Development of amyloid‐negative neuropsychological norms using GAMLSS
Abstrak
Abstract INTRODUCTION Recent research has suggested increased sensitivity of Alzheimer's disease (AD)‐negative neuropsychological norms; concurrently, generalized additive models for location, scale, and shape (GAMLSS) have emerged as a promising alternative to traditional norming approaches. Here, we developed amyloid β‐negative (Aβ−) next‐generation norms (NGN) for a comprehensive neuropsychological battery using GAMLSS. METHODS We included N = 987 cognitively normal (CN) individuals from a Spanish multicenter study with extensive neuropsychological data and cerebrospinal fluid AD biomarker assessment. NGN were developed using GAMLSS based on the performance of n = 774 Aβ− CN individuals aged 30–90 years. RESULTS Age‐, education‐, and sex‐adjusted z‐scores were obtained for 14 measures covering the main cognitive domains (memory, language, attention/executive, and visuospatial functions). A user‐friendly calculator for the z‐scores was made available in an open‐access ShinyApp to facilitate their application. DISCUSSION NGN may improve the detection of objective cognitive impairment in clinical and research settings. Highlights Brain amyloid β (Aβ) is associated with poorer performance in cognitively normal individuals. We provide GAMLSS‐based Aβ‐negative norms for 14 neuropsychological measures. Age, education, and often sex significantly influence cognitive performance. An online calculator for the demographically adjusted z‐scores is freely available.
Topik & Kata Kunci
Penulis (30)
Sara Rubio‐Guerra
María Belén Sánchez‐Saudinós
Isabel Sala
Laura Videla
Alexandre Bejanin
Ainara Estanga
Mirian Ecay‐Torres
Carolina Lopez deLuis
Lorena Rami
Adrià Tort‐Merino
Magdalena Castellví
Ana Pozueta
María García‐Martínez
David Gómez‐Andrés
Carmen Lage
Sara López‐García
Pascual Sánchez‐Juan
Mircea Balasa
Albert Lladó
Miren Altuna
Mikel Tainta
Javier Arranz
Nuole Zhu
Daniel Alcolea
Alberto Lleó
Juan Fortea
Eloy Rodríguez Rodríguez
Raquel Sánchez‐Valle
Pablo Martínez‐Lage
Ignacio Illán‐Gala
Akses Cepat
- Tahun Terbit
- 2025
- Sumber Database
- DOAJ
- DOI
- 10.1002/dad2.70224
- Akses
- Open Access ✓