1. Associations of cerebrovascular disease and Alzheimer's disease pathology with cognitive decline: Analysis of the National Alzheimer's Coordinating Center Uniform Data Set.
- Author
-
Chatterjee, Ankita, Lee, Shannon, Diaz, Valentina, Saloner, Rowan, Sanderson-Cimino, Mark, deCarli, Charles, Maillard, Pauline, Hinman, Jason, Vossel, Keith, Casaletto, Kaitlin B., Staffaroni, Adam M., Paolillo, Emily W., and Kramer, Joel H.
- Subjects
- *
EXECUTIVE function , *ALZHEIMER'S disease , *COGNITIVE analysis , *COGNITION , *PATHOLOGY - Abstract
Cerebrovascular disease (CVD) and Alzheimer's disease (AD) often co-occur and may impact specific cognitive domains. This study's goal was to determine effects of CVD and AD burden on cross-sectional and longitudinal executive function (EF) and memory in older adults. Longitudinally followed participants from the National Alzheimer Coordinating Center database (n = 3342) were included. Cognitive outcomes were EF and memory composite scores. Baseline CVD presence was defined by moderate-to-severe white matter hyperintensities or lacunar infarct on MRI. Baseline AD pathology was defined by amyloid positivity via PET or CSF. Linear mixed models examined effects of CVD, AD, and time on cognitive outcomes, controlling for sex, education, baseline age, MoCA score, and total number of study visits. At baseline, CVD associated with lower EF (p < 0.001), while AD associated with lower EF and memory (ps < 0.001). Longitudinally only AD associated with faster declines in memory and EF (ps < 0.001). These results extend our understanding of CVD and AD pathology, highlighting that CVD does not necessarily indicate accelerated decline. • CVD and AD did not synergistically predict cognitive declines in specific domains. • CVD associated with lower baseline executive functioning, not longitudinal decline. • AD associated with lower executive function and memory at baseline and over time. • Findings extend our understanding of CVD and AD effects on cognitive decline. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF