Pathological
biomarkers of dementia and Alzheimer's disease (AD) change decades
before clinical symptoms. Common sensory and motor changes in aging
adults may be early markers of neurodegeneration. We investigated if
midlife sensory and motor functions in Beaver Dam Offspring Study (BOSS)
participants (N=1529) were associated with longitudinal changes in
blood-based biomarkers of neurodegeneration (neurofilament light chain
(NfL); total tau (TTau)) and AD (amyloid beta (Aβ)). Mixed-effects
models with baseline sensory and motor function as determinants and
10-year biomarker change as outcome were used. Participants with hearing
impairment and worse motor function (among women) showed faster
increases in NfL level over time (0.8%/year; 0.3%/year, respectively).
There were no significant associations with TTau or Aβ.
We
found consistent relationships between worse baseline hearing and motor
function with a faster increase in neurodegeneration, specifically
serum NfL level. Future studies with longer follow-up should determine
if sensory and motor changes are more reflective of general
neurodegeneration than AD-specific pathology and whether sensory and
motor tests may be useful screening tools for neurodegeneration risk.
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