Trajectories of Alzheimer disease‐related cognitive measures in a longitudinal sample
Open accessAbstract
Background: The delineation of the relative temporal trajectories of specific cognitive measures associated with Alzheimer's disease (AD) is important for evaluating preclinical markers and monitoring disease progression. Methods: We characterized the temporal trajectories of measures of verbal episodic memory, short‐term visual memory, and mental status using data from 895 participants in the Baltimore Longitudinal Study of Aging. Results: The California Verbal Learning Test (CVLT) immediate recall was the first measure to decline, followed by CVLT delayed recall. However, further along the disease progression scale, CVLT delayed recall and visual memory changed more rapidly than CVLT immediate recall. Conclusions: Our findings reconcile reports of early changes in immediate recall with greater reliance on delayed recall performance in clinical settings. Moreover, the utility of cognitive markers in evaluating AD progression depends on the stage of cognitive decline, suggesting that optimal endpoints in therapeutic trials may vary across different stages of the disease process.
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Classifiers using multimodal biological, imaging, and neuropsychological markers can separate AD patients from cognitively normal individuals accurately.
“Multi-modal biological, imaging, and neuropsychological markers have demonstrated promising performance for distinguishing Alzheimer’s disease (AD) patients from cognitively normal elders.”
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- Authors
- Bilgel, M., An, Y., Lang, A., Prince, J., Ferrucci, L., Jedynak, B., & Resnick, S. M.
- Affiliations
- National Institutes of Health (US)
- Johns Hopkins University (US)
- Corresponding author
- Bilgel, Murat
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2014-07-14
- Volume
- 10
- Issue
- 6
- Pages
- 735
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC4253313
- OpenAlex
- W2136251033
- Cited by
- 65
- References
- 21
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 2
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Intramural Research Program of the National Institute on Aging
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- Alzheimer's disease, cognitive decline trajectories
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Cognition Disorders, Female, Humans, Longitudinal Studies, Male, Memory, Short-Term, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Verbal Learning, Outcome Assessment, Health Care, Disease Progression
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