Neuropsychological subtypes of incident mild cognitive impairment in the Mayo Clinic Study of Aging.


Journal

Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978

Informations de publication

Date de publication:
07 2019
Historique:
received: 28 09 2018
revised: 12 03 2019
accepted: 25 03 2019
pubmed: 28 5 2019
medline: 11 7 2020
entrez: 27 5 2019
Statut: ppublish

Résumé

We evaluated whether incident mild cognitive impairment (MCI) subtypes could be empirically derived in the Mayo Clinic Study of Aging. We performed cluster analysis on neuropsychological data from 506 participants with incident MCI. The 3-cluster solution resulted in (1) amnestic, (2) dysexecutive, (3) dysnomic subtypes. The 4-cluster solution produced these same three groups and a fourth group with subtle cognitive impairment (SCI). The SCI cluster was a subset of the amnestic cluster and distinct from well-matched cognitively unimpaired participants based on memory and global z-score area under the receiver operating characteristic curve analyses and probability of progression to MCI/dementia. We empirically identified three neuropsychological subtypes of MCI that share some features with MCI subtypes identified in the Alzheimer's Disease Neuroimaging Initiative. The fourth subtype with SCI in the Mayo Clinic Study of Aging differed from the fourth cluster-derived normal group in Alzheimer's Disease Neuroimaging Initiative and could represent a group to target with early interventions.

Identifiants

pubmed: 31128864
pii: S1552-5260(19)30089-5
doi: 10.1016/j.jalz.2019.03.014
pmc: PMC6646057
mid: NIHMS1530309
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

878-887

Subventions

Organisme : NIA NIH HHS
ID : R01 AG034676
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG049810
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG006786
Pays : United States

Informations de copyright

Copyright © 2019 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

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Auteurs

Mary M Machulda (MM)

Division of Neurocognitive Disorders, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. Electronic address: machulda.mary@mayo.edu.

Emily S Lundt (ES)

Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.

Sabrina M Albertson (SM)

Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.

Walter K Kremers (WK)

Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.

Michelle M Mielke (MM)

Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA; Department of Neurology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.

David S Knopman (DS)

Department of Neurology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.

Mark W Bondi (MW)

Department of Psychiatry, University of California San Diego, School of Medicine, La Jolla, CA, USA; Veterans Affairs San Diego Healthcare System, San Diego, CA, USA.

Ronald C Petersen (RC)

Department of Neurology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.

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