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Genomes and GenesSpecies | K YaffeSummaryAffiliation: University of California Country: USA Publications
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Publications
Endogenous sex hormone levels and risk of cognitive decline in an older biracial cohortK Yaffe
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Neurobiol Aging 28:171-8. 2007..Older women treated with conjugated estrogens may have an increased risk of dementia, but the effect of naturally occurring sex hormones on cognition is not certain...
Retinopathy and Cognitive Impairment in Adults With CKDKristine Yaffe
Department of Psychiatry, University of California, San Francisco, CA Department of Neurology, University of California, San Francisco, CA Department of Epidemiology, University of California, San Francisco, CA San Francisco Veterans Affairs Medical Center, San Francisco, CA Electronic address
Am J Kidney Dis 61:219-27. 2013..This relationship has not been evaluated in persons with chronic kidney disease (CKD), a condition associated with increased risk of both retinal pathology and cognitive impairment...
Diabetes, glucose control, and 9-year cognitive decline among older adults without dementiaKristine Yaffe
Departments of Psychiatry, University of California, San Francisco, and San Francisco, VA, USA
Arch Neurol 69:1170-5. 2012..To determine if prevalent and incident diabetes mellitus (DM) increase risk of cognitive decline and if, among elderly adults with DM, poor glucose control is related to worse cognitive performance. DESIGN Prospective cohort study...
Postmenopausal hormones and sleep quality in the elderly: a population based studyGregory J Tranah
CPMC Research Institute, San Francisco, CA, USA
BMC Womens Health 10:15. 2010..Using data from the multicenter Study of Osteoporotic Fractures (SOF), we tested the relationship between HT and sleep-wake estimated from actigraphy...
Estrogen receptor genotype and risk of cognitive impairment in elders: findings from the Health ABC studyKristine Yaffe
Department of Psychiatry and Neurology, School of Medicine, San Francisco, CA 94121, USA
Neurobiol Aging 30:607-14. 2009..To determine whether variants in the estrogen receptors 1 (alpha) and 2 (beta) (ESR1 and ESR2) genes are associated with cognitive impairment in non-demented elderly men and women...
The effect of maintaining cognition on risk of disability and deathKristine Yaffe
Department of Psychiatry, University of California at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 58:889-94. 2010..To determine whether long-term maintenance of cognition is associated with health advantages such as lower mortality or incident disability in older adults...
Metabolic syndrome and cognitive decline in elderly Latinos: findings from the Sacramento Area Latino Study of Aging studyKristine Yaffe
Department of Psychiatry, University of California at San Francisco, San Francisco VA Medical Center, San Francisco, CA, USA
J Am Geriatr Soc 55:758-62. 2007..To investigate the effect of metabolic syndrome on cognitive function in an elderly Latino population and to determine whether inflammation modifies this association...
Chronic kidney disease and cognitive function in older adults: findings from the chronic renal insufficiency cohort cognitive studyKristine Yaffe
Department of Psychiatry, School of Medicine, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 58:338-45. 2010....
Telomere length and cognitive function in community-dwelling elders: findings from the Health ABC StudyKristine Yaffe
Department of Psychiatry, School of Medicine, University of California, San Francisco, CA 94143, USA
Neurobiol Aging 32:2055-60. 2011..There was a borderline statistically significant interaction for telomere length and APOE e4 on 3MS change score (p=0.06). Thus, telomere length may serve as a biomarker for cognitive aging...
The metabolic syndrome and development of cognitive impairment among older womenKristine Yaffe
Department of Psychiatry, University of California, San Francisco, The San Francisco Veterans Affairs Medical Center, 94121, USA
Arch Neurol 66:324-8. 2009..The metabolic syndrome, a constellation of cardiovascular risk factors, is common in elderly people. A growing but conflicting body of literature suggests that the metabolic syndrome may be associated with cognitive impairment...
Metabolic syndrome and cognitive disorders: is the sum greater than its parts?Kristine Yaffe
Department of Psychiatry, University of California, San Francisco VA Medical Center, San Francisco, CA 94121, USA
Alzheimer Dis Assoc Disord 21:167-71. 2007..If metabolic syndrome is associated with increased risk of developing cognitive impairment, regardless of mechanism, then early identification and treatment of these individuals might offer avenues for disease course modification...
