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Effect of a 1-Year Nutritional Blend Supplementation on Plasma p-tau181 and GFAP Levels among Community-Dwelling Older Adults: A Secondary Analysis of the Nolan Trial. 1年营养混合补充剂对社区老年人血浆p-tau181和GFAP水平的影响:对Nolan试验的二次分析
JAR life Pub Date : 2023-01-01 DOI: 10.14283/jarlife.2023.7
K V Giudici, P de Souto Barreto, S Guyonnet, C Cantet, H Zetterberg, C Boschat, J Hudry, S Andrieu, J A J Schmitt, B Vellas, K Blennow
{"title":"Effect of a 1-Year Nutritional Blend Supplementation on Plasma p-tau181 and GFAP Levels among Community-Dwelling Older Adults: A Secondary Analysis of the Nolan Trial.","authors":"K V Giudici,&nbsp;P de Souto Barreto,&nbsp;S Guyonnet,&nbsp;C Cantet,&nbsp;H Zetterberg,&nbsp;C Boschat,&nbsp;J Hudry,&nbsp;S Andrieu,&nbsp;J A J Schmitt,&nbsp;B Vellas,&nbsp;K Blennow","doi":"10.14283/jarlife.2023.7","DOIUrl":"https://doi.org/10.14283/jarlife.2023.7","url":null,"abstract":"<p><strong>Background: </strong>Observational studies and some randomized controlled trials have suggested that nutritional supplementation could be a possible intervention pathway to prevent cognitive decline and Alzheimer's disease (AD). As measuring amyloid-β and tau pathophysiology by positron emission tomography (PET) or cerebrospinal fluid (CSF) analyses may be perceived as complex, plasma versions of such biomarkers have emerged as more accessible alternatives with comparable capacity of predicting cognitive impairment.</p><p><strong>Objectives: </strong>This study aimed to evaluate the effect of a 1-year intervention with a nutritional blend on plasma p-tau181 and glial fibrillary acidic protein (GFAP) levels in community-dwelling older adults. Effects were further assessed in exploratory analyses within sub-cohorts stratified according to p-tau status (with the third tertile considered as high: ≥15.1 pg/ mL) and to apolipoprotein E (APOE) ε4 allele status.</p><p><strong>Methods: </strong>A total of 289 participants ≥70 years (56.4% female, mean age 78.1 years, SD=4.7) of the randomized, double-blind, multicenter, placebo-controlled Nolan trial had their plasma p-tau181 assessed, and daily took either a nutritional blend (composed of thiamin, riboflavin, niacin, pantothenic acid, pyridoxine, biotin, folic acid, cobalamin, vitamin E, vitamin C, vitamin D, choline, selenium, citrulline, eicosapentaenoic acid - EPA, and docosahexaenoic acid - DHA) or placebo for 1 year.</p><p><strong>Results: </strong>After 1-year, both groups presented a significant increase in plasma p-tau181 and GFAP values, with no effect of the intervention (p-tau181 between-group difference: 0.27pg/mL, 95%CI: -0.95, 1.48; p=0.665; GFAP between-group difference: -3.28 pg/mL, 95%CI: -17.25, 10.69; p=0.644). P-tau-and APOE ε4-stratified analyses provided similar findings.</p><p><strong>Conclusions: </strong>In community-dwelling older adults, we observed an increase in plasma p-tau181 and GFAP levels that was not different between the supplementation groups after one year.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282594/pdf/jarlife-12-025.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10089680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Ratings of White Matter Hyperintensities, Hippocampal Ratings, and Neuropsychological Functioning from The Cache County Memory Study. 卡奇县记忆研究》中白质过度密集的临床评分、海马评分和神经心理功能。
JAR life Pub Date : 2022-03-21 eCollection Date: 2022-01-01 DOI: 10.14283/jarlife.2022.2
T J Farrer, E D Bigler, Y H W Tsui-Caldwell, T J Abildskov, J A T Tschanz, M C Norton, K A Welsh-Bohmer
{"title":"Clinical Ratings of White Matter Hyperintensities, Hippocampal Ratings, and Neuropsychological Functioning from The Cache County Memory Study.","authors":"T J Farrer, E D Bigler, Y H W Tsui-Caldwell, T J Abildskov, J A T Tschanz, M C Norton, K A Welsh-Bohmer","doi":"10.14283/jarlife.2022.2","DOIUrl":"10.14283/jarlife.2022.2","url":null,"abstract":"<p><strong>Objective: </strong>White matter burden and medial temporal atrophy are associated with cognitive health. A large epidemiological database, such as the Cache County Memory Study (CCMS), can provide additional insight into how visual clinical ratings of brain structural integrity predict cognition in older adults.</p><p><strong>Method: </strong>We used the Scheltens Ratings Scale to quantify white matter lesion burden and medial temporal atrophy in the CCMS sample to determine if these qualitative markers are predictive of memory function. We performed clinical ratings of MRI scans across two ascertainment periods among 187 community-dwelling older adults and correlated these ratings with MMSE, CERAD memory performance, and general cognitive ability.</p><p><strong>Results: </strong>Higher Scheltens ratings measuring white matter and basal ganglia hyperintensities were associated with lower memory performance (r = 0.21). The strongest correlations were observed between medial temporal atrophy and general cognition performance (r = 0.32).</p><p><strong>Conclusions: </strong>The current findings support previous research that the integrity of different regions of the brain correlate to function in a meaningful way.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying Frailty in Thermal/Spa Clinical Setting: A Cross-Sectional Study. 识别热/水疗临床环境中的虚弱:一项横断面研究。
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.5
C Jeandel, T Hanh
{"title":"Identifying Frailty in Thermal/Spa Clinical Setting: A Cross-Sectional Study.","authors":"C Jeandel,&nbsp;T Hanh","doi":"10.14283/jarlife.2022.5","DOIUrl":"https://doi.org/10.14283/jarlife.2022.5","url":null,"abstract":"<p><strong>Background: </strong>No investigation has assessed frailty in the clinical setting of thermal/spa facilities, which often receive older patients with osteo-articular and musculoskeletal conditions.</p><p><strong>Objective: </strong>To examine the prevalence of frailty in older adults receiving thermal/spa treatment and to gather preliminary evidence about the feasibility of integrating geriatric assessments, including frailty, in the routine clinical consultations in spa facilities.</p><p><strong>Methods: </strong>Mixed design, with a quantitative cross-sectional investigation performed among 197 volunteer patients (mean age 73.2 ± 6.4 years-old; 82.2% women) of seven French thermal/spa facilities and a qualitative investigation (semi-structured interviews) with the nine physicians working in the participating facilities. Frailty was defined according to a modified Fried frailty phenotype based on six self-reported criteria (including mobility impairment, nutritional status, and fatigue): individuals meeting ≥3 criteria were considered frail; 1-2 criteria, pre-frail; no criterion, robust. Interviews with the participating physicians on the feasibility of integrating geriatric assessments in routine clinical consultations at spa facilities were recorded and their content, analyzed.</p><p><strong>Results: </strong>Frailty was detected in 112 individuals (56.9%), 26 (13.2%) were considered prefrail, and 59 (29.9%), robust. Regarding the interviews, three physicians indicated the geriatric assessments could be integrated in the routine spa consultations; two, in the consultations of specific/targeted patients, but not in routine; two, only in the context of health education; two, in the context of research protocols. The content of interviews highlighted geriatric assessments provided a better overview of the health/clinical status of the patients.</p><p><strong>Conclusion: </strong>Frailty is very prevalent in older patients of spa facilities. Such facilities may constitute an interesting clinical setting for screening for frailty through the implementation of geriatric assessments.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002897/pdf/jarlife-11-026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9475730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Social Well-Being, Psychological Factors, and Chronic Conditions Among Older Adults. 老年人的社会幸福感、心理因素和慢性病。
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.3
J Min, Y-C Yeh, I S Harvey
