Table 3.
Associations of Pathologic Indices and R2 with Rate of Cognitive Decline
Model Outcome (Cognitive Domain) | Variable | Slope Estimate | SE | p |
---|---|---|---|---|
Global Cognition | Time (reference) | −0.0527 | 0.0095 | 0.0009 |
Alzheimer’s Pathology | −0.0544 | 0.0077 | <0.0001 | |
Gross Infarcts | −0.0258 | 0.0100 | 0.0099 | |
Lewy Bodies | −0.0268 | 0.0108 | 0.013 | |
Composite R2 | 0.053 | 0.0084 | <0.0001 | |
Episodic Memory | Time (reference) | −0.0450 | 0.0112 | <0.0001 |
Alzheimer’s Pathology | −0.0636 | 0.0091 | <0.0001 | |
Gross Infarcts | −0.0299 | 0.0117 | 0.011 | |
Lewy Bodies | −0.0106 | 0.0127 | 0.40 | |
Composite R2 | 0.054 | 0.0092 | <0.0001 | |
Semantic Memory | Time (reference) | −0.0390 | 0.0106 | 0.0012 |
Alzheimer’s Pathology | −0.0629 | 0.0086 | <0.0001 | |
Gross Infarcts | −0.0199 | 0.0110 | 0.069 | |
Lewy Bodies | −0.0117 | 0.0117 | 0.32 | |
Composite R2(+) | 0.060 | 0.0087 | <0.0001 | |
Composite R2(−) | −0.020 | 0.0061 | <0.0001 | |
Working Memory | Time (reference) | −0.0538 | 0.0837 | <0.0001 |
Alzheimer’s Pathology | −0.0338 | 0.0073 | <0.0001 | |
Gross Infarcts | −0.0258 | 0.0097 | 0.0079 | |
Lewy Bodies | −0.0145 | 0.0103 | 0.16 | |
Composite R2 | 0.038 | 0.0069 | <0.0001 | |
Perceptual Speed | Time (reference) | −0.0979 | 0.0110 | <0.0001 |
Alzheimer’s Pathology | −0.0375 | 0.0087 | <0.0001 | |
Gross Infarcts | −0.0149 | 0.0114 | 0.19 | |
Lewy Bodies | −0.0391 | 0.0121 | 0.0013 | |
Composite R2 | 0.038 | 0.0079 | <0.0001 |
For each cognitive domain, a random effects model included terms for time before death, demographic measures, all pathologic indices, and R2 variables, as well as slope terms (interactions with time). Estimated coefficients for these slope (rate-of-change) terms are shown in the table. The positive slope estimates for the R2 variables indicate that smaller values of R2 (slower transverse relaxation) are associated with more negative (faster) rates of cognitive decline, the exception being the second R2(−) variable for semantic memory. SE = standard error.