specific questions . “ That may help them in their symptomatic thoughtfulness , ” he says .
depend on your run results , your MD may schedule extra neurologic tests or brain imaging — such as aMRIorCTscan — to rule out other condition that may be impairing your thinking or storage , such as a fortuity , Parkinson ’s disease , abrain tumour , or another unwellness likehypothyroidism .
How Accurate and Reliable Are the Results?
Like any test , SAGE is not staring . Scharre points out that masses have a broad variety of cognitive talents , and this ask to be taken into story .
“ There will be individuals who mark well but have a decline from their previous ability . Repeat testing over time will find those that are build up ” in exit of cognitive function , he state .
“ Some someone will not tally as well , but that may represent their baseline talents , and their score would not suggest any specific brain condition , ” Scharre adds . This is why it ’s authoritative to have the test represent by a healthcare supplier who can take your personal medical account into account .
It ’s important to note that factors other than mild cognitive stultification or dementia could be affecting your retentiveness and thinking on any given daylight .
“ Perhaps you do n’t have a retention impairment but are quitedepressed , ominous , orsleep - impoverish , ” saysJessica Caldwell , PhD , conductor of the Women ’s Alzheimer ’s Movement Prevention Center at the Cleveland Clinic Lou Ruvo Center for Brain Health in Las Vegas , Nevada .
If you have headache about your retentivity but are also experiencing symptom of low or sleep difficulties , Dr. Caldwell suggests see your doctor .
The Takeaway
The SAGE test is a simple self - administer masking tool to assess your cognitive function and seem for signs of mild cognitive stultification or early - stage dementedness . you’re able to take the test at home and ask your Dr. to hit it , or take it at your doctor ’s office . While SAGE ca n’t name any specific condition , it can help your doctor adjudicate what other tests you might want to identify the causal agency of cognitive problems .
David Weisman , MD , is the director of the Clinical Trial Center atAbington Neurological Associatesin Pennsylvania , where he has lead numerous clinical trials into modest cognitive deterioration and Alzheimer ’s disease to acquire disease - modify drug .
Dr. Weisman has dedicated his research career toward advancing new therapies for Alzheimer ’s disease , rivet on clinical trials for the bar and discourse of Alzheimer ’s disease , mild cognitive impairment , and other dementia , and he dedicate his clinical recitation to memory and cognitive problem .
He receive a unmarried man ’s degree in philosophical system from Franklin and Marshall College , then an MD from Penn State College of Medicine . After an internship at St. Mary ’s Hospital in San Francisco , he dispatch his clinical neurology residence at Yale , where he served as main resident physician . He then go to the University California in San Diego for fellowship training in Alzheimer ’s disease and other dementias .
Weisman has issue paper and study in diary such asNeurology , JAMA Neurology , Stroke , andThe New England Journal of Medicine , among others .
Barbara Kean has worked as a newsman , investigator , editor , and author for a number of newspapers and clip includingVogue , The New York Times Magazine , theBoston Herald , Martha Stewart Living , Rolling Stone , Vanity Fair , Health , Glamour , andSelf . After earning a bachelor ’s arcdegree in English and Spanish from Tufts University and a master key ’s degree in English from University College London , this Boston aborigine start her career in news media at theBoston Heraldnewspaper before locomote to New York .
She was previously the enquiry film director atVoguemagazine for many years . She has work on several books , includingThe End of Karma : Hope and Fury Among India ’s Young(Somini Sengupta),Grace : 30 Years of Fashion at Vogue(Grace Coddington),Vogue keep : Houses , Gardens , People(Hamish Bowles ) , andThe World in Vogue : citizenry , Parties , Places(Alexandra Kotur and Hamish Bowles ) .
Kean loves preparation , picture , fashion , change of location , music , recitation , and theater . She specially enjoys interviewing scientist and doctors who are work on new treatments for chronic disease like cancer , and share that selective information with readers .
Alzheimer ’s Disease