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Record W2980685447 · doi:10.1016/j.jalz.2019.08.081

P4‐534: COUPLED BIVARIATE CHANGES IN C‐REACTIVE PROTEIN AND COGNITION IN LATE LIFE

2019· article· en· W2980685447 on OpenAlexaff
Nathan A. Lewis, Jamie Knight, Scott M. Hofer

Bibliographic record

VenueAlzheimer s & Dementia · 2019
Typearticle
Languageen
FieldMedicine
TopicGDF15 and Related Biomarkers
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsBivariate analysisCognitionC-reactive proteinDementiaMedicineCognitive declineGeneralized estimating equationGerontologyStructural equation modelingDemographyAgeingInternal medicinePsychologyClinical psychologyInflammationDiseaseStatisticsPsychiatryMathematics

Abstract

fetched live from OpenAlex

Systemic inflammatory markers, such as C-reactive protein (CRP) have been associated with risk and progression of cognitive impairment. However, most of the work in this area has examined cross-sectional associations or has used single assessments of inflammatory markers as predictors of cognitive change. Repeated assessments of CRP are needed to explore potentially reciprocal associations between inflammation and cognition as these variables fluctuate over time. Data were from 6073 US adults over age 50 (Mage = 66.88 years, 60.05% female) from the Health and Retirement Study who provided blood specimens beginning in 2006. Bivariate growth modeling, an extension of longitudinal structural equation modeling, was used to simultaneously estimate trajectories of CRP and cognition over an eight-year follow-up. Two separate models were estimated. The first model included all available participants and estimated changes in CRP and cognition as a function of time in years since the initial assessment. The second model examined a subset of 445 participants who developed dementia after the baseline assessment with time structured as time to diagnosis. Age, sex, education, chronic conditions, and dementia status were included as covariates on the intercept and slope parameters in both models. In the overall sample, cognition and CRP declined with advancing age. Male participants and those with higher education had lower initial levels of CRP, but greater increases over time. A significant negative correlation (r = −.09, p = .017) was observed between intercepts for CRP and cognitive function, but not between slopes (r = −.07, p = .612). Cognitive intercepts were marginally associated with CRP slopes (r = .11, p = .085), indicating that higher cognitive functioning at baseline predicted less decline or more stable CRP levels across the study. In the dementia subsample, no significant associations were observed in levels or rates of change in CRP and cognition. CRP may predict level of cognitive ability, though these variables do not appear to change concurrently over time. Cognition and CRP were not associated in the subsample with incident dementia, suggesting that CRP may be a better predictor of normative cognitive aging.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.662
Threshold uncertainty score0.523

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.249
Teacher spread0.232 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractyes

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