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Published on: August 22, 2012
Public Health
Yue Shi1, Takuji Kawamura2, Yingxu Liu3
1Tohoku University, Sendai, Miyagi, Japan.
Improving lifestyle, including physical activity and smoking cessation, can reduce Alzheimer's disease (AD) risk and slow cognitive decline, even for those with high genetic predisposition. Personalized prevention strategies are key.
Area of Science:
- Neuroscience
- Genetics
- Gerontology
Background:
- Genetic predisposition, measured by polygenic risk scores (PRS), is a significant Alzheimer's disease (AD) risk factor.
- Lifestyle factors (smoking, alcohol, physical activity, BMI) also influence AD risk, but their interplay with genetic risk is not fully understood.
- Epigenetic age acceleration (EAA) offers a novel marker to investigate how lifestyle changes impact AD and cognitive function over time.
Purpose of the Study:
- To investigate the combined effects of genetic risk, longitudinal lifestyle changes, and epigenetic age acceleration on Alzheimer's disease (AD) risk and cognitive function.
- To explore how lifestyle modifications influence AD outcomes across different levels of genetic susceptibility.
- To identify potential personalized prevention strategies for AD based on genetic and biological aging profiles.
Main Methods:
- Analysis of longitudinal data from 7,265 diverse participants in the Health and Retirement Study (HRS) from 2004 to 2016.
- Assessment of lifestyle factors (physical activity, smoking, alcohol consumption) and Alzheimer's disease (AD) diagnosis over time.
- Quantification of epigenetic age acceleration (EAA) using DNA methylation clocks (GrimAge, DunedinPoAm38) and evaluation of cognitive function via telephone-based tests.
Main Results:
- Lifestyle improvements (increased physical activity, smoking cessation, moderate alcohol) were linked to slower cognitive decline and reduced AD risk across all genetic risk groups.
- Polygenic risk scores (PRS) strongly predicted worse cognitive outcomes and higher AD risk.
- Higher physical activity buffered the negative impact of genetic susceptibility on cognitive function, with significant benefits observed in language and executive function for high-risk individuals.
Conclusions:
- Integrating epigenetic age acceleration with lifestyle and genetic data provides novel insights into AD development and cognitive decline.
- Lifestyle interventions are crucial for mitigating AD risk, particularly for individuals with high genetic susceptibility.
- Findings support the development of personalized AD prevention strategies leveraging genetic profiles and biological aging markers.
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