Glycosylated hemoglobin level and development of mild cognitive impairment or dementia in older womenK Yaffe
University of California, San Francisco, Box 181, 4150 Clement St, San Francisco, CA 94121, USA
J Nutr Health Aging 10:293-5. 2006..We determined the association between HbA1C level and risk of developing cognitive impairment in older women, mostly without diabetes...
Posttraumatic stress disorder and risk of dementia among US veteransKristine Yaffe
San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
Arch Gen Psychiatry 67:608-13. 2010..Posttraumatic stress disorder (PTSD) is highly prevalent among US veterans because of combat and may impair cognition...
Metabolic syndrome and cognitive declineKristine Yaffe
Department of Psychiatry, University of California, San Francisco, San Francisco VA Medical Center, San Francisco, CA, USA
Curr Alzheimer Res 4:123-6. 2007..If metabolic syndrome is associated with increased risk of developing cognitive impairment, regardless of mechanism, then early identification and treatment of these individuals might offer avenues for disease course modification...
Association of plasma beta-amyloid level and cognitive reserve with subsequent cognitive declineKristine Yaffe
Department of Psychiatry, University of California, San Francisco, and San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
JAMA 305:261-6. 2011..Lower plasma β-amyloid 42 and 42/40 levels have been associated with incident dementia, but results are conflicting and few have investigated cognitive decline among elders without dementia...
Effects of ultra-low-dose transdermal estradiol on cognition and health-related quality of lifeKristine Yaffe
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Arch Neurol 63:945-50. 2006..The effect of an ultra-low- dose of unopposed transdermal estradiol on cognition and health-related quality of life is unknown...
Subtype of mild cognitive impairment and progression to dementia and deathKristine Yaffe
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Dement Geriatr Cogn Disord 22:312-9. 2006..We determined the longitudinal course of subtypes of MCI and assessed the rate of progression to dementia and to death...
PPAR-gamma Pro12Ala genotype and risk of cognitive decline in eldersK Yaffe
Department of Psychiatry and Neurology, University of California, San Francisco, CA 94121, United States
Neurobiol Aging 29:78-83. 2008..We tested whether this polymorphism is associated with cognition...
Cystatin C as a marker of cognitive function in elders: findings from the health ABC studyKristine Yaffe
Department of Psychiatry, School of Medicine, University of California, San Francisco, CA 94121, USA
Ann Neurol 63:798-802. 2008..92; 95% confidence interval, 1.37-2.69; Digit Symbol Substitution: 38 vs 26%; odds ratio, 1.54; 95% confidence interval, 1.10-2.15)...
Advanced glycation end product level, diabetes, and accelerated cognitive agingKristine Yaffe
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Neurology 77:1351-6. 2011..AGEs are cross-linked products that result from reactions between glucose and proteins. Little is known about the association between peripheral AGE concentration and cognitive aging...
Sleep-disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older womenKristine Yaffe
Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94121, USA
JAMA 306:613-9. 2011..Cross-sectional studies have linked sleep-disordered breathing to poor cognition; however, it remains unclear whether sleep-disordered breathing precedes cognitive impairment in older adults...
Mild cognitive impairment, dementia, and their subtypes in oldest old womenKristine Yaffe
Department of Psychiatry, University of California at San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
Arch Neurol 68:631-6. 2011..The population of oldest old is increasing, but the prevalence of cognitive impairment is not well characterized in this group...
Preclinical cognitive decline and subsequent sleep disturbance in older womenK Yaffe
Department of Psychiatry, University of California, San Francisco, and the San Francisco VA Medical Center, San Francisco, CA, USA
Neurology 69:237-42. 2007..To determine whether longitudinal cognitive decline is associated with increased risk of sleep disturbance in older, nondemented, community-dwelling women...
COMT genotype and cognitive function: an 8-year longitudinal study in white and black eldersA J Fiocco
Department of Psychiatry, School of Medicine, University of California, San Francisco, CA 94121, USA
Neurology 74:1296-302. 2010..Few studies have examined the prospective association between COMT (val(158)met) genotype and cognition in older adults...
Predictors of maintaining cognitive function in older adults: the Health ABC studyK Yaffe
Department of Psychiatry, School of Medicine, University of California, San Francisco, 4150 Clement St, San Francisco, CA 94117, USA
Neurology 72:2029-35. 2009..Although several risk factors for cognitive decline have been identified, much less is known about factors that predict maintenance of cognitive function in advanced age...
Association of sleep characteristics and cognition in older community-dwelling men: the MrOS sleep studyTerri Blackwell
Research Institute, California Pacific Medical Center, San Francisco, CA 94107, USA
Sleep 34:1347-56. 2011..To examine the association of objectively and subjectively measured sleep characteristics with cognition in older men...
Reduced medial temporal lobe N-acetylaspartate in cognitively impaired but nondemented patientsL L Chao
Magnetic Resonance Unit, San Francisco Veterans Affairs Medical Center, 4150 Clement Street, 116R, San Francisco, CA 94121, USA
Neurology 64:282-9. 2005..Because NAA is considered a marker of neuronal integrity, reduced medial temporal and parietal lobe NAA could be an early indication of dementia-related pathology in elderly individuals...
Higher atrophy rate of entorhinal cortex than hippocampus in ADA T Du
Magnetic Resonance Unit, Department of Veterans Affairs Medical Center, San Francisco, CA 94121, USA
Neurology 62:422-7. 2004..CONCLUSION: The finding in AD that the atrophy rate in the entorhinal cortex is higher than in the hippocampus is consistent with the view that AD pathology begins in the entorhinal cortex...
Inflammatory markers and cognition in well-functioning African-American and white eldersK Yaffe
Department of Psychiatry, University of California, San Francisco 94121, USA
Neurology 61:76-80. 2003..Several lines of evidence suggest that inflammatory mechanisms contribute to AD...
The association between physical function and lifestyle activity and exercise in the health, aging and body composition studyJennifer S Brach
Department of Physical Therapy, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvannia 15260, USA
J Am Geriatr Soc 52:502-9. 2004..To determine whether older adults who exercise demonstrate higher levels of physical function than those who do not exercise but are physically active throughout the day...
Race/ethnic differences in AD survival in US Alzheimer's Disease CentersK M Mehta
Division of Geriatrics, University of California, San Francisco, 4150 Clement St, Box 181G, San Francisco, CA 94121, USA
Neurology 70:1163-70. 2008..We examined whether nonwhite AD patients (African American, Latino, Asian, American Indian) had different rates of survival compared with white AD patients...
Magnetic resonance imaging of the entorhinal cortex and hippocampus in mild cognitive impairment and Alzheimer's diseaseA T Du
Magnetic Resonance Unit, Department of Veterans Affairs Medical Center (114M, University of California, San Francisco 94121, USA
J Neurol Neurosurg Psychiatry 71:441-7. 2001..CONCLUSIONS: Volume reductions in the ERC and hippocampus may be early signs of AD pathology that can be measured using MRI...
Different patterns of N-acetylaspartate loss in subcortical ischemic vascular dementia and ADN Schuff
Magnetic Resonance Unit, DVA Medical Center San Francisco, CA 94121, USA
Neurology 61:358-64. 2003....
Plasma F2-isoprostane level and cognitive function over eight years in non-demented older adults: Findings from the Health ABC StudyA J Fiocco
Department of Psychiatry, School of Medicine, University of California, San Francisco, CA, USA
Prostaglandins Leukot Essent Fatty Acids 84:57-61. 2011..No association was found between F2-IsoP tertile and baseline or change (slope) in cognitive function over eight years. Plasma F2-IsoP is not a valuable biomarker in predicting cognitive change over years in non-demented older adults...
Atrophy rates of entorhinal cortex in AD and normal agingA T Du
Magnetic Resonance Unit, Department of Veterans Affairs Medical Center, University of California, San Francisco 94121, USA
Neurology 60:481-6. 2003..93. CONCLUSION: ERC volume loss over time may be a better indicator for AD than cross-sectional measurements...
Diabetes, impaired fasting glucose, and development of cognitive impairment in older womenK Yaffe
Department of Psychiatry, University of California, San Francisco, Box 181 4150 Clement St, San Francisco, CA 94121, USA
Neurology 63:658-63. 2004..To investigate the association between diabetes and impaired fasting glucose (IFG) and cognition and risk of developing both dementia and mild cognitive impairment (MCI) in older women...
Brain atrophy associated with baseline and longitudinal measures of cognitionV A Cardenas
San Francisco Veterans Affairs Medical Center, USA
Neurobiol Aging 32:572-80. 2011..These findings suggest that baseline volumes of prefrontal and temporal regions may underlie continuing cognitive decline due to aging, pathology, or both in non-demented elderly individuals...
Clinical profile and course of cognitively normal patients evaluated in memory disorders clinicsEmily R Edwards
Department of Psychiatry, University of California, San Francisco, USA
Neurology 62:1639-42. 2004..Thirty-six percent returned for follow-up, and of those, 65% received a diagnosis of dementia or mild cognitive impairment. Patients evaluated at memory clinics who are considered cognitively normal may merit periodic re-evaluation...
Frontotemporal dementia progresses to death faster than Alzheimer diseaseE D Roberson
Memory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA
Neurology 65:719-25. 2005..Frontotemporal lobar degeneration (FTLD) is a common cause of non-Alzheimer dementia, but its natural history and the factors related to mortality in affected patients are not well understood...
Predicting risk of dementia in older adults: The late-life dementia risk indexD E Barnes
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Neurology 73:173-9. 2009..To develop a late-life dementia risk index that can accurately stratify older adults into those with a low, moderate, or high risk of developing dementia within 6 years...
Estrogen therapy in postmenopausal women: effects on cognitive function and dementiaK Yaffe
Department of Psychiatry, University of California, San Francisco 94121, USA
JAMA 279:688-95. 1998....
Factors that may influence the classification of sleep-wake by wrist actigraphy: the MrOS Sleep StudyTerri Blackwell
California Pacific Medical Center Research Institute, San Francisco, CA, USA
J Clin Sleep Med 7:357-67. 2011..Associations of measurement error for TST (PSG-actigraphy) with demographics, medical history, exam data, and sleep characteristics were examined...
Cognitive function in postmenopausal women treated with raloxifeneK Yaffe
Department of Psychiatry, University of California at San Francisco, 94121, USA
N Engl J Med 344:1207-13. 2001..CONCLUSIONS: Raloxifene treatment for three years does not affect overall cognitive scores in postmenopausal women with osteoporosis...
Cognitive decline in women in relation to non-protein-bound oestradiol concentrationsK Yaffe
Department of Psychiatry, University of California, San Francisco 94121, USA
Lancet 356:708-12. 2000..We tested the hypothesis that concentrations of non-protein-bound (free) and loosely bound (bioavailable) sex hormones are associated with cognitive function in older women...
Hormone therapy in menopausal women with cognitive complaints: a randomized, double-blind trialP M Maki
Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA
Neurology 69:1322-30. 2007..To evaluate the effects of hormone therapy (HT) on cognition and subjective quality of life (QoL) in recently postmenopausal women with cognitive complaints...
Cognitive impairment in chronic kidney diseaseManjula Kurella
Divison of Nephrology, University of California at San Francisco, San Francisco, CA 94143, USA
J Am Geriatr Soc 52:1863-9. 2004..CONCLUSION: Cognitive impairment is associated with the severity of kidney disease. Further studies are needed to determine the reasons for cognitive impairment in subjects with CKD and ESRD...
A prospective study of physical activity and cognitive decline in elderly women: women who walkK Yaffe
University of California, San Francisco, Campus Box 111G, 4150 Clement St, San Francisco, CA 94121, USA
Arch Intern Med 161:1703-8. 2001..We determined whether physical activity is associated with cognitive decline in a prospective study of older women...
Donepezil delays progression to AD in MCI subjects with depressive symptomsP H Lu
Departments of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
Neurology 72:2115-21. 2009..To determine whether the presence of depression predicts higher rate of progression to Alzheimer disease (AD) in patients with amnestic mild cognitive impairment (aMCI) and whether donepezil treatment beneficially affect this relationship...
Cognitive screening predicts magnitude of functional recovery from admission to 3 months after discharge in hospitalized eldersLaura P Sands
UCSF Mt Zion Center on Aging and Department of Medicine, University of California, San Francisco, USA
J Gerontol A Biol Sci Med Sci 58:37-45. 2003..We sought to determine whether performance on a cognitive screen at the time of hospital admission predicted the magnitude of functional recovery after hospitalization...
Serum leptin level and cognition in the elderly: Findings from the Health ABC StudyKaren F Holden
Department of Psychiatry, University of California San Francisco, 94143, USA
Neurobiol Aging 30:1483-9. 2009..66 (95% CI 0.48-0.91). We conclude that in elderly individuals, higher serum leptin appears to protect against cognitive decline, independent of comorbidites and body fat...
Depressed mood is not a risk factor for incident dementia in a community-based cohortJames T Becker
Department of Psychiatry, School of Medicine, Graduate School of Public Health, University of Pittsburgh, 3501 Forbes Avenue, Pittsburgh, PA 15213, USA
Am J Geriatr Psychiatry 17:653-63. 2009..To determine the relationship between depressed mood and the development of Alzheimer disease in cognitively normal individuals...
Caregiver characteristics are associated with neuropsychiatric symptoms of dementiaKaycee M Sink
Section on Gerontology and Geriatric Medicine, School of Medicine, Wake Forest University, Winston Salem, NC 27157, USA
J Am Geriatr Soc 54:796-803. 2006..To determine whether caregiver characteristics are independently associated with neuropsychiatric symptoms of dementia (NPS) after accounting for patient characteristics...
Endogenous estrogen levels affect sexual function in elderly post-menopausal womenKatharina Modelska
UCSF Coordinating Center, Department of Medicine, Prevention Sciences Group, University of California, San Francisco, San Francisco, CA, USA
Maturitas 49:124-33. 2004..The objective of this study was to determine if there is an association between endogenous serum concentration of estradiol (E2) and changes in sexual function in post-menopausal women over 3 years...
Estrogen receptor 1 polymorphisms and risk of cognitive impairment in older womenKristine Yaffe
Department of Psychiatry, University of California San Francisco, Box 111G, 4150 Clement Street, San Francisco, CA 94121, USA
Biol Psychiatry 51:677-82. 2002..We investigated whether estrogen receptor 1 (ESR1) polymorphisms are associated with risk of developing cognitive impairment in older women...
Cognitive function predicts first-time stroke and heart diseaseJacob S Elkins
University of California, San Francisco, CA 94143, USA
Neurology 64:1750-5. 2005..To investigate whether impaired cognitive function is an early manifestation of vascular injury in the brain and therefore predicts risk of subsequent cardiovascular disease...
Evidence of neurodegeneration in brains of older adults who do not yet fulfill MCI criteriaL L Chao
Center for Imaging of Neurodegenerative Diseases, San Francisco VA Medical Center, San Francisco, CA 94121, USA
Neurobiol Aging 31:368-77. 2010....
Methylenetetrahydrofolate reductase C677T polymorphism and cognitive function in older womenJacob S Elkins
Department of Neurology, School of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
Am J Epidemiol 166:672-8. 2007..035). Although the strength of the observed associations was modest, these results lend some support to the theory that an elevated homocysteine level contributes to cognitive decline...
Treatment practices of mild cognitive impairment in California Alzheimer's Disease CentersAndrea M Weinstein
San Francisco Veterans Affairs Medical Center, San Francisco, California, USA
J Am Geriatr Soc 57:686-90. 2009..To examine "real world" treatments for patients with mild cognitive impairment (MCI)...
Urinary incontinence in older community-dwelling women: the role of cognitive and physical function declineAlison J Huang
Veterans Affairs Medical Center, San Francisco, and University of California San Francisco, San Francisco, California 94121, USA
Obstet Gynecol 109:909-16. 2007..To examine the association between cognitive decline, physical function decline, and urinary incontinence in older community-dwelling women...
Limited literacy in older people and disparities in health and healthcare accessRebecca L Sudore
Department of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA
J Am Geriatr Soc 54:770-6. 2006..To determine the relationship between health literacy, demographics, and access to health care...
Estrogens, selective estrogen receptor modulators, and dementia: what is the evidence?K Yaffe
Department of Psychiatry, University of California, San Francisco and the San Francisco VA Medical Center, 94121, USA
Ann N Y Acad Sci 949:215-22. 2001..In addition, the status of ongoing and recently completed trials of estrogen and SERMs on cognitive function or on Alzheimer's disease severity will be summarized...
Neuropsychiatric symptoms in mild cognitive impairment: differences by subtype and progression to dementiaEmily R Edwards
Department of Psychiatry, University of California, San Francisco, CA, USA
Int J Geriatr Psychiatry 24:716-22. 2009..In addition, it is unclear whether NPS increase risk of progression to dementia. We investigated the distribution of NPS across MCI subtypes and determined whether NPS increase risk of progression to dementia...
Hippocampal volume is associated with memory but not monmemory cognitive performance in patients with mild cognitive impairmentMichael Grundman
Department of Neurosciences, University of California, San Diego, La Jolla 92093 0949, USA
J Mol Neurosci 20:241-8. 2003..We conclude that the relationship between hippocampal volume and risk of AD is likely tied to reduced memory performance and not associated with impairment in nonmemory cognitive domains...
