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Reserve and Alzheimer's disease genetic risk: Effects on hospitalization and mortality.


ABSTRACT: Introduction: Cognitive reserve predicts delayed diagnosis of Alzheimer's disease (AD) and faster postdiagnosis decline. The net impact of cognitive reserve, combining both prediagnosis and postdiagnosis risk, on adverse AD-related outcomes is unknown. We adopted a novel approach, using AD genetic risk scores (AD-GRS), to evaluate this.

Methods: Using 242,959 UK Biobank participants age 56+ years, we evaluated whether cognitive reserve (operationalized as education) modified associations between AD-GRS and mortality or hospitalization (total count, fall-related, and urinary tract infection-related).

Results: AD-GRS predicted mortality and hospitalization outcomes. Education did not modify AD-GRS effects on mortality, but had a nonsignificantly (interaction P = .10) worse effect on hospitalizations due to urinary tract infection or falls among low education (OR = 1.07 [95% CI: 1.02, 1.12]) than high education (OR = 1.01 [0.95, 1.07]) individuals.

Discussion: Education did not convey differential survival advantages to individuals with higher genetic risk of AD, but may reduce hospitalization risk associated with AD genetic risk.

SUBMITTER: Filshtein TJ 

PROVIDER: S-EPMC7049165 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Reserve and Alzheimer's disease genetic risk: Effects on hospitalization and mortality.

Filshtein Teresa Jenica TJ   Brenowitz Willa D WD   Mayeda Elizabeth Rose ER   Hohman Timothy J TJ   Walter Stefan S   Jones Rich N RN   Elahi Fanny M FM   Glymour M Maria MM  

Alzheimer's & dementia : the journal of the Alzheimer's Association 20190701 7


<h4>Introduction</h4>Cognitive reserve predicts delayed diagnosis of Alzheimer's disease (AD) and faster postdiagnosis decline. The net impact of cognitive reserve, combining both prediagnosis and postdiagnosis risk, on adverse AD-related outcomes is unknown. We adopted a novel approach, using AD genetic risk scores (AD-GRS), to evaluate this.<h4>Methods</h4>Using 242,959 UK Biobank participants age 56+ years, we evaluated whether cognitive reserve (operationalized as education) modified associa  ...[more]

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