西班牙裔/拉美裔样本的神经认知特征与后续大脑完整性相关:SOL-INCA-MRI 研究(HCHS/SOL)的结果。

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-07-17 eCollection Date: 2024-07-01 DOI:10.1002/dad2.12622
Shraddha Sapkota, Pauline Maillard, Ariana M Stickel, Wassim Tarraf, Kevin A Gonzalez, Vladimir Ivanovic, Alejandra Morlett-Paredes, Jianwen Cai, Carmen R Isasi, Richard B Lipton, Martha Daviglus, Fernando Daniel Testai, Melissa Lamar, Linda C Gallo, Gregory A Talavera, Christian Agudelo, Alberto R Ramos, Hector M González, Charles DeCarli
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引用次数: 0

摘要

西班牙裔/拉美裔人口是美国最大、最多样化的人种之一,也是痴呆症的高危人群。我们研究了认知结构以及与随后的海马体积(HV)和白质高密度体积(WMHV)之间的关系。参与者来自西班牙裔社区健康研究/拉美裔研究--磁共振成像研究(n = 2029)。我们使用第 1 次(2008-2011 年)和第 2 次(2014-2018 年)的神经认知评分和路径分析对确认性因子分析和纵向不变性进行了研究。我们得到了一个纵向不变的双因子外显记忆(EM)和工作记忆(WM)结构。两次就诊时,较低的EM特征与就诊2时较大的WMHV和较小的HV相关。两次就诊时较低的 WM 特征与第二次就诊时较大的 WMHV 和较小的 HV 相关。在西班牙裔/拉美裔样本中,神经认知特征与随后的神经变性有关。识别神经认知风险特征可能会导致早期检测和干预,并对神经退行性病变的进程产生重大影响:我们在西班牙裔/拉美裔人群中观察到了双因素潜在记忆结构和纵向不变性。
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Neurocognitive profiles are associated with subsequent brain integrity in a sample of Hispanics/Latinos: Findings from the SOL-INCA-MRI study (HCHS/SOL).

The Hispanic/Latino population is one of the largest and most diverse ethnoracial groups in the United States at high risk for dementia. We examined cognitive constructs and associations with subsequent hippocampal volume (HV) and white matter hyperintensity volume (WMHV). Participants were from the Hispanic Community Health Study/Study of Latinos-Magnetic Resonance Imaging Study (= 2029). We examined confirmatory factor analysis and longitudinal invariance using neurocognitive scores at Visits 1 (2008-2011) and 2 (2014-2018) and path analyses. We obtained a longitudinally invariant two-factor episodic memory (EM) and working memory (WM) construct. Lower EM profile at both visits was associated with greater WMHV and smaller HV at Visit 2. Lower WM profile at both visits was associated with larger WMHV and smaller HV at Visit 2. Neurocognitive profiles were associated with subsequent neurodegeneration in a sample of Hispanics/Latinos. Identifying neurocognitive risk profiles may lead to early detection and intervention, and significantly impact the course of neurodegeneration.

Highlights: Cognitive profiles predict brain integrity up to 10 years later.We observed two-factor latent memory constructs and longitudinal invariance.These findings were observed in a Hispanic/Latino cohort.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
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