3 results on '"Jacqmin-Gadda, Helene"'
Search Results
2. Social activity, cognitive decline and dementia risk: a 20-year prospective cohort study.
- Author
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Marioni, Riccardo E., Proust-Lima, Cecile, Amieva, Helene, Brayne, Carol, Matthews, Fiona E., Dartigues, Jean-Francois, and Jacqmin-Gadda, Helene
- Subjects
SOCIAL conditions of older people ,COGNITION in old age ,DEMENTIA risk factors ,LONGITUDINAL method ,COHORT analysis ,HETEROGENEITY ,ENGAGEMENT (Philosophy) ,COGNITION disorders ,DEMENTIA ,HEALTH behavior ,INTERPERSONAL relations ,LEISURE ,SELF-perception ,SOCIAL support ,LIFESTYLES ,PSYCHOLOGICAL factors - Abstract
Background: Identifying modifiable lifestyle correlates of cognitive decline and risk of dementia is complex, particularly as few population-based longitudinal studies jointly model these interlinked processes. Recent methodological developments allow us to examine statistically defined sub-populations with separate cognitive trajectories and dementia risks.Methods: Engagement in social, physical, or intellectual pursuits, social network size, self-perception of feeling well understood, and degree of satisfaction with social relationships were assessed in 2854 participants from the Paquid cohort (mean baseline age 77 years) and related to incident dementia and cognitive change over 20-years of follow-up. Multivariate repeated cognitive information was exploited by defining the global cognitive functioning as the latent common factor underlying the tests. In addition, three latent homogeneous sub-populations of cognitive change and dementia were identified and contrasted according to social environment variables.Results: In the whole population, we found associations between increased engagement in social, physical, or intellectual pursuits and increased cognitive ability (but not decline) and decreased risk of incident dementia, and between feeling understood and slower cognitive decline. There was evidence for three sub-populations of cognitive aging: fast, medium, and no cognitive decline. The social-environment measures at baseline did not help explain the heterogeneity of cognitive decline and incident dementia diagnosis between these sub-populations.Conclusions: We observed a complex series of relationships between social-environment variables and cognitive decline and dementia. In the whole population, factors such as increased engagement in social, physical, or intellectual pursuits were related to a decreased risk of dementia. However, in a sub-population analysis, the social-environment variables were not linked to the heterogeneous patterns of cognitive decline and dementia risk that defined the sub-groups. [ABSTRACT FROM AUTHOR]- Published
- 2015
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3. Random change point model for joint modeling of cognitive decline and dementia
- Author
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Hélène Jacqmin-Gadda, Daniel Commenges, Jean-François Dartigues, Jacqmin-Gadda, Helene, Biostatistique, Université Bordeaux Segalen - Bordeaux 2 - Institut National de la Santé et de la Recherche Médicale (INSERM), Epidémiologie, santé publique et développement, and Université Bordeaux Segalen - Bordeaux 2 - Institut National de la Santé et de la Recherche Médicale (INSERM) - IFR99 - ISPED
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Statistics and Probability ,Mixed model ,Risk ,longitudinal data ,Polynomial ,Computer science ,mixed model ,Computer Science::Human-Computer Interaction ,Models, Biological ,General Biochemistry, Genetics and Molecular Biology ,Article ,Statistics ,mental disorders ,Computer Science::Multimedia ,medicine ,Econometrics ,Dementia ,Statistics::Methodology ,Humans ,random effects ,Cognitive decline ,joint model ,Likelihood Functions ,General Immunology and Microbiology ,Statistics::Applications ,Applied Mathematics ,General Medicine ,medicine.disease ,Random effects model ,Computer Science::Computers and Society ,Cognitive test ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Piecewise ,Disease Progression ,Educational Status ,Marginal distribution ,General Agricultural and Biological Sciences ,Cognition Disorders ,Algorithms - Abstract
International audience; We propose a joint model for cognitive decline and risk of dementia to describe the pre-diagnosis phase of dementia. We aim to estimate the time when the cognitive evolution of subjects in the pre-dementia phase becomes distinguishable from normal evolution and to study whether the shape of cognitive decline depends on educational level. The model combines a piecewise polynomial mixed model with a random change point for the evolution of the cognitive test and a log-normal model depending on the random change point for the time to dementia. Parameters are estimated by maximum likelihood using a Newton-Raphson-like algorithm. The expected cognitive evolution given age to dementia is then derived and the marginal distribution of dementia is estimated to check the log-normal assumption.
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- 2006
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