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Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER
by
Baker, Laura D.
, Krueger, Kristin R.
, Howard, Marjorie
, Thro, Amber
, Chan, Michelle
, Whitmer, Rachel A.
, Raman, Rema
, Snyder, Heather M.
, Caudle, Brad
, Demos, Kathryn E.
, Leng, Xiaoyan
, Farias, Sarah Tomaszewski
, Ngandu, Tiia
, Holland, Thomas M.
, York, Michele K.
, Papp, Kathryn V.
, Sachs, Bonnie C.
, Hartman, Elizabeth R. T.
, Austin, Marie T.
, Carrillo, Maria C.
, Espeland, Mark A.
, Lee, Athene
in
Aged
/ Cardiovascular Diseases - epidemiology
/ clinical trials
/ Cognition - physiology
/ Cognitive Dysfunction
/ Female
/ healthy aging
/ Heart Disease Risk Factors
/ Humans
/ Life Style
/ lifestyle interventions
/ Male
/ Middle Aged
/ Neuropsychological Tests - statistics & numerical data
/ Psychometrics
/ Risk Factors
/ United States - epidemiology
2025
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Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER
by
Baker, Laura D.
, Krueger, Kristin R.
, Howard, Marjorie
, Thro, Amber
, Chan, Michelle
, Whitmer, Rachel A.
, Raman, Rema
, Snyder, Heather M.
, Caudle, Brad
, Demos, Kathryn E.
, Leng, Xiaoyan
, Farias, Sarah Tomaszewski
, Ngandu, Tiia
, Holland, Thomas M.
, York, Michele K.
, Papp, Kathryn V.
, Sachs, Bonnie C.
, Hartman, Elizabeth R. T.
, Austin, Marie T.
, Carrillo, Maria C.
, Espeland, Mark A.
, Lee, Athene
in
Aged
/ Cardiovascular Diseases - epidemiology
/ clinical trials
/ Cognition - physiology
/ Cognitive Dysfunction
/ Female
/ healthy aging
/ Heart Disease Risk Factors
/ Humans
/ Life Style
/ lifestyle interventions
/ Male
/ Middle Aged
/ Neuropsychological Tests - statistics & numerical data
/ Psychometrics
/ Risk Factors
/ United States - epidemiology
2025
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Do you wish to request the book?
Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER
by
Baker, Laura D.
, Krueger, Kristin R.
, Howard, Marjorie
, Thro, Amber
, Chan, Michelle
, Whitmer, Rachel A.
, Raman, Rema
, Snyder, Heather M.
, Caudle, Brad
, Demos, Kathryn E.
, Leng, Xiaoyan
, Farias, Sarah Tomaszewski
, Ngandu, Tiia
, Holland, Thomas M.
, York, Michele K.
, Papp, Kathryn V.
, Sachs, Bonnie C.
, Hartman, Elizabeth R. T.
, Austin, Marie T.
, Carrillo, Maria C.
, Espeland, Mark A.
, Lee, Athene
in
Aged
/ Cardiovascular Diseases - epidemiology
/ clinical trials
/ Cognition - physiology
/ Cognitive Dysfunction
/ Female
/ healthy aging
/ Heart Disease Risk Factors
/ Humans
/ Life Style
/ lifestyle interventions
/ Male
/ Middle Aged
/ Neuropsychological Tests - statistics & numerical data
/ Psychometrics
/ Risk Factors
/ United States - epidemiology
2025
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Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER
Journal Article
Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER
2025
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Overview
INTRODUCTION Validation of the primary cognitive composite and baseline cognitive characteristics are presented for the US‐Study‐to‐Protect‐Brain‐Health‐Through‐Lifestyle‐Intervention‐to‐Reduce‐Risk (US POINTER). METHODS US POINTER is a multicenter, randomized clinical trial of two lifestyle interventions testing cognitive benefit in older adults without significant cognitive impairment but at‐risk for decline due to well‐established factors. Cognition is measured using a global cognitive composite (US POINTER modified Neuropsychological Test Battery‐PmNTB). RESULTS The PmNTB is a valid cognitive composite, exhibiting good psychometric properties and tracking with other established outcomes. Among the 2111 enrolled participants (mean age = 68.2 years, 69% women, 31% from race and ethnic minoritized groups), demographic characteristics alone (age, sex, education, race, ethnicity) explained more variance in cognition measured using the PmNTB (25.94%) compared with cardiovascular and family history risk factors combined (added < 3% explained variance). DISCUSSION In a large diverse older adult cohort, demographic features rather than well‐established risks for cognitive decline correlate with baseline global cognition. Clinical trial registration number: NCT03688126 Highlights Demographic characteristics explain baseline cognition in at‐risk older adults. The POINTER Modified Neuropsychological Test Battery (PmNTB) is a valid measure. Worse cognition tracks with E4+, high HbA1c, current smoking, Framingham heart risk.
Publisher
John Wiley and Sons Inc
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