Pragmatic approaches to handling practice effects in longitudinal cognitive aging research

被引:12
作者
Chen, Ruijia [1 ]
Calmasini, Camilla [1 ]
Swinnerton, Kaitlin [1 ]
Wang, Jingxuan [1 ]
Haneuse, Sebastien [2 ]
Ackley, Sarah F. [1 ]
Hirst, Andrew K. [3 ]
Hayes-Larson, Eleanor [4 ]
George, Kristen M. [5 ]
Peterson, Rachel [6 ]
Soh, Yenee [3 ]
Barnes, Lisa L. [7 ,8 ]
Mayeda, Elizabeth Rose [4 ]
Gilsanz, Paola [3 ]
Mungas, Dan M. [9 ]
Whitmer, Rachel A. [5 ]
Corrada, Maria M. [10 ]
Glymour, M. Maria [1 ]
机构
[1] Univ Calif San Francisco, Dept Epidemiol & Biostat, UCSF POB 0560,550 16th St,2nd Floor, San Francisco, CA 94158 USA
[2] Harvard TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA USA
[3] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA
[4] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA USA
[5] Univ Calif Davis, Dept Publ Hlth Sci, Davis, CA 95616 USA
[6] Univ Montana, Sch Publ Hlth & Community Hlth Sci, Missoula, MT 59812 USA
[7] Rush Med Coll, Dept Neurol Sci, Chicago, IL 60612 USA
[8] Rush Med Coll, Rush Alzheimers Dis Ctr, Chicago, IL USA
[9] Univ Calif Davis, Dept Neurol, Davis, CA 95616 USA
[10] Univ Calif Irvine, Dept Neurol, Irvine, CA USA
关键词
aging; cognitive function; Covid-19; pandemic; period effects; practice effects; ENGLISH; SPANISH; ADULTS;
D O I
10.1002/alz.13067
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
INTRODUCTION: The challenge of accounting for practice effects (PEs) when modeling cognitive change was amplified by the COVID-19 pandemic, which introduced period and mode effects that may bias the estimation of cognitive trajectory. METHODS: In three Kaiser Permanente Northern California prospective cohorts, we compared predicted cognitive trajectories and the association of grip strength with cognitive decline using three approaches: (1) no acknowledgment of PE, (2) inclusion of a wave indicator, and (3) constraining PE based on a preliminary model (APM) fit using a subset of the data. RESULTS: APM-based correction for PEs based on balanced, pre-pandemic data, and with current age as the timescale produced the smallest discrepancy between within-person and between-person estimated age effects. Estimated associations between grip strength and cognitive decline were not sensitive to the approach used. DISCUSSION: Constraining PEs based on a preliminary model is a flexible, pragmatic approach allowing for meaningful interpretation of cognitive change.
引用
收藏
页码:4028 / 4036
页数:9
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