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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Borland, Emma Stomrud, Erik van Westen, Danielle Hansson, Oskar Palmqvist, Sebastian |
| Abstract | Background As research in treatments for neurocognitive diseases progresses, there is an increasing need to identify cognitive decline in the earliest stages of disease for initiation of treatment in addition to determining the efficacy of treatment. For early identification, accurate cognitive tests cutoff values for cognitive impairment are essential. Methods We conducted a study on 297 cognitively healthy elderly people from the BioFINDER study and created subgroups excluding people with signs of underlying neuropathology, i.e., abnormal cerebrospinal fluid [CSF] β-amyloid or phosphorylated tau, CSF neurofilament light (neurodegeneration), or cerebrovascular pathology. We compared cognitive test results between groups and examined the age effect on cognitive test results. Results In our subcohort without any measurable pathology (n = 120), participants achieved better test scores and significantly stricter cutoffs for cognitive impairment for almost all the examined tests. The age effect in this subcohort disappeared for all cognitive tests, apart from some attention/executive tests, predominantly explained by the exclusion of cerebrovascular pathology. Conclusion Our study illustrates a new approach to establish normative data that could be useful to identify earlier cognitive changes in preclinical dementias. Future studies need to investigate if there is a genuine effect of healthy aging on cognitive tests or if this age effect is a proxy for higher prevalence of preclinical neurodegenerative diseases. |
| Related Links | https://alzres.biomedcentral.com/counter/pdf/10.1186/s13195-020-00592-8.pdf |
| Ending Page | 10 |
| Page Count | 10 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 17589193 |
| DOI | 10.1186/s13195-020-00592-8 |
| Journal | Alzheimer's Research & Therapy |
| Issue Number | 1 |
| Volume Number | 12 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2020-03-24 |
| Access Restriction | Open |
| Subject Keyword | Neurosciences Neurology Geriatrics Gerontology Geriatric Psychiatry Cognitive assessment True norms Robust norms Cutoff Normative Age Preclinical pathology Geriatrics/Gerontology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) Cognitive Neuroscience |
| Journal Impact Factor | 8/2023 |
| 5-Year Journal Impact Factor | 8.3/2023 |
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