Brain amyloid load, subjective memory complaints, and cognitive trajectories in older individuals at risk for dementia

Background and Purpose This study evaluated associations of brain amyloid with 2‐year objective and subjective cognitive measures in a trial‐ready older general population at risk for dementia. Methods Forty‐eight participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairme...

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Veröffentlicht in:European journal of neurology 2024-12, Vol.31 (12), p.e16436-n/a
Hauptverfasser: Saadmaan, Gazi, Hall, Anette, Ngandu, Tiia, Kemppainen, Nina, Mangialasche, Francesca, Wittenberg, Gayle M., Matton, Anna, Rinne, Juha O., Kivipelto, Miia, Solomon, Alina
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container_issue 12
container_start_page e16436
container_title European journal of neurology
container_volume 31
creator Saadmaan, Gazi
Hall, Anette
Ngandu, Tiia
Kemppainen, Nina
Mangialasche, Francesca
Wittenberg, Gayle M.
Matton, Anna
Rinne, Juha O.
Kivipelto, Miia
Solomon, Alina
description Background and Purpose This study evaluated associations of brain amyloid with 2‐year objective and subjective cognitive measures in a trial‐ready older general population at risk for dementia. Methods Forty‐eight participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability underwent 11C‐Pittsburgh compound B (PiB) positron emission tomography (PET) scans and assessment of cognition (modified Neuropsychological Test Battery [NTB]) and subjective memory complaints (Prospective and Retrospective Memory Questionnaire). Results Mean age was 71.4 ± 5.06 years, and 20 participants (42%) had positive baseline PiB‐PET scans. Amyloid positivity was associated with lower NTB executive function at baseline and less favorable 2‐year NTB total score and memory trajectories, but not with other objective or subjective cognitive measures. Overall, there was little cognitive decline during 2 years. Conclusions Amyloid accumulation may affect objective but not necessarily subjective cognition from a very early at‐risk stage, although substantial decline likely requires >2 years to occur.
doi_str_mv 10.1111/ene.16436
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Methods Forty‐eight participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability underwent 11C‐Pittsburgh compound B (PiB) positron emission tomography (PET) scans and assessment of cognition (modified Neuropsychological Test Battery [NTB]) and subjective memory complaints (Prospective and Retrospective Memory Questionnaire). Results Mean age was 71.4 ± 5.06 years, and 20 participants (42%) had positive baseline PiB‐PET scans. Amyloid positivity was associated with lower NTB executive function at baseline and less favorable 2‐year NTB total score and memory trajectories, but not with other objective or subjective cognitive measures. Overall, there was little cognitive decline during 2 years. Conclusions Amyloid accumulation may affect objective but not necessarily subjective cognition from a very early at‐risk stage, although substantial decline likely requires &gt;2 years to occur.</description><identifier>ISSN: 1351-5101</identifier><identifier>ISSN: 1468-1331</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/ene.16436</identifier><identifier>PMID: 39132977</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer disease ; amyloid ; Aniline Compounds ; Brain ; Brain - diagnostic imaging ; Brain - metabolism ; clinical trial ; Cognition ; Cognitive ability ; Dementia - diagnostic imaging ; Dementia - epidemiology ; Dementia - metabolism ; Dementia and Cognitive Disorders ; Dementia disorders ; Executive function ; Female ; Humans ; Male ; Memory ; Memory Disorders - diagnostic imaging ; Memory Disorders - metabolism ; Neuropsychological Tests ; PiB‐PET ; Population studies ; Positron emission ; Positron emission tomography ; Risk ; Short Communication ; Thiazoles</subject><ispartof>European journal of neurology, 2024-12, Vol.31 (12), p.e16436-n/a</ispartof><rights>2024 The Author(s). published by John Wiley &amp; Sons Ltd on behalf of European Academy of Neurology.</rights><rights>2024 The Author(s). European Journal of Neurology published by John Wiley &amp; Sons Ltd on behalf of European Academy of Neurology.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods Forty‐eight participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability underwent 11C‐Pittsburgh compound B (PiB) positron emission tomography (PET) scans and assessment of cognition (modified Neuropsychological Test Battery [NTB]) and subjective memory complaints (Prospective and Retrospective Memory Questionnaire). Results Mean age was 71.4 ± 5.06 years, and 20 participants (42%) had positive baseline PiB‐PET scans. Amyloid positivity was associated with lower NTB executive function at baseline and less favorable 2‐year NTB total score and memory trajectories, but not with other objective or subjective cognitive measures. Overall, there was little cognitive decline during 2 years. 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Methods Forty‐eight participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability underwent 11C‐Pittsburgh compound B (PiB) positron emission tomography (PET) scans and assessment of cognition (modified Neuropsychological Test Battery [NTB]) and subjective memory complaints (Prospective and Retrospective Memory Questionnaire). Results Mean age was 71.4 ± 5.06 years, and 20 participants (42%) had positive baseline PiB‐PET scans. Amyloid positivity was associated with lower NTB executive function at baseline and less favorable 2‐year NTB total score and memory trajectories, but not with other objective or subjective cognitive measures. Overall, there was little cognitive decline during 2 years. Conclusions Amyloid accumulation may affect objective but not necessarily subjective cognition from a very early at‐risk stage, although substantial decline likely requires &gt;2 years to occur.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>39132977</pmid><doi>10.1111/ene.16436</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0925-7609</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE; Wiley Open Access Journals; PubMed Central
subjects Aged
Aged, 80 and over
Alzheimer disease
amyloid
Aniline Compounds
Brain
Brain - diagnostic imaging
Brain - metabolism
clinical trial
Cognition
Cognitive ability
Dementia - diagnostic imaging
Dementia - epidemiology
Dementia - metabolism
Dementia and Cognitive Disorders
Dementia disorders
Executive function
Female
Humans
Male
Memory
Memory Disorders - diagnostic imaging
Memory Disorders - metabolism
Neuropsychological Tests
PiB‐PET
Population studies
Positron emission
Positron emission tomography
Risk
Short Communication
Thiazoles
title Brain amyloid load, subjective memory complaints, and cognitive trajectories in older individuals at risk for dementia
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