Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring (Dec 2019)

Rates of age‐ and amyloid β‐associated cortical atrophy in older adults with superior memory performance

  • Christa Dang,
  • Nawaf Yassi,
  • Karra D. Harrington,
  • Ying Xia,
  • Yen Ying Lim,
  • David Ames,
  • Simon M. Laws,
  • Martha Hickey,
  • Stephanie Rainey‐Smith,
  • Hamid R. Sohrabi,
  • James D. Doecke,
  • Jurgen Fripp,
  • Olivier Salvado,
  • Peter J. Snyder,
  • Michael Weinborn,
  • Victor L. Villemagne,
  • Christopher C. Rowe,
  • Colin L. Masters,
  • Paul Maruff,
  • AIBL Research Group,
  • Brian Chambers,
  • Edmond Chiu,
  • Roger Clarnette,
  • David Darby,
  • Mary Davison,
  • John Drago,
  • Peter Drysdale,
  • Jacqueline Gilbert,
  • Kwang Lim,
  • Nicola Lautenschlager,
  • Dina LoGiudice,
  • Peter McCardle,
  • Steve McFarlane,
  • Alastair Mander,
  • John Merory,
  • Daniel O'Connor,
  • Ron Scholes,
  • Mathew Samuel,
  • Darshan Trivedi,
  • Michael Woodward

DOI
https://doi.org/10.1016/j.dadm.2019.05.005
Journal volume & issue
Vol. 11, no. 1
pp. 566 – 575

Abstract

Read online

Abstract Introduction Superior cognitive performance in older adults may reflect underlying resistance to age‐associated neurodegeneration. While elevated amyloid β (Aβ) deposition (Aβ+) has been associated with increased cortical atrophy, it remains unknown whether “SuperAgers” may be protected from Aβ‐associated neurodegeneration. Methods Neuropsychologically defined SuperAgers (n = 172) and cognitively normal for age (n = 172) older adults from the Australian Imaging, Biomarkers and Lifestyle study were case matched. Rates of cortical atrophy over 8 years were examined by SuperAger classification and Aβ status. Results Of the case‐matched SuperAgers and cognitively normal for age older adults, 40.7% and 40.1%, respectively, were Aβ+. Rates of age‐ and Aβ‐associated atrophy did not differ between the groups on any measure. Aβ− individuals displayed the slowest rates of atrophy. Discussion Maintenance of superior memory in late life does not reflect resistance to age‐ or Aβ‐associated atrophy. However, those individuals who reached old age without cognitive impairment nor elevated Aβ deposition (i.e. Aβ−) displayed reduced rates of cortical atrophy.

Keywords