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

来源：

ALZHEIMERS & DEMENTIA | 2023年 / 19卷 / 09期

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

页码：4028 / 4036

页数：9

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