Journal: medRxiv
Article Title: Blood Biomarkers of Alzheimer’s Disease Neuropathology, Cognition, and Response to a Multidomain Lifestyle Intervention: Secondary analysis of the FINGER Randomized Controlled Dementia Risk Reduction Trial
doi: 10.64898/2026.10.02.26364486
Figure Lengend Snippet: Intervention effect modification by baseline biomarker levels (outcome NTB Global cognition, primary trial outcome) Estimates (95% CI) were obtained from linear mixed-effects models, using marginal prediction methods to derive interpretable effect estimates. Estimates are interpreted as difference between the intervention and control groups in cognitive change per year; positive estimates indicate more favorable cognitive change in the intervention group. Biomarker × group × time interactions were examined to assess whether baseline biomarker levels modified the intervention effects on cognition, i.e., whether the differences in cognitive change between intervention and control groups differed by baseline biomarker levels. Interactions with p>0.05 indicate that the intervention effect did not significantly differ by baseline biomarker levels. Interactions were derived from models where biomarkers were entered as continuous variables, but for visualization, estimates for intervention effect are presented within biomarker strata (below median = blue diamond, above median = red circle). Analyses were adjusted for age, sex, education, study site, APOE genotype, body mass index (BMI), and estimated glomerular filtration rate (eGFR). Aβ=beta-amyloid; GFAP=glial fibrillary acidic protein; NFL=neurofilament light chain; NTB=neuropsychological test battery; p-tau=phosphorylated tau.
Article Snippet: The n (%) of Aβ-PET positives among those with normal, intermediate, and pathological plasma p-tau217 (Lumipulse) was 11/36 (31%), 4/6 (67%), and 4/4 (100%), respectively.
Techniques: Modification, Biomarker Discovery, Control, Derivative Assay, Filtration, Battery