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Public Health.

Thanapoom Taweephol1, Thanakit Pongpitakmetha2,3,4,5, Akarin Hiransuthikul6

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Summary
This summary is machine-generated.

Social determinants of health significantly influence cognitive resilience in the Thai population. Factors like education and physical activity promote resilience, while smoking and prolonged sitting decrease it.

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Area of Science:

  • Neuroscience
  • Public Health
  • Gerontology

Background:

  • Social determinants of health (SDOH) are crucial for cognitive resilience across diverse populations, including those with Alzheimer's disease (AD).
  • Plasma phosphorylated tau 217 (p-tau217) serves as a specific biomarker for AD pathology and severity.
  • Understanding SDOH's impact on cognitive resilience in the Thai population is essential.

Purpose of the Study:

  • To investigate the factors contributing to cognitive resilience within the Thai population.
  • To analyze the relationship between social determinants of health and cognitive resilience, using plasma p-tau217 levels and cognitive scores.

Main Methods:

  • Prospective enrollment in the INDE cohort at King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Collection of clinical data, neuropsychological tests, and plasma p-tau217 levels.
  • Regression models used to define cognitive resilience (residuals of MoCA scores and p-tau217) and identify associated SDOH factors, adjusted for age and sex.

Main Results:

  • Among 297 participants, 55.9% exhibited high cognitive resilience.
  • Higher property value (>10 million baht), increased educational attainment, and meeting physical activity recommendations were linked to greater cognitive resilience.
  • Increased distance from the city, current smoking, longer sleep duration, and more daily sitting time were associated with lower cognitive resilience.

Conclusions:

  • Social determinants of health significantly modulate cognitive resilience, as indicated by p-tau217 and cognitive scores.
  • Clinical interventions and public policies addressing SDOH are necessary to enhance cognitive resilience, particularly in low- and middle-income countries (LMICs).