GERO Cohort Protocol, Chile, 2017-2022: Community-based Cohort of Functional Decline in Subjective Cognitive Complaint elderly.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
25 11 2020
Historique:
received: 19 05 2020
accepted: 03 11 2020
entrez: 26 11 2020
pubmed: 27 11 2020
medline: 9 2 2021
Statut: epublish

Résumé

With the global population aging and life expectancy increasing, dementia has turned a priority in the health care system. In Chile, dementia is one of the most important causes of disability in the elderly and the most rapidly growing cause of death in the last 20 years. Cognitive complaint is considered a predictor for cognitive and functional decline, incident mild cognitive impairment, and incident dementia. The GERO cohort is the Chilean core clinical project of the Geroscience Center for Brain Health and Metabolism (GERO). The objective of the GERO cohort is to analyze the rate of functional decline and progression to clinical dementia and their associated risk factors in a community-dwelling elderly with subjective cognitive complaint, through a population-based study. We also aim to undertake clinical research on brain ageing and dementia disorders, to create data and biobanks with the appropriate infrastructure to conduct other studies and facilitate to the national and international scientific community access to the data and samples for research. The GERO cohort aims the recruitment of 300 elderly subjects (> 70 years) from Santiago (Chile), following them up for at least 3 years. Eligible people are adults not diagnosed with dementia with subjective cognitive complaint, which are reported either by the participant, a proxy or both. Participants are identified through a household census. The protocol for evaluation is based on a multidimensional approach including socio-demographic, biomedical, psychosocial, neuropsychological, neuropsychiatric and motor assessments. Neuroimaging, blood and stool samples are also obtained. This multidimensional evaluation is carried out in a baseline and 2 follow-ups assessments, at 18 and 36 months. In addition, in months 6, 12, 24, and 30, a telephone interview is performed in order to keep contact with the participants and to assess general well-being. Our work will allow us to determine multidimensional risks factors associated with functional decline and conversion to dementia in elderly with subjective cognitive complain. The aim of our GERO group is to establish the capacity to foster cutting edge and multidisciplinary research on aging in Chile including basic and clinical research. NCT04265482 in ClinicalTrials.gov. Registration Date: February 11, 2020. Retrospectively Registered.

Sections du résumé

BACKGROUND
With the global population aging and life expectancy increasing, dementia has turned a priority in the health care system. In Chile, dementia is one of the most important causes of disability in the elderly and the most rapidly growing cause of death in the last 20 years. Cognitive complaint is considered a predictor for cognitive and functional decline, incident mild cognitive impairment, and incident dementia. The GERO cohort is the Chilean core clinical project of the Geroscience Center for Brain Health and Metabolism (GERO). The objective of the GERO cohort is to analyze the rate of functional decline and progression to clinical dementia and their associated risk factors in a community-dwelling elderly with subjective cognitive complaint, through a population-based study. We also aim to undertake clinical research on brain ageing and dementia disorders, to create data and biobanks with the appropriate infrastructure to conduct other studies and facilitate to the national and international scientific community access to the data and samples for research.
METHODS
The GERO cohort aims the recruitment of 300 elderly subjects (> 70 years) from Santiago (Chile), following them up for at least 3 years. Eligible people are adults not diagnosed with dementia with subjective cognitive complaint, which are reported either by the participant, a proxy or both. Participants are identified through a household census. The protocol for evaluation is based on a multidimensional approach including socio-demographic, biomedical, psychosocial, neuropsychological, neuropsychiatric and motor assessments. Neuroimaging, blood and stool samples are also obtained. This multidimensional evaluation is carried out in a baseline and 2 follow-ups assessments, at 18 and 36 months. In addition, in months 6, 12, 24, and 30, a telephone interview is performed in order to keep contact with the participants and to assess general well-being.
DISCUSSION
Our work will allow us to determine multidimensional risks factors associated with functional decline and conversion to dementia in elderly with subjective cognitive complain. The aim of our GERO group is to establish the capacity to foster cutting edge and multidisciplinary research on aging in Chile including basic and clinical research.
TRIAL REGISTRATION
NCT04265482 in ClinicalTrials.gov. Registration Date: February 11, 2020. Retrospectively Registered.

