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10.1016/j.jagp.2013.07.008

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suck abstract from ncbi


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pmid24080384      Am+J+Geriatr+Psychiatry 2014 ; 22 (11): 1364-74
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  • Pre-clinical cognitive phenotypes for Alzheimer s disease: a latent profile approach #MMPMID24080384
  • Hayden KM; Kuchibhatla M; Romero HR; Plassman BL; Burke JR; Browndyke JN; Welsh-Bohmer KA
  • Am J Geriatr Psychiatry 2014[Nov]; 22 (11): 1364-74 PMID24080384show ga
  • Background: Cognitive profiles for pre-clinical Alzheimer's disease (AD) can be used to identify groups of individuals at risk for disease and better characterize pre-clinical disease. Profiles or patterns of performance as pre-clinical phenotypes may be more useful than individual test scores or measures of global decline. Objective(s): The aim of this work is to evaluate patterns of cognitive performance in cognitively normal individuals to derive latent profiles associated with later onset of disease using a combination of factor analysis and latent profile analysis. Methods: The National Alzheimer's Coordinating Centers collect data, including a battery of neuropsychological tests, from participants at 29 NIA funded Alzheimer's Disease Centers across the United States. Prior factor analyses of this battery demonstrated a four-factor structure comprising memory, attention, language, and executive function. Factor scores from these analyses were used in a latent profile approach to characterize cognition among a group of cognitively normal participants (n=3,911). Associations between latent profiles and disease outcomes an average of 3 years later were evaluated with multinomial regression models. Similar analyses were used to determine predictors of profile membership. Results: Four groups were identified; each with distinct characteristics and significantly associated with later disease outcomes. Two groups were significantly associated with development of cognitive impairment. In post-hoc analyses, both the Trail Making Test Part B, and a contrast score (Delayed Recall - Trails B), significantly predicted group membership and later cognitive impairment. Conclusions: Latent profile analysis is a useful method to evaluate patterns of cognition in large samples for the identification of preclinical AD phenotypes; however comparable results can be achieved with very sensitive tests and contrast scores.
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