{"title":"Social Well-Being, Psychological Factors, and Chronic Conditions Among Older Adults.","authors":"J Min,&nbsp;Y-C Yeh,&nbsp;I S Harvey","doi":"10.14283/jarlife.2022.3","DOIUrl":"https://doi.org/10.14283/jarlife.2022.3","url":null,"abstract":"Background Aging is characterized by the decline in physical health, functional status, and loss of social roles and relationships that can challenge the quality of life. Social well-being may help explain how aging individuals experience declining physical health and social relationships. Despite the high prevalence of chronic conditions among older adults, research exploring the relationship between social well-being and chronic disease is sparse. Objectives The study aims were to investigate the relationship between social well-being and psychological factors (e.g., perceived control, life satisfaction, self-esteem, active coping, optimism, and religious coping) by chronic condition in older adults. Design Cross-sectional study. Participants The current study comprises older adults (N = 1,251, aged ≥ 65 y) who participated in the third wave of the National Survey of Midlife in the United States (i.e., MIDUS). Setting MIDUS was conducted on a random-digit-dial sample of community-dwelling, English-speaking adults. Measurements Six instruments representing psychological resources (life satisfaction, perceived control, self-esteem, optimism, active coping, and religious coping) and five dimensions of social well-being (social actualization, social coherence, social acceptance, social contribution, social integration) were measured. An index of chronic disease comprised of self-reported data whether they had received a physician's diagnosis for any chronic conditions over the past year. Results The findings indicated that the individuals without chronic conditions had significantly higher social integration, social acceptance, and social contribution scores than the individuals with chronic conditions (t = 2.26, p < 0.05, t = 2.85, p < 0.01, and t = 2.23, p < 0.05, respectively). For individuals diagnosed with more than one chronic condition, perceived control, self-esteem, and optimism were positively related to their social well-being (β = .33, p < .001, β = .17, p < .001, and β = .33, p < .001, respectively). Conclusion Findings suggested that older adults with multiple chronic conditions have a decrease in social well-being. Chronic disease management programs may help increase social well-being among individuals with multiple chronic conditions.","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002881/pdf/jarlife-11-014.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9475732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Controlled Whole-body Vibration Training on Balance and Fall Outcomes Among Healthy Older Adults: A 6-Week Pilot Study. 控制全身振动训练对健康老年人平衡和跌倒结果的影响:一项为期6周的试点研究
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.6
F Saucedo, E A Chavez, H R Vanderhoof, V N Pradeep Ambati, J D Eggleston
{"title":"Effects of Controlled Whole-body Vibration Training on Balance and Fall Outcomes Among Healthy Older Adults: A 6-Week Pilot Study.","authors":"F Saucedo,&nbsp;E A Chavez,&nbsp;H R Vanderhoof,&nbsp;V N Pradeep Ambati,&nbsp;J D Eggleston","doi":"10.14283/jarlife.2022.6","DOIUrl":"https://doi.org/10.14283/jarlife.2022.6","url":null,"abstract":"<p><strong>Background: </strong>Falling is the second leading cause of injury-related death worldwide and is a leading cause of injury among older adults. Whole-body vibration has been used to improve balance and reduce fall risk in older adults. No study has assessed if vibration benefits can be retained over time.</p><p><strong>Objectives: </strong>The aims of this study were to examine if six-weeks of whole-body vibration could improve balance and fall outcomes, and to assess if benefits associated with the training program could be sustained two months following the final training session.</p><p><strong>Design and setting: </strong>Repeated measures randomized controlled design.</p><p><strong>Participants: </strong>Twenty-four independent living older adults were recruited and were randomly assigned to the whole-body vibration or control group.