Infectious burden and cognitive function: the Northern Manhattan Study

Mira Katan1, Yeseon Park Moon, Myunghee Cho Paik

  • 1Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY, USA. mk3270@columbia.edu

Neurology
|March 27, 2013
PubMed

Insights

Infectious burden (IB), a measure of past infections, was linked to poorer cognitive performance in a multiethnic cohort. This suggests infections may play a role in cognitive impairment.

Area of Science:

  • Neurology
  • Infectious Disease Epidemiology
  • Cognitive Science

Background:

  • Vascular risk factors are associated with cognitive decline.
  • Infectious burden (IB), a serologic measure of exposure to common pathogens, is linked to vascular risk.

Purpose of the Study:

  • To investigate the association between infectious burden (IB) and cognitive performance.
  • To determine if IB is associated with cognitive impairment in a multiethnic cohort.

Main Methods:

  • Cognition assessed using Mini-Mental State Examination (MMSE) and Telephone Interview for Cognitive Status (TICS-m).
  • Adjusted linear, logistic regressions, and generalized estimating equation models used to analyze associations between IB and cognitive measures.

Main Results:

  • Higher IB was associated with worse cognitive performance (MMSE and TICS-m).
  • IB was associated with a higher likelihood of MMSE ≤24 (indicating cognitive impairment).
  • IB was not associated with cognitive decline over time.

Conclusions:

  • Infectious burden is independently associated with cognitive performance in a multiethnic cohort.
  • Past infections may contribute to cognitive impairment.
Abstract

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