Predicting imminent cognitive decline among unimpaired older adults with digital cognitive testing and Alzheimer's disease blood‐based biomarkers

A remote, web-based cognitive assessment of memory consolidation explains unique variance in cognitive decline over approximately 2 years when paired with p-tau217 amongst clinically unimpaired older adults. While p-tau217 alone could predict who might experience cognitive decline, adding an MDLC, which detects deficits related to AD pathology in cognitively normal individuals, further increased the identification accuracy. These results confirm the utility of pairing sensitive digital cognitive assessments with plasma markers to better identify individuals at greatest risk for imminent cognitive decline.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-12-01
DOI
https://doi.org/10.1002/alz70857_103614
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Predicting imminent cognitive decline among unimpaired older adults with digital cognitive testing and Alzheimer's disease blood‐based biomarkers

Mark A. Dubbelman, Roos J. Jutten, Daniel Soberanes, Gad Marshall et al.
Alzheimer s & Dementia
Dementia and Cognitive Impairment Research
article

Predicting imminent cognitive decline among unimpaired older adults with digital cognitive testing and Alzheimer's disease blood‐based biomarkers

Mark A. Dubbelman, Roos J. Jutten, Daniel Soberanes, Gad Marshall, K. N. Johnson, Rebecca England Amariglio, Lia D'Aquila, Hyun‐Sik Yang, Hairin Kim, Reisa A. Sperling, Dorene M. Rentz, Kathryn V Papp
article en

Abstract

A remote, web-based cognitive assessment of memory consolidation explains unique variance in cognitive decline over approximately 2 years when paired with p-tau217 amongst clinically unimpaired older adults. While p-tau217 alone could predict who might experience cognitive decline, adding an MDLC, which detects deficits related to AD pathology in cognitively normal individuals, further increased the identification accuracy. These results confirm the utility of pairing sensitive digital cognitive assessments with plasma markers to better identify individuals at greatest risk for imminent cognitive decline.

Alzheimer s & DementiaVol. 21(S3)
Brigham and Women's Hospital (US), Harvard University (US), Massachusetts General Hospital (US), Mass General Brigham (US)
Quality Education
Openalex Percentile: Top 34%
Dementia and Cognitive Impairment Research
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Predicting imminent cognitive decline among unimpaired older adults with digital cognitive testing and Alzheimer's disease blood‐based biomarkers — Mark A. Dubbelman, Roos J. Jutten, et al. · Alzheimer s & Dementia (2025) | TGRS Research Map | TGRS