</p><p><strong>Intervention: </strong>Participants performed three sessions of whole-body vibration training per week with a vibration frequency of 20 Hz or with only an audio recording of the vibration noise. An assessment of balance and fall outcomes was performed prior to, immediately following, and two-months after the completion of the training program.</p><p><strong>Main outcome measures: </strong>Composite balance scores from the Berg Balance Scale and treadmill fall rates were assessed pre-training, post-training, and two-months post-training.</p><p><strong>Results: </strong>Seventeen participants completed the study. No between groups differences were found (p<0.05) in the measures of balance or fall rates.</p><p><strong>Conclusions: </strong>Findings revealed that six weeks of whole-body vibration was not effective in improving balance scores or fall rates.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utility of Polygenic Risk Scoring to Predict Cognitive Impairment as Measured by Preclinical Alzheimer Cognitive Composite Score. 多基因风险评分在阿尔茨海默认知综合评分中预测认知障碍的应用。
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.1
Q Gao, P Daunt, A M Gibson, R J Pither
{"title":"Utility of Polygenic Risk Scoring to Predict Cognitive Impairment as Measured by Preclinical Alzheimer Cognitive Composite Score.","authors":"Q Gao,&nbsp;P Daunt,&nbsp;A M Gibson,&nbsp;R J Pither","doi":"10.14283/jarlife.2022.1","DOIUrl":"https://doi.org/10.14283/jarlife.2022.1","url":null,"abstract":"<p><strong>Background: </strong>The utility of Polygenic Risk Scores (PRS) is gaining increasing attention for generating an individual genetic risk profile to predict subsequent likelihood of future onset of Alzheimer's disease (AD), especially those carry two copies of the APOE E3 allele, currently considered at neutral risk in all populations studied.</p><p><strong>Objectives: </strong>To access the performance of PRS in predicting individuals whilst pre-symptomatic or with mild cognitive impairment who are at greatest risk of progression of cognitive impairment due to Alzheimer's Disease from the Alzheimer's Disease Neuroimaging Initiative (ADNI) as measured by the Preclinical Alzheimer Cognitive Composite (PACC) score profile. Design: A longitudinal analysis of data from the ADNI study conducted across over 50 sites in the US and Canada.</p><p><strong>Setting: </strong>Multi-centre genetics study.</p><p><strong>Participants: </strong>594 subjects either APOE E3 homozygotes or APOE E3/E4 heterozygotes who upon entry to the study were diagnosed as cognitively normal or with mild cognitive impairment.</p><p><strong>Measurements: </strong>Use of genotyping and/or whole genome sequencing data to calculate polygenic risk scores and assess its ability to predict subsequent cognitive decline as measured by PACC over 5 years. Results: Assessing both cognitively normal and mild cognitive impaired subjects using a PRS threshold of greater than 0.6, the high genetic risk participant group declined more than the low risk group over 5 years as measured by PACC score (PACC score reduced by time).</p><p><strong>Conclusions: </strong>Our findings have shown that polygenic risk score provides a promising tool to identify those with higher risk to decline over 5 years regardless of their APOE alleles according to modified PACC profile, especially its ability to identify APOE3/E3 cognitively normal individuals who are at most risk for early cognitive decline. This genotype accounts for approximately 60% of the general population and 35% of the AD population but currently would not be considered at higher risk without access to expensive or invasive biomarker testing.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9475731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Seasonal Changes in Midlife Women'S Percentage Body Fat: A 1-Year Cohort Study. 中年女性体脂百分比的季节性变化:一项为期一年的队列研究。
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.4
A M Nelson, S L Casperson, L Jahns, D G Palmer, J N Roemmich
