The full text of this article hosted at iucr.org is unavailable due to technical difficulties.

Clinical Investigation

Genomic African and Native American Ancestry and 15‐Year Cognitive Trajectory: Bambui Study, Brazil

M. Fernanda Lima‐Costa MD, PhD

Corresponding Author

E-mail address: lima-costa@minas.fiocruz.br

Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil

Address correspondence to Prof. M. Fernanda Lima‐Costa, Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Av. Augusto de Lima 1715, 30–190–002 Belo Horizonte, Minas Gerais, Brazil. E‐mail:

lima-costa@minas.fiocruz.br

Search for more papers by this author
Mateus H. Gouveia PhD

Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil

Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

Search for more papers by this author
Cibele C. Cesar PhD

Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil

Faculdade de Ciências Econômicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

Search for more papers by this author
Eduardo Tarazona‐Santos PhD

Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

Search for more papers by this author
Rob Stewart MD

Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom

Search for more papers by this author
Cleusa P. Ferri MD, PhD

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Search for more papers by this author
Erico Castro‐Costa MD, PhD

Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil

Search for more papers by this author
First published: 17 September 2018

Abstract

Objectives

To investigate the association between African and Native American genomic ancestry and long‐term cognitive trajectories in admixed Brazilians.

Design

Population‐based longitudinal study.

Setting

Bambui‐Epigen (Brazil) cohort study.

Participants

Adults aged 60 and older (N=1,215)

Measurements

Participants were followed from January 1997 to December 2011. Cognitive function was assessed annually using the Mini‐Mental State Examination (MMSE), totaling 12,208 measurements. We used linear mixed‐effects pattern models to assess MMSE score trajectories. Ancestry was assessed using a genome‐wide approach.

Results

After adjustments for covariates, the highest quintile of African ancestry was associated with poorer baseline cognitive performance (β=–0.73, 95% confidence interval (CI)=–1.36 to –0.11) but not with cognitive trajectory. Educational level modified the baseline association between highest African ancestry and cognitive performance in that the association was observed only in those with very low (<4 years) education (β=–1.13, 95% CI=–2.02 to –0.23). No association was found between Native American ancestry and baseline cognitive function or its trajectory.

Conclusion

Genomic African and Native American ancestry levels had no prognostic value for age‐related cognitive decline in this admixed population.