Variability and Coupling of Olfactory Identification and Episodic Memory in Older Adults

Abstract Objectives To determine whether assessment-to-assessment fluctuations in episodic memory (EM) reflect fluctuations in olfaction over time. Methods Within-person coupled variation in EM and the Brief Smell Identification Test (BSIT) was examined in 565 participants aged 58–106 with autopsy d...

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Veröffentlicht in:The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2020-02, Vol.75 (3), p.577-584
Hauptverfasser: Knight, Jamie E, Bennett, David A, Piccinin, Andrea M
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container_title The journals of gerontology. Series B, Psychological sciences and social sciences
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creator Knight, Jamie E
Bennett, David A
Piccinin, Andrea M
description Abstract Objectives To determine whether assessment-to-assessment fluctuations in episodic memory (EM) reflect fluctuations in olfaction over time. Methods Within-person coupled variation in EM and the Brief Smell Identification Test (BSIT) was examined in 565 participants aged 58–106 with autopsy data from the Rush Memory and Aging Project. A growth model for up to 15 years of EM data, with BSIT as time-varying covariate, was estimated accounting for main effects of sex, education, ε4 allele, and Alzheimer’s disease (AD) pathology, BSIT and time-varying BSIT, as well as the interaction between AD pathology and time-varying BSIT. Results Individuals with higher BSIT scores (b = .01, standard error [SE] = .004, p = .009) had slower declines in EM. High AD pathology (b = −.06, SE = .02, p = .001) was associated with more rapid declines in EM. The association between time-specific fluctuations in EM and BSIT differed by level of AD pathology (b = .08, SE = .034, p = .028), with a higher EM–BSIT association at higher levels of pathology. Discussion BSIT and EM fluctuate together over measurement occasions, particularly for individuals with AD pathology. Repeated intraindividual measurements provide information that could lead to early detection and inexpensive monitoring of accumulating AD pathology.
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Methods Within-person coupled variation in EM and the Brief Smell Identification Test (BSIT) was examined in 565 participants aged 58–106 with autopsy data from the Rush Memory and Aging Project. A growth model for up to 15 years of EM data, with BSIT as time-varying covariate, was estimated accounting for main effects of sex, education, ε4 allele, and Alzheimer’s disease (AD) pathology, BSIT and time-varying BSIT, as well as the interaction between AD pathology and time-varying BSIT. Results Individuals with higher BSIT scores (b = .01, standard error [SE] = .004, p = .009) had slower declines in EM. High AD pathology (b = −.06, SE = .02, p = .001) was associated with more rapid declines in EM. The association between time-specific fluctuations in EM and BSIT differed by level of AD pathology (b = .08, SE = .034, p = .028), with a higher EM–BSIT association at higher levels of pathology. Discussion BSIT and EM fluctuate together over measurement occasions, particularly for individuals with AD pathology. Repeated intraindividual measurements provide information that could lead to early detection and inexpensive monitoring of accumulating AD pathology.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gby058</identifier><identifier>PMID: 29762752</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - diagnosis ; Alzheimer Disease - pathology ; Alzheimer Disease - physiopathology ; Cognitive Dysfunction - diagnosis ; Cognitive Dysfunction - physiopathology ; Disease Progression ; Female ; Humans ; Longitudinal Studies ; Male ; Memory Disorders - diagnosis ; Memory Disorders - physiopathology ; Memory, Episodic ; Middle Aged ; Olfaction Disorders - diagnosis ; Olfaction Disorders - physiopathology ; The Journal of Gerontology: Psychological Sciences</subject><ispartof>The journals of gerontology. 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Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>Abstract Objectives To determine whether assessment-to-assessment fluctuations in episodic memory (EM) reflect fluctuations in olfaction over time. Methods Within-person coupled variation in EM and the Brief Smell Identification Test (BSIT) was examined in 565 participants aged 58–106 with autopsy data from the Rush Memory and Aging Project. A growth model for up to 15 years of EM data, with BSIT as time-varying covariate, was estimated accounting for main effects of sex, education, ε4 allele, and Alzheimer’s disease (AD) pathology, BSIT and time-varying BSIT, as well as the interaction between AD pathology and time-varying BSIT. Results Individuals with higher BSIT scores (b = .01, standard error [SE] = .004, p = .009) had slower declines in EM. High AD pathology (b = −.06, SE = .02, p = .001) was associated with more rapid declines in EM. The association between time-specific fluctuations in EM and BSIT differed by level of AD pathology (b = .08, SE = .034, p = .028), with a higher EM–BSIT association at higher levels of pathology. Discussion BSIT and EM fluctuate together over measurement occasions, particularly for individuals with AD pathology. 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Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knight, Jamie E</au><au>Bennett, David A</au><au>Piccinin, Andrea M</au><au>Anderson, Nicole D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variability and Coupling of Olfactory Identification and Episodic Memory in Older Adults</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2020-02-14</date><risdate>2020</risdate><volume>75</volume><issue>3</issue><spage>577</spage><epage>584</epage><pages>577-584</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><abstract>Abstract Objectives To determine whether assessment-to-assessment fluctuations in episodic memory (EM) reflect fluctuations in olfaction over time. 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subjects Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Alzheimer Disease - pathology
Alzheimer Disease - physiopathology
Cognitive Dysfunction - diagnosis
Cognitive Dysfunction - physiopathology
Disease Progression
Female
Humans
Longitudinal Studies
Male
Memory Disorders - diagnosis
Memory Disorders - physiopathology
Memory, Episodic
Middle Aged
Olfaction Disorders - diagnosis
Olfaction Disorders - physiopathology
The Journal of Gerontology: Psychological Sciences
title Variability and Coupling of Olfactory Identification and Episodic Memory in Older Adults
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