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Rates of age- and amyloid β-associated cortical atrophy in older adults with superior memory performance

  • Christa Dang
  • , Nawaf Yassi
  • , Karra D. Harrington
  • , Ying Xia
  • , Yen Ying Lim
  • , David Ames
  • , Simon M. Laws
  • , Martha Hickey
  • , Stephanie Rainey-Smith
  • , Hamid R. Sohrabi
  • , James D. Doecke
  • , Jurgen Fripp
  • , Olivier Salvado
  • , Peter J. Snyder
  • , Michael Weinborn
  • , Victor L. Villemagne
  • , Christopher C. Rowe
  • , Colin L. Masters
  • , Paul Maruff*
  • , The AIBL Research Group
  • *Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Introduction: Superior cognitive performance in older adults may reflect underlying resistance to age-associated neurodegeneration. While elevated amyloid β (Aβ) deposition (Aβ+) has been associated with increased cortical atrophy, it remains unknown whether “SuperAgers” may be protected from Aβ-associated neurodegeneration. Methods: Neuropsychologically defined SuperAgers (n = 172) and cognitively normal for age (n = 172) older adults from the Australian Imaging, Biomarkers and Lifestyle study were case matched. Rates of cortical atrophy over 8 years were examined by SuperAger classification and Aβ status. Results: Of the case-matched SuperAgers and cognitively normal for age older adults, 40.7% and 40.1%, respectively, were Aβ+. Rates of age- and Aβ-associated atrophy did not differ between the groups on any measure. Aβ− individuals displayed the slowest rates of atrophy. Discussion: Maintenance of superior memory in late life does not reflect resistance to age- or Aβ-associated atrophy. However, those individuals who reached old age without cognitive impairment nor elevated Aβ deposition (i.e. Aβ−) displayed reduced rates of cortical atrophy.

Original languageEnglish
Pages (from-to)566-575
Number of pages10
JournalAlzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
Volume11
DOIs
Publication statusPublished - 1 Dec 2019
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Aging
  • Alzheimer's disease
  • Memory
  • Neurodegeneration
  • β-amyloid

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