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- W1970163482 abstract "We assessed whether CSF biomarkers at baseline predict decline in cognitive functioning as measured by repeated neuropsychological tests for four cognitive domains in patients with subjective complaints. We included 132 patients with subjective complaints (i.e., cognitively normal elderly), who underwent lumbar puncture at baseline and had at least 2 neuropsychological evaluations from our memory clinic based Amsterdam Dementia Cohort. Average follow-up was 2±1 years and consisted of a median of 2 (range 2–7) neuropsychological evaluations. CSF biomarkers beta-amyloid (beta-amyloid 42), total tau (tau) and phosphorylated tau-181 (ptau) were (1) recoded into quintiles and (2) used to define NIA-AA stages of preclinical Alzheimer's disease (AD). Predictive value of CSF biomarkers was assessed using linear mixed models. Outcome measures were compound z-scores for memory, attention, executive functioning, language and global cognition. All analyses were adjusted for age, gender and education. Patients were 61±8 years old, 56 (42%) were female. Average baseline MMSE was 28.3±1.5. Overall, cognitive performance remained stable during follow-up, but there were trends for memory improvement and decline in language function over time (Table 1). As CSF beta-amyloid 42 and beta-amyloid 42/tau quintiles became more AD-like, patients showed increasingly more decline in memory, executive functioning and global cognitive functioning. No CSF biomarkers predicted change in language or attention. There were no relations between (p)tau and change in cognition. Results were comparable for NIA-AA preclinical stages: patients in stage 1 (only beta-amyloid 42 abnormal) and 2 (beta-amyloid 42 and tau abnormal) showed increasingly more cognitive decline (Table 1). Memory performance stood out in this analysis, because it was estimated to improve in patients with NIA-AA preclinical stage 0, while it declined in stage 1 and 2 CSF evidence of preclinical AD ¾ especially low beta-amyloid 42 concentrations ¾ in patients with subjective complaints predicts decline in cognitive performance over time. (Preclinical) cognitive decline encompasses more than memory alone; it is also evident for executive functioning and global cognitive functioning. Judging from these data, cognitive decline may remain subclinical for years. Two-year prognosis for patients without any evidence of underlying AD pathology on the other hand is very good." @default.
- W1970163482 created "2016-06-24" @default.
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- W1970163482 date "2013-07-01" @default.
- W1970163482 modified "2023-09-27" @default.
- W1970163482 title "O3-03-02: CSF biomarkers predict longitudinal decline in memory and executive functioning in patients with subjective complaints" @default.
- W1970163482 doi "https://doi.org/10.1016/j.jalz.2013.04.249" @default.
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