Poor sleep is associated with impaired cognitive function in older women: the study of osteoporotic fracturesTerri Blackwell
San Francisco Coordinating Center and California Pacific Medical Center Research Institute, 185 Berry Street, Lobby 4, Suite 5700, San Francisco, CA 94107, USA
J Gerontol A Biol Sci Med Sci 61:405-10. 2006..The association between objectively measured sleep and cognition among community-dwelling elderly persons remains understudied. This observational, cross-sectional analysis examined this association...
Donepezil treatment and Alzheimer disease: can the results of randomized clinical trials be applied to Alzheimer disease patients in clinical practice?Jared R Tinklenberg
Sierra Pacific Mental Illness, Research, Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
Am J Geriatr Psychiatry 15:953-60. 2007....
Promising strategies for the prevention of dementiaLaura E Middleton
Department of Psychiatry, School of Medicine, University of California, San Francisco, San Francisco, CA 94121, USA
Arch Neurol 66:1210-5. 2009..Future studies should continue to examine the implication of risk factor modification in controlled trials, with particular focus on whether several simultaneous interventions may have additive or multiplicative effects...
Validation of the Kidney Disease Quality of Life (KDQOL) cognitive function subscaleManjula Kurella
Division of Nephrology, Department of Medicine, University of California San Francisco, San Francisco, California 94118-1211, USA
Kidney Int 66:2361-7. 2004..KDQOL-CF screening followed by 3MS testing in selected individuals may prove to be an effective and efficient strategy for identifying cognitive impairment in patients with kidney disease...
Comparisons between global and focal brain atrophy rates in normal aging and Alzheimer disease: Boundary Shift Integral versus tracing of the entorhinal cortex and hippocampusFrank Ezekiel
Magnetic Resonance Unit, San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
Alzheimer Dis Assoc Disord 18:196-201. 2004..Logistic regression analysis revealed that combined rates of ERC and ventricular BSI were the best explanatory variables for classifying AD from controls...
Limited literacy and mortality in the elderly: the health, aging, and body composition studyRebecca L Sudore
University of California, San Francisco, CA 94121, USA
J Gen Intern Med 21:806-12. 2006..While limited literacy is common and its prevalence increases with age, no prospective study has assessed whether limited literacy is associated with mortality in older adults...
Midlife obesity and long-term risk of nursing home admissionJacob S Elkins
Department of Neurology, University of California, 505 Parnassus Avenue, Box 0114, San Francisco, CA 94143, USA
Obesity (Silver Spring) 14:1472-8. 2006..We investigated whether obesity in middle-aged individuals influences the need for future nursing home care and whether the risk of nursing home admission associated with obesity is greater in whites than in blacks...
Cognitive function and retinal and ischemic brain changes: the Women's Health InitiativeM Haan
Departments of Epidemiology and Biostatistics, University of California, San Francisco, USA
Neurology 78:942-9. 2012..To examine the association between retinopathy and cognitive decline or brain lesions and volumes in older women...
Reduced employment in caregivers of frail elders: impact of ethnicity, patient clinical characteristics, and caregiver characteristicsK E Covinsky
Division of Geriatrics, San Francisco VA Medical Center and the University of California, San Francisco 94121, USA
J Gerontol A Biol Sci Med Sci 56:M707-13. 2001..Our goal was to determine the patient and caregiver characteristics associated with the reduction of employment hours in caregivers of frail elders...
Selective reduction of N-acetylaspartate in medial temporal and parietal lobes in ADN Schuff
Magnetic Resonance Unit, DVA Medical Center San Francisco, CA 94121, USA
Neurology 58:928-35. 2002..MRS imaging (MRSI) measures the neuronal marker N-acetylaspartate (NAA), which could help assess brain change in AD and aging...
Effect of postmenopausal hormone therapy on cognitive function: the Heart and Estrogen/progestin Replacement StudyDeborah Grady
Department of Epidemiology and Biostatistics, University of California San Francisco, 1635 Divisidero Street, Suite 600, San Francisco, CA 94115, USA
Am J Med 113:543-8. 2002..To determine if hormone therapy results in better cognitive function in older postmenopausal women...
Evaluation of the diagnosis and management of cognitive impairment in long-term careCynthia Barton
Department of Neurology, University of California, San Francisco, California, USA
Alzheimer Dis Assoc Disord 17:72-6. 2003..Further research is needed to identify barriers to diagnosis and management so that greater numbers of patients can benefit from recommended strategies...
