Display options
Share it on

Int J Alzheimers Dis. 2011;2011:786264. doi: 10.4061/2011/786264. Epub 2011 May 24.

Feasibility of Predicting MCI/AD Using Neuropsychological Tests and Serum β-Amyloid.

International journal of Alzheimer's disease

Cheryl A Luis, Laila Abdullah, Ghania Ait-Ghezala, Benoit Mouzon, Andrew P Keegan, Fiona Crawford, Michael Mullan

Affiliations

  1. Roskamp Institute, 2040 Whitfield Avenue, Sarasota, FL 34243, USA.

PMID: 21660215 PMCID: PMC3109876 DOI: 10.4061/2011/786264

Abstract

We examined the usefulness of brief neuropsychological tests and serum Aβ as a predictive test for detecting MCI/AD in older adults. Serum Aβ levels were measured from 208 subjects who were cognitively normal at enrollment and blood draw. Twenty-eight of the subjects subsequently developed MCI (n = 18) or AD (n = 10) over the follow-up period. Baseline measures of global cognition, memory, language fluency, and serum Aβ(1-42) and the ratio of serum Aβ(1-42)/Aβ(1-40) were significant predictors for future MCI/AD using Cox regression with demographic variables, APOE ε4, vascular risk factors, and specific medication as covariates. An optimal sensitivity of 85.2% and specificity of 86.5% for predicting MCI/AD was achieved using ROC analyses. Brief neuropsychological tests and measurements of Aβ(1-42) obtained via blood warrants further study as a practical and cost effective method for wide-scale screening for identifying older adults who may be at-risk for pathological cognitive decline.

References

  1. J Clin Psychol. 1997 Aug;53(5):517-21 - PubMed
  2. Neurology. 1989 Sep;39(9):1159-65 - PubMed
  3. J Neuropsychiatry Clin Neurosci. 2008 Summer;20(3):327-30 - PubMed
  4. Alzheimers Dement. 2007 Jul;3(3):186-91 - PubMed
  5. Age Ageing. 2009 Jul;38(4):455-60 - PubMed
  6. Neurology. 2009 Jul 28;73(4):294-301 - PubMed
  7. Am J Psychiatry. 1995 Dec;152(12):1757-64 - PubMed
  8. Biol Psychiatry. 1979 Oct;14(5):791-801 - PubMed
  9. J Psychiatr Res. 1982-1983;17(1):37-49 - PubMed
  10. Arch Neurol. 2001 Dec;58(12):1985-92 - PubMed
  11. J Clin Psychiatry. 1987 Aug;48(8):314-8 - PubMed
  12. Neurosci Lett. 2007 Nov 27;428(2-3):53-8 - PubMed
  13. Lancet. 2008 Jul 19;372(9634):216-23 - PubMed
  14. Arch Neurol. 2007 Jun;64(6):862-71 - PubMed
  15. Ann Neurol. 2008 Nov;64(5):492-8 - PubMed
  16. J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
  17. Arch Neurol. 2007 Aug;64(8):1130-8 - PubMed
  18. J Nutr Health Aging. 2009 Mar;13(3):220-5 - PubMed
  19. Arch Neurol. 2007 Mar;64(3):354-62 - PubMed
  20. Drug Discov Today. 2009 Mar;14(5-6):241-51 - PubMed
  21. JAMA. 2011 Jan 19;305(3):261-6 - PubMed
  22. Arch Neurol. 1999 Mar;56(3):303-8 - PubMed
  23. JAMA. 2009 Jul 22;302(4):385-93 - PubMed
  24. Neurology. 2007 Feb 27;68(9):666-9 - PubMed
  25. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2009 Mar;16(2):203-18 - PubMed
  26. Alzheimers Dement. 2009 May;5(3):215-26 - PubMed
  27. Mol Med. 2009 Nov-Dec;15(11-12):432-7 - PubMed
  28. Arch Neurol. 2009 Oct;66(10):1247-53 - PubMed
  29. N Engl J Med. 2006 Dec 21;355(25):2652-63 - PubMed
  30. Neurology. 1984 Jul;34(7):939-44 - PubMed
  31. Neurology. 2000 Mar 28;54(6):1290-6 - PubMed
  32. Mol Med. 2009 Mar-Apr;15(3-4):95-100 - PubMed
  33. Neurology. 2007 May 22;68(21):1800-8 - PubMed
  34. Alzheimers Dement. 2009 Mar;5(2):93-104 - PubMed
  35. Alzheimer Dis Assoc Disord. 1996 Spring;10(1):31-9 - PubMed
  36. Neurology. 2008 Feb 19;70(8):596-606 - PubMed
  37. J Clin Exp Neuropsychol. 1989 Dec;11(6):855-70 - PubMed
  38. Psychol Aging. 1999 Jun;14(2):295-303 - PubMed
  39. Arch Neurol. 2007 Mar;64(3):343-9 - PubMed
  40. Ann Neurol. 2004 Mar;55(3):306-19 - PubMed

Publication Types

Grant support