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- W4362550862 abstract "Background: Studies on the association between cystatin C based estimated glomerular filtration rate (eGFRcys) and cognitive outcomes yielded inconsistent results. Objective: The present study aimed to examine the potential association of eGFRcys with subsequent cognitive decline rate. Methods: A total of 11,503 community-based participants were involved in our analyses, including 5,837 (aged 72.9±6.3; 58.6% women) in the Health and Retirement Study (HRS) from the US and 5,666 (aged 58.1±9.2; 49.0% women) in the China Health and Retirement Longitudinal Study (CHARLS). The association of eGFRcys with subsequent cognitive decline rate was evaluated by linear mixed models. Results: During 85,266 person-years of follow-up, both baseline elevated serum cystatin C (–0.048 standard deviation [SD]/year per mg/L; 95% confidence interval [CI], –0.060 to –0.036; p < 0.001) and decreased eGFRcys (0.026 SD/year per 30 mL/min/1.73m2; 95% CI, 0.020 to 0.032; p < 0.001) were associated with faster cognitive decline rate after full adjustment. Compared with those had eGFRcys ≥90 mL/min/1.73m2, participants with eGFRcys between 60 to 90 mL/min/1.73m2 (–0.012 SD/year; 95% CI, –0.020 to –0.004; p = 0.004) and those with eGFRcys <60 mL/min/1.73m2 (–0.048 SD/year; 95% CI, –0.058 to –0.039; p < 0.001) experienced statistically significantly faster cognitive decline after adjustment. The associations were independent from serum creatinine/eGFRcre (eGFR that was calculated from serum creatinine). Conclusion: Decreased eGFRcys are significantly associated with faster cognitive decline after full adjustment, independently from serum creatinine/eGFRcre. Serum cystatin C might be a risk factor or a prodromal biomarker of cognitive decline." @default.
- W4362550862 created "2023-04-06" @default.
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- W4362550862 date "2023-05-16" @default.
- W4362550862 modified "2023-09-25" @default.
- W4362550862 title "Association Between Serum Cystatin C and Cognitive Decline Independently from Creatinine: Evidence from Two Nationally Representative Aging Cohorts" @default.
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- W4362550862 doi "https://doi.org/10.3233/jad-221162" @default.
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