Identifiants

pubmed: 33238908
doi: 10.1186/s12877-020-01866-4
pii: 10.1186/s12877-020-01866-4
pmc: PMC7690082
doi:

Substances chimiques

Membrane Glycoproteins 0
Receptors, Immunologic 0

Banques de données

ClinicalTrials.gov
['NCT04265482']

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

505

Subventions

Organisme : Consejo Nacional de Innovación, Ciencia y Tecnología
ID : 15150012
Organisme : Consejo Nacional de Innovación, Ciencia y Tecnología
ID : 1170010
Organisme : Consejo Nacional de Innovación, Ciencia y Tecnología
ID : 1171200
Organisme : NIA NIH HHS
ID : R01 AG057234
Pays : United States
Organisme : FONCyT-PICT
ID : 1818
Organisme : FONCyT-PICT
ID : 1820
Organisme : Consejo Nacional de Innovación, Ciencia y Tecnología (UY)
ID : 15150012
Organisme : Global Brain Health Institute
ID : 20-639295
Organisme : REDI
ID : 170583

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Auteurs

Andrea Slachevsky (A)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile. andrea.slachevsky@uchile.cl.
Neuropsychology and Clinical Neuroscience Laboratory (LANNEC), Physiopathology Department - Institute of Biomedical Sciences (ICBM), Neuroscience and East Neuroscience Departments, Faculty of Medicine, University of Chile, Santiago, Chile. andrea.slachevsky@uchile.cl.
Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile. andrea.slachevsky@uchile.cl.
Department of Neurology and Psychiatry, Clínica Alemana-Universidad del Desarrollo, Santiago, Chile. andrea.slachevsky@uchile.cl.
Department of Neurosciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile. andrea.slachevsky@uchile.cl.

Pedro Zitko (P)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Health Service & Population Research Department, IoPPN, King's College London, London, UK.
Escuela de Salud Pública, Universidad de Chile, Santiago, Chile.

David Martínez-Pernía (D)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile.
Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago, Chile.

Gonzalo Forno (G)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Neuropsychology and Clinical Neuroscience Laboratory (LANNEC), Physiopathology Department - Institute of Biomedical Sciences (ICBM), Neuroscience and East Neuroscience Departments, Faculty of Medicine, University of Chile, Santiago, Chile.
Memory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Santiago, Chile.

Felipe A Court (FA)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Center for Integrative Biology, Faculty of Sciences, Universidad Mayor, Santiago, Chile.
The Buck Institute for Research on Aging, Novato, USA.

Patricia Lillo (P)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
South Neurology Department, Faculty of Medicine, University of Chile, Santiago, Chile.
Unidad de Neurología, Hospital San José, Santiago, Chile.

Roque Villagra (R)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
East Neurology Department, Faculty of Medicine, University of Chile, Santiago, Chile.

Claudia Duran-Aniotz (C)

Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago, Chile.

Teresa Parrao (T)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Facultad de Psicología, Universidad Alberto Hurtado, Santiago, Chile.

Rodrigo Assar (R)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Institute of Biomedical Sciences (ICBM), Faculty of Medicine, University of Chile, Santiago, Chile.

Paulina Orellana (P)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.

Carolina Toledo (C)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.

Rodrigo Rivera (R)

Neuroradiologic Department, Instituto de Neurocirugia Asenjo, SSMO, Santiago, Chile.

Agustín Ibañez (A)

Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago, Chile.
Cognitive Neuroscience Center (CNC), Universidad de San Andrés, Buenos Aires, Argentina.
National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Universidad Autónoma del Caribe, Barranquilla, Colombia.
Global Brain Health Institute (GBHI), University of California San Francisco (UCSF), California, USA.

Mario A Parra (MA)

Universidad Autónoma del Caribe, Barranquilla, Colombia.
Psychology Department, School of Psychological Sciences & Health, University of Strathclyde, Glasgow, UK.

Christian González-Billault (C)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Department of Neurosciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
The Buck Institute for Research on Aging, Novato, USA.
Department of Biology, Faculty of Sciences, Universidad de Chile, Santiago, Chile.

Helena Amieva (H)

INSERM, Bordeaux Population Health Research Center, UMR 1219, Univ. Bordeaux, F-33000, Bordeaux, France.

Daniela Thumala (D)

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.
Escuela de Psicologia, Facultad de Ciencias Sociales, University of Chile, Santiago, Chile.

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