Genomic African and native American ancestry and 15‐year cognitive trajectory: Bambui study, Brazil

• Autores: M. Fernanda Lima Costa, Mateus H. Gouveia, Cibele C. Cesar, Eduardo Tarazona Santos, Robert Stewart, Cleusa P. Ferri, Erico Castro Costa
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 66, Nº. 10, 2018, págs. 1956-1962
• Idioma: inglés
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  • Texto Completo Ejemplar
• Resumen

  • Objectives To investigate the association between African and Native American genomic ancestry and long‐term cognitive trajectories in admixed Brazilians.

    Design Population‐based longitudinal study.

    Setting Bambui‐Epigen (Brazil) cohort study.

    Participants Adults aged 60 and older (N=1,215) Measurements Participants were followed from January 1997 to December 2011. Cognitive function was assessed annually using the Mini‐Mental State Examination (MMSE), totaling 12,208 measurements. We used linear mixed‐effects pattern models to assess MMSE score trajectories. Ancestry was assessed using a genome‐wide approach.

    Results After adjustments for covariates, the highest quintile of African ancestry was associated with poorer baseline cognitive performance (β=–0.73, 95% confidence interval (CI)=–1.36 to –0.11) but not with cognitive trajectory. Educational level modified the baseline association between highest African ancestry and cognitive performance in that the association was observed only in those with very low (<4 years) education (β=–1.13, 95% CI=–2.02 to –0.23). No association was found between Native American ancestry and baseline cognitive function or its trajectory.

    Conclusion Genomic African and Native American ancestry levels had no prognostic value for age‐related cognitive decline in this admixed population.