From: Serum neurofilament light chain level as a predictor of cognitive stage transition
Lowest tertile (n = 49) | Middle tertile (n = 49) | Highest tertile (n = 48) | P-value* | |
---|---|---|---|---|
Mean serum NFL, pg/ml | 11.9 ± 2.6c | 19.1 ± 2.3b | 37.2 ± 13.8a | <0.001** |
Range of serum NFL, pg/ml | 6.2 – 15.0 | 15.1 – 22.6 | 22.7 – 77.8 | |
Demographics | ||||
Age, years | 63.2 ± 6.4b | 69.2 ± 7.3a | 71.3 ± 7.3a | <0.001** |
Sex, female | 36 (73.5) | 30 (61.2) | 24 (50.0) | 0.059* |
Lives alone | 7 (14.3) | 7 (14.3) | 7 (14.6) | 0.999* |
BMI, kg/m2 | 24.2 ± 2.6 | 25.0 ± 3.5 | 24.5 ± 2.8 | 0.469** |
Education, years | 12.9 ± 3.8a | 10.7 ± 5.3ab | 8.8 ± 5.3b | <0.001** |
MMSE score, median (IQR) | 28.0 (27.0 – 29.0)a | 28.0 (25.5 - 29.0)a | 21.0 (19.5-23.5)b | <0.001† |
CDR score, median (IQR) | 0.0 (0.0-0.0) | 0.0 (0.0-0.0) | 0.0 (0.0-0.0) | 0.372† |
CDR-SOB score, median (IQR) | 0.0 (0.0-0.0) | 0.0 (0.0-0.0) | 0.0 (0.0-0.0) | 0.045† |
Gdps score, median (IQR) | 7.0 (3.5-12.5) | 6.0 (2.5-10.5) | 8.0 (4.25-14.0) | 0.241† |
Medical history | ||||
Hypertension | 16 (32.7) | 24 (49.0) | 26 (56.5) | 0.057* |
Diabetes mellitus | 4 (8.2) | 6 (12.2) | 12 (25.0) | 0.054* |
Dyslipidemia | 18/48 (37.5) | 22 (44.9) | 21/46 (45.7) | 0.673* |
Coronary artery disease | 1 (2.0) | 3 (6.1) | 4 (8.3) | 0.174‡ |
Cerebrovascular disease | 1 (2.0) | 1 (2.0) | 5 (10.4) | 0.055‡ |
Smoking | 2 (4.1) | 0 (0.0) | 3 (6.3) | 0.565‡ |
Pill intake of more than three | 40 (81.6)a | 27 (55.1)b | 24 (50.0)b | 0.003* |
Hippocampal volume, cm3 | 5.2 ± 0.9 | 5.0 ± 0.7 | 5.0 ± 0.8 | 0.365** |
Cortical thickness, mm | 3.13 ± 0.12a | 3.10 ± 0.14ab | 3.04 ± 0.16b | 0.007** |
Aβ positivity | 6/45 (13.3) | 11/45 (24.4) | 7/45 (15.6) | 0.345* |
APOE ε4 carrier | 11 (22.4) | 11 (22.4) | 9 (18.8) | 0.877* |
Family history of dementia | 15 (30.6) | 10 (20.4) | 12 (25.0) | 0.508* |
Cognitive stage transition | 1 (2.0)b | 6 (12.2)ab | 9 (18.8)a | 0.029* |