Anxiety symptoms and objectively measured sleep quality in older womenAdam P Spira
Division of Geriatrics and Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA
Am J Geriatr Psychiatry 17:136-43. 2009..Few studies have examined the association between anxiety symptoms and objectively measured sleep quality in older adults. The authors determined this association in a large cohort of very old community-dwelling women...
Improved evaluation and management of cognitive impairment: results of a comprehensive intervention in long-term careCynthia Barton
Department of Neurology, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Med Dir Assoc 7:84-9. 2006..We determined whether an intervention could improve the diagnosis and management of patients with cognitive impairment (CI) in long-term care...
Cognitive impairment, depressive symptoms, and functional decline in older peopleKala M Mehta
Division of Geriatrics, Department of Internal Medicine, University of California San Francisco, 4150 Clement Street, Box 181G, San Francisco, CA 94121, USA
J Am Geriatr Soc 50:1045-50. 2002..The purpose of this study is to determine the relative contributions of cognitive impairment and depressive symptoms on decline in activity of daily living (ADL) function over 2 years in an older cohort...
ASL perfusion MRI predicts cognitive decline and conversion from MCI to dementiaLinda L Chao
Center for Imaging of Neurodegenerative Disease, San Francisco, CA, USA
Alzheimer Dis Assoc Disord 24:19-27. 2010..03). These results suggest that hypoperfusion as detected by ASL-MRI can predict subsequent clinical, functional, and cognitive decline and may be useful for identifying candidates for future Alzheimer disease treatment trials...
Age and gender interactions on verbal memory performanceJoel H Kramer
University of California, San Francisco Medical Center, 94143, USA
J Int Neuropsychol Soc 9:97-102. 2003..The role of estrogen on cognition in normal aging warrants further study...
Predicting 12-month mortality for persons with dementiaRobert Newcomer
Departments of Social and Behavioral Science, University of California, San Francisco, CA 94118, USA
J Gerontol B Psychol Sci Soc Sci 58:S187-98. 2003..We develop and test a model of 12-month mortality among persons (N=3858) with organic dementia...
Additive effects of cognitive function and depressive symptoms on mortality in elderly community-living adultsKala M Mehta
Division of Geriatrics, University of California at San Francisco, 4150 Clement Street, Box 181G, San Francisco, CA 94121, USA
J Gerontol A Biol Sci Med Sci 58:M461-7. 2003..Our aim was to examine whether the combination of varying levels of cognitive function and depressive symptoms affect the risk of mortality in community-living elderly adults...
Chronic kidney disease and cognitive impairment in the elderly: the health, aging, and body composition studyManjula Kurella
Division of Nephrology, University of California San Francisco, Laurel Heights, 3333 California Street, Suite 430, San Francisco, CA 94118 1211, USA
J Am Soc Nephrol 16:2127-33. 2005..Studies aimed at understanding the mechanism(s) responsible for cognitive impairment in CKD and efforts to interrupt this decline are warranted...
Effects of Alzheimer disease on fronto-parietal brain N-acetyl aspartate and myo-inositol using magnetic resonance spectroscopic imagingXiaoping Zhu
Department of Radiology, VA Medical Center, University of California, San Francisco, CA 94121, USA
Alzheimer Dis Assoc Disord 20:77-85. 2006..However, the NAA and mI changes are not correlated with each other, suggesting that they represent different processes that might help staging of AD...
Prevalence and correlates of anxiety symptoms in well-functioning older adults: findings from the health aging and body composition studyKala M Mehta
Division of Geriatrics, University of California at San Francisco, San Francisco, California 94121
J Am Geriatr Soc 51:499-504. 2003..To determine the prevalence and correlates of anxiety symptoms in the absence of depression, in older black and white people...
Depressive symptoms in middle age and the development of later-life functional limitations: the long-term effect of depressive symptomsKenneth E Covinsky
Department of Medicine, University of California, San Francisco, San Francisco VA Medical Center 181G, 4150 Clement, San Francisco, CA 94121, USA
J Am Geriatr Soc 58:551-6. 2010..To determine whether middle-aged persons with depressive symptoms are at higher risk for developing activity of daily living (ADL) and mobility limitations as they advance into older age than those without...
Total and regional adiposity and cognitive change in older adults: The Health, Aging and Body Composition (ABC) studyAlka M Kanaya
Department of Medicine, University of California San Francisco, 94115, USA
Arch Neurol 66:329-35. 2009....
The effects of acute illness on ADL decline over 1 year in frail older adults with and without cognitive impairmentLaura P Sands
Center on Aging, Division of Geriatrics, University of California, San Francisco 94143 1265, USA
J Gerontol A Biol Sci Med Sci 57:M449-54. 2002..These relationships have not been described for the frailest of older adults whose high rates of acute illness and cognitive impairment put them at the greatest risk for loss of ADL functioning...
Serum lipoprotein levels, statin use, and cognitive function in older womenKristine Yaffe
Departments of Psychiatry and Neurology, University of California, San Francisco, 4150 Clement St, Campus Box 111G, San Francisco, CA 94121, USA
Arch Neurol 59:378-84. 2002..Serum lipoprotein levels may be important predictors of cognitive function, and drugs that lower cholesterol may be effective for the prevention of cognitive impairment...
Depressive symptoms, vascular disease, and mild cognitive impairment: findings from the Cardiovascular Health StudyDeborah E Barnes
Department of Psychiatry, University of California, San Francisco 94121, USA
Arch Gen Psychiatry 63:273-9. 2006..It has been hypothesized that depressive symptoms and dementia may be attributable to underlying vascular disease in some older persons...
Black and white differences in cognitive function test scores: what explains the difference?Kala M Mehta
Division of Geriatrics, University of California at San Francisco, 94121, USA
J Am Geriatr Soc 52:2120-7. 2004..This study evaluates whether differences in health and socioeconomic indicators, including literacy level, can explain differences in cognitive function test scores between older black and white adults...
Effects of testosterone on cognition and mood in male patients with mild Alzheimer disease and healthy elderly menPo H Lu
Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, USA
Arch Neurol 63:177-85. 2006..There is a compelling need for therapies that prevent, defer the onset, slow the progression, or improve the symptoms of Alzheimer disease (AD)...
Change in cognitive function by glucose tolerance status in older adults: a 4-year prospective study of the Rancho Bernardo study cohortAlka M Kanaya
Division of General Internal Medicine, University of California, San Francisco, USA
Arch Intern Med 164:1327-33. 2004..A few studies have examined change in cognitive performance by diabetes status with disparate results. We examined the 4-year change in cognitive performance among older adults according to glucose tolerance status...
Sex hormones and cognitive function in older menKristine Yaffe
Department of Psychiatry, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
J Am Geriatr Soc 50:707-12. 2002..We investigated whether serum level of testosterone and estradiol is associated with cognition in older community-dwelling men...
Kidney function and cognitive impairment in US adults: the Reasons for Geographic and Racial Differences in Stroke (REGARDS) StudyManjula Kurella Tamura
Department of Medicine, University of California San Francisco, San Francisco, CA, USA
Am J Kidney Dis 52:227-34. 2008..The association between kidney function and cognitive impairment has not been assessed in a national sample with a wide spectrum of kidney disease severity...
Patient and caregiver characteristics associated with depression in caregivers of patients with dementiaKenneth E Covinsky
Department of Medicine, University of California, San Francisco and the San Francisco VA Medical Center, San Francisco, CA 94121, USA
J Gen Intern Med 18:1006-14. 2003..The goal of this study was to determine the patient and caregiver characteristics associated with depression among caregivers of patients with dementia...
Baseline predictors of clinical progression among patients with dysexecutive mild cognitive impairmentJulene K Johnson
Institute for Health and Aging, University of California, San Francisco, USA
Dement Geriatr Cogn Disord 30:344-51. 2010..The purpose of this study was to evaluate baseline predictors of clinical progression after 2 years for patients with dysexecutive MCI (dMCI), a single-domain non-amnestic MCI subgroup...
Physical activity and dementia: The need for prevention trialsDeborah E Barnes
Department of Psychiatry, University of California, San Francisco, CA 94121, USA
Exerc Sport Sci Rev 35:24-9. 2007..This review summarizes the evidence that physical activity is associated with a reduced risk of dementia in older adults and recommends that prevention trials be performed to determine whether this association is causal...
The last 2 years of life: functional trajectories of frail older peopleKenneth E Covinsky
Division of Geriatrics, San Francisco VA Medical Center and the University ofCalifornia at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 51:492-8. 2003....
DHEA treatment of Alzheimer's disease: a randomized, double-blind, placebo-controlled studyO M Wolkowitz
Department of Psychiatry, Center for Neurobiology and Psychiatry, University of California San Francisco UCSF School of Medicine, USA
Neurology 60:1071