Trajectories of inflammatory markers and cognitive decline over 10 years

For The Health Abc Study

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


We aimed to examine trajectories of inflammatory markers and cognitive decline over 10years. Cox proportional hazards models were used to examine the association between interleukin-6 and C-reactive protein (CRP) trajectory components (slope, variability, and baseline level) and cognitive decline among 1323 adults, aged 70-79years in the Health, Aging, and Body Composition Study. We tested for interactions by sex and apolipoprotein E (APOE) genotype. In models adjusted for multiple covariates and comorbidities, extreme CRP variability was significantly associated with cognitive decline (hazard ratio [HR] 1.6, 95% confidence interval [CI]: 1.1-2.3). This association was modified by sex and APOE e4 (p < 0.001 for both), such that the association remained among women (HR= 1.8; 95% CI: 1.1, 3.0) and among those with no APOE e4 allele (HR= 1.6; 95% CI: 1.1, 2.5). There were no significant associations between slope or baseline level of CRP and cognitive decline nor between interleukin-6 and cognitive decline. We believe CRP variability likely reflects poor control of or greater changes in vascular or metabolic disease over time, which in turn is associated with cognitive decline.

Original languageEnglish (US)
Pages (from-to)2785-2790
Number of pages6
JournalNeurobiology of aging
Issue number12
StatePublished - Dec 1 2014


  • C-reactive protein
  • Cognitive decline
  • Inflammatory markers
  • Interleukin-6

ASJC Scopus subject areas

  • Clinical Neurology
  • Geriatrics and Gerontology
  • Aging
  • General Neuroscience
  • Developmental Biology


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