{"title":"Seasonal Changes in Midlife Women'S Percentage Body Fat: A 1-Year Cohort Study.","authors":"A M Nelson,&nbsp;S L Casperson,&nbsp;L Jahns,&nbsp;D G Palmer,&nbsp;J N Roemmich","doi":"10.14283/jarlife.2022.4","DOIUrl":"https://doi.org/10.14283/jarlife.2022.4","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this longitudinal, observational study was to examine whether age and seasonal changes in sedentary activity (sedAct), moderate-to-vigorous physical activity (MVPA), and energy intake (EI) predict changes in body composition among midlife women. We hypothesized that reductions in MVPA and increases in sedAct and EI in winter, along with greater baseline age would predict increases in percentage body fat (%BF) across seasons.</p><p><strong>Design: </strong>This study used a longitudinal, within-subjects design. <i>Setting:</i> This study took place in Grand Forks, North Dakota.</p><p><strong>Participants: </strong>Participants included 52 midlife women (aged 40-60 years) who were observed over the course of one year.</p><p><strong>Measurements: </strong>Percentage body fat measures were obtained via whole body Dual Energy X-ray absorptiometry. Participants were scanned once per season. We measured EI using the ASA24®. We used a GTX3 accelerometer to measure physical activity. Each season, participants wore the monitors for 7 days, 12 hours per day. All measures began in summer.</p><p><strong>Results: </strong>Results of hierarchical multiple regression (MR) analyses showed that age increases (β = 0.310, <i>p</i> = 0.021) and summer-to-fall increases in EI (β = 0.427, <i>p</i> = 0.002) predicted seasonal increases in %BF (<i>R2</i> = .36, <i>F</i>(5, 42)= 4.66, <i>p</i> = 0.02). Changes in MVPA and sedAct were not significant predictors. Repeated measures ANCOVA revealed that summer (<i>M</i> = 37.7263, 95% CI [35.8377, 39.6149]) to winter (<i>M</i> = 38.1463, 95% CI [36.1983, 40.0942]) increases in %BF are not reversed by spring (<i>M</i> = 37.8761, 95% CI [35.9365, 39.8157]).</p><p><strong>Conclusions: </strong>To minimize increases in %BF and maintain health, midlife women, particularly older women, should be encouraged to pay extra attention to their diet in the fall months.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modelling the Pan-European Economic Burden of Alzheimer's Disease. 模拟阿尔茨海默病的泛欧经济负担。
JAR life Pub Date : 2022-01-01 DOI: 10.14283/jarlife.2022.7
R Martins, M Urbich, K Brännvall, M Gianinazzi, J E Ching, C P Khoury, Y H El-Hayek
{"title":"Modelling the Pan-European Economic Burden of Alzheimer's Disease.","authors":"R Martins,&nbsp;M Urbich,&nbsp;K Brännvall,&nbsp;M Gianinazzi,&nbsp;J E Ching,&nbsp;C P Khoury,&nbsp;Y H El-Hayek","doi":"10.14283/jarlife.2022.7","DOIUrl":"https://doi.org/10.14283/jarlife.2022.7","url":null,"abstract":"<p><strong>Background: </strong>Recent advances open the opportunity of altering the course of Alzheimer's disease (AD) through lifestyle-based modifications and novel therapies. Ensuring that society is investing limited budgets in the interventions that have the greatest potential to generate tangible impact will require tools to guide policymakers.</p><p><strong>Objectives: </strong>To build on previous studies to develop an economic model that estimates the societal burden of AD and evaluates the potential impact of novel interventions in six large European countries.</p><p><strong>Design: </strong>AD progression was modelled using a published Markov structure with a 40-year time horizon to estimate lifetime costs and life years in a cohort aged 65 years and above diagnosed with mild cognitive impairment due to AD (MCI-AD) in 2020. Demographic projections were utilized to estimate the prevalence of MCI-AD up to 2100, total corresponding costs and life years. The model allows a comparison of costs associated with the introduction of a hypothetical new disease-modifying therapy that slows disease progression between MCI-AD and all AD-Dementia stages as well as a 'delayed onset' scenario where disease progression is halted at the MCI-AD stage, potentially occurring, for example, through lifestyle-based modifications.</p><p><strong>Results: </strong>The 2022 present value of total lifetime costs for this cohort moving through all disease stages is ~€1.2T. Approximately 80% of the present value of lifetime costs in our model are driven by informal care and non-medical direct costs. Our model suggests that a 25% and 50% reduction in disease progression compared to natural history could translate into a present value of cost savings of €33.7B and €72.7B. Halting MCI-AD progression for 3 years with no therapeutic effect thereafter resulted in a present value cost savings of €84.7B in savings.</p><p><strong>Conclusions: </strong>Our data further suggest that early intervention via disease-modifying therapies or lifestyle-based modifications in AD could result in cost savings for society. Additionally, our findings reinforce the importance of accounting for the full value of innovative interventions, management and care paradigms, including their potential impact on direct, indirect and intangible costs impacting patients, their care partners and health and social care systems.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002890/pdf/jarlife-11-038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Cross-Sectional Analysis of APOE Gene Polymorphism and the Risk of Cognitive Impairments in the Alzheimer's Disease Neuroimaging Initiative Study. 阿尔茨海默病神经影像学倡议研究中 APOE 基因多态性与认知障碍风险的横断面分析
JAR life Pub Date : 2021-04-26 eCollection Date: 2021-01-01 DOI: 10.14283/jarlife.2021.5
G Wang, D E Vance, W Li
{"title":"A Cross-Sectional Analysis of APOE Gene Polymorphism and the Risk of Cognitive Impairments in the Alzheimer's Disease Neuroimaging Initiative Study.","authors":"G Wang, D E Vance, W Li","doi":"10.14283/jarlife.2021.5","DOIUrl":"10.14283/jarlife.2021.5","url":null,"abstract":"<p><strong>Background: </strong>It is inconclusive on how apolipoprotein epsilon (APOE) gene polymorphism is associated with the risk of having mild cognitive impairment (MCI) or Alzheimer's disease (AD).</p><p><strong>Objectives: </strong>To investigate how APOE genotype is associated with the risk of MCI or AD using the data collected from the Alzheimer's Disease Neuroimaging Initiative (ADNI) participants.</p><p><strong>Methods: </strong>A cross-sectional design was used to analyze the baseline data collected from the 1,720 ADNI participants. APOE gene polymorphism was analyzed on how they are related to the risk of cognitive impairments of either MCI or AD using a percent yield (PY) method. Then cognitive functions were compared among six different APOE genotypes using a two-way ANCOVA by controlling possible confounding factors.</p><p><strong>Results: </strong>The prevalence of six APOE genotypes in 1,720 participants is as following: e2/e2 (0.3%), e2/e3 (7.4%), e3/e3 (45.4%), e2/e4 (2%), e3/e4 (35%) and e4/e4 (9.9%). The e2/e2 and e4/e4 genotypes were associated with the lowest and the highest risk respectively for cognitive impairments of either MCI or AD. Further, a worse cognitive diagnosis was associated with an increasing number of APOE e4 allele in a dose dependent manner. Participants with genotype e3/e3 had a better memory measure than those with the genotype of e3/e4.</p><p><strong>Conclusions: </strong>APOE gene polymorphism is associated with different level of risks for cognitive impairments. The heterozygous genotype e3/e4 is associated with a worse memory function compared to the genotype of e3/e3. Further investigations are needed to intervene the cognitive deteriorations in those with at risk APOE genotypes.</p>","PeriodicalId":73537,"journal":{"name":"JAR life","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002875/pdf/jarlife-10-026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9120365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multicomponent Interventions Against Frailty. 针对虚弱的多成分干预。
JAR life Pub Date : 2021-03-11 eCollection Date: 2021-01-01 DOI: 10.14283/jarlife.2021.3
D Azzolino, M Cesari
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