Investigator:Dr Sarah Bauermeister
Title:Biopsychosocial determinants of cognitive and biomarker trajectories in preclinical Alzheimer's disease
Date of Request:03/23/2023
Status:pending review
ID:DIAN-D2305
Aim 1:The first objective is to characterise the biopsychosocial determinants of AD across modifiable and non-modifiable factors throughout the lifespan across multiple cohorts including Memento, DIAN, WRAP, ADNI, BIOCARD, SMC amyloid, and other DPUK databases. The latent constructs, which have not previously been examined in such extensive detail, include physical health, mental health, diet, family history, sex, ethnicity, education, sociality, life functionality, employment, and traumatic brain injury.
Aim 2:The second objective is to explore an AD prediction model utilising PET amyloid data, building on objective 1. Designed utilising the significant constructs, the hypothesis is that this novel disease model will predict preclinical AD with relative accuracy in patient populations to facilitate earlier and more accurate disease diagnoses .
Aim 3:The third objective is to investigate the relationship between the biopsychosocial determinants included in the disease prediction model and structural brain changes (MRI). Utilising the BHC and healthy control cohorts, the study hypothesises that there will be a significant difference in health/lifestyle outcomes between the two populations as well as a significant relationship between these outcomes and level of cognitive/structural impairment, thus strengthening the role of biopsychosocial determinants in disease trajetory