Factors Associated with Atypical Cognitive Trajectories in Older Adults with Down Syndrome

In our sample of adults with DS and MCI-DS, 31.6% did not progress to dementia despite having high levels of amyloid PET. Those whose decline plateaued had more medical conditions and life stressors. Those with temporary decline had more psychiatric problems. Primary care physicians need to understand which reversible or treatable factors are most likely to lead to a misdiagnosis of prodromal AD and address them accordingly.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-12-01
DOI
https://doi.org/10.1002/alz70857_105703
Primary Topic
Down syndrome and intellectual disability research
Type
article
Field-Weighted Citation Impact
0.00
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article

Factors Associated with Atypical Cognitive Trajectories in Older Adults with Down Syndrome

Benjamin L. Handen, Sharon J. Krinsky‐McHale, Wayne Silverman, Christy Hom et al.
Alzheimer s & Dementia
Down syndrome and intellectual disability research
article

Factors Associated with Atypical Cognitive Trajectories in Older Adults with Down Syndrome

Benjamin L. Handen, Sharon J. Krinsky‐McHale, Wayne Silverman, Christy Hom, Patrick J. Lao, Sigan L. Hartley, Florence Lai, Jordan P. Harp, Beau M. Ances, Shahid Zaman, Ira T. Lott, Bradley T Christian, Adam Brickman, Diana K. Valencia, Frederick A. Schmitt, Mark Mapstone, H. Diana Rosas
article en

Abstract

In our sample of adults with DS and MCI-DS, 31.6% did not progress to dementia despite having high levels of amyloid PET. Those whose decline plateaued had more medical conditions and life stressors. Those with temporary decline had more psychiatric problems. Primary care physicians need to understand which reversible or treatable factors are most likely to lead to a misdiagnosis of prodromal AD and address them accordingly.

Alzheimer s & DementiaVol. 21(S3)
University of Wisconsin–Madison (US), Harvard University (US), University of Kentucky (US), University of Pittsburgh (US), University of California, Irvine (US), Washington University in St. Louis (US), University of Cambridge (GB), New York State Office for People With Developmental Disabilities (US), Massachusetts General Hospital (US), Institute on Aging (US), Columbia University (US)
Openalex Percentile: Top 26%
Down syndrome and intellectual disability research
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