Promising outcome measures of early Alzheimer's dementia in adults with Down syndrome.

Alzheimer's disease Down syndrome aging mild cognitive impairment

Journal

Alzheimer's & dementia (Amsterdam, Netherlands)
ISSN: 2352-8729
Titre abrégé: Alzheimers Dement (Amst)
Pays: United States
ID NLM: 101654604

Informations de publication

Date de publication:
2020
Historique:
received: 10 02 2020
revised: 29 04 2020
accepted: 30 04 2020
entrez: 11 7 2020
pubmed: 11 7 2020
medline: 11 7 2020
Statut: epublish

Résumé

Adults with Down syndrome (DS) are at high risk for developing Alzheimer's disease (AD) and its associated dementia, warranting the development of strategies to improve early detection when prevention is possible. Using a broad battery of neuropsychological assessments, informant interviews, and clinical record review, we evaluated the psychometrics of measures in a large sample of 561 adults with DS. We tracked longitudinal stability or decline in functioning in a subsample of 269 participants over a period of 3 years, all initially without indications of clinically significant aging-related decline. Results identified an array of objective measures that demonstrated sensitivity in distinguishing individuals with incident "mild cognitive impairment" (MCI-DS) as well as subsequent declines occurring with incident dementia. Several instruments showed clear promise for use as outcome measures for future clinical trials and for informing diagnosis of individuals suspected of experiencing early signs and symptoms of a progressive dementia process.

Identifiants

pubmed: 32647741
doi: 10.1002/dad2.12044
pii: DAD212044
pmc: PMC7335903
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12044

Subventions

Organisme : NIA NIH HHS
ID : P30 AG066462
Pays : United States
Organisme : NIA NIH HHS
ID : U19 AG068054
Pays : United States

Informations de copyright

© 2020 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, Inc. on behalf of the Alzheimer's Association.

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Auteurs

Sharon J Krinsky-McHale (SJ)

New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.

Warren B Zigman (WB)

New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.

Joseph H Lee (JH)

Department of Neurology College of Physicians and Surgeons Columbia University Sergievsky Center/Taub Institute New York New York USA.
Department of Epidemiology School of Public Health Columbia University New York New York USA.

Nicole Schupf (N)

Department of Neurology College of Physicians and Surgeons Columbia University Sergievsky Center/Taub Institute New York New York USA.
Department of Epidemiology School of Public Health Columbia University New York New York USA.

Deborah Pang (D)

New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.

Tracy Listwan (T)

New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.

Cynthia Kovacs (C)

New York State Institute for Basic Research in Developmental Disabilities Staten Island New York USA.

Wayne Silverman (W)

Department of Epidemiology School of Public Health Columbia University New York New York USA.
University of California Irvine California USA.

Classifications MeSH