Table 2 Description of cognitive domains and associated tasks in the Montreal Cognitive Assessment (MoCA) survey and participant cognitive scores by current cooking fuel use.

From: Household air pollution from solid fuel use as a dose-dependent risk factor for cognitive impairment in northern China

Cognitive domain

Task description

Mean (SD)

Exclusive use of clean fuel cookstoves (n = 220)

Use of solid fuel cookstoves (n = 180)

All participants (n = 401)a

Visuospatial/executive

Matching five numbers (1–5) with corresponding Chinese numerals and tracing them in ascending order (1 point);

Copying a three-dimensional cube (1 point);

Drawing a clock that shows ten minutes after eleven (3 points)

0.1 (0.9)

0.0 (1.0)

0.1 (1.0)

Naming

Naming a lion, an elephant and a camel from the drawing (3 points)

0.0 (0.9)

0.1 (0.9)

0.1 (0.9)

Attention

Repeating a five-number sequence as heard and repeating in the backwards order a three-number sequence heard (2 points);

Clapping hands only when hearing one from a sequence of random numbers (1 point);

Subtracting seven from 100 and keep subtracting from the previous answer (3 points)

0.2 (0.9)

− 0.1 (1.0)

0.1 (0.9)

Language

Repeating two sentences exactly as heard (2 points);

Telling as many different kinds of animals as possible in one minute (1 point)

0.0 (1.0)

0.1 (1.0)

0.0 (1.0)

Abstraction

Explaining what each pair of words have in common (e.g., orange and banana are both fruits) for two pairs of words (i.e., train and bicycle; watch and ruler) (2 points)

0.2 (1.0)

− 0.1 (1.0)

0.0 (1.0)

Delayed recall

Recalling five words that were asked to remember earlier freely without any cues (5 points)

0.1 (1.0)

0.0 (1.0)

0.1 (1.0)

Orientation

Telling the exact date and place of interview (6 points)

0.0 (0.9)

0.1 (0.8)

0.1 (0.9)

Overall

   z-score

Summing up scores from above seven domains for a possible maximum 30 points

0.1 (1.0)

0.0 (0.9)

0.1 (0.9)

   Raw scoreb

20.9 (5.7)

20.3 (5.1)

20.6 (5.5)

  1. All scores are standardized to z scores [mean (SD) = 0 (1)] to allow for comparability across domains.
  2. MoCA montreal cognitive assessment.
  3. aIncludes 1 participant with measured personal exposure to air pollution but missing fuel use data.
  4. bWe did not add 1 point for participants with < 12 years of education as is standard for cognitive screening16 and instead adjusted for educational attainment in the statistical analysis.