Ontology highlight
ABSTRACT: Introduction
We sought lipid-metabolic biomarkers involved in the processes underlying cognitive decline and detected them in association with Alzheimer's disease (AD) phenotypes.Methods
A least absolute shrinkage and selection operator logistic regression model was used to select lipids that best classified cognitive decline defined by a fast-annual rate of cognition. Lipid summary scores were constructed as predictors of cognitive decline by using this model. Multivariable-adjusted models tested the associations of risk score with AD phenotypes.Results
A model incorporating 17 selected lipids showed good discrimination and calibration. The lipid risk score was positively associated with the baseline Alzheimer Disease Assessment Scale-13-item cognitive subscale (ADAS-Cog13) score and cerebrospinal tau protein level, and predicted cognitive diagnoses. Additional results showing that individuals with increased lipid risk scores had rapid change rates of ADAS-Cog13 and brain atrophy further corroborated the predictive role of lipids.Discussion
A panel of blood lipids instead of individual lipid molecules could better diagnose and predict cognitive decline.
SUBMITTER: Ma YH
PROVIDER: S-EPMC7507431 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature

Ma Ya-Hui YH Shen Xue-Ning XN Xu Wei W Huang Yu-Yuan YY Li Hong-Qi HQ Tan Lin L Tan Chen-Chen CC Dong Qiang Q Tan Lan L Yu Jin-Tai JT
Alzheimer's & dementia (Amsterdam, Netherlands) 20200915 1
<h4>Introduction</h4>We sought lipid-metabolic biomarkers involved in the processes underlying cognitive decline and detected them in association with Alzheimer's disease (AD) phenotypes.<h4>Methods</h4>A least absolute shrinkage and selection operator logistic regression model was used to select lipids that best classified cognitive decline defined by a fast-annual rate of cognition. Lipid summary scores were constructed as predictors of cognitive decline by using this model. Multivariable-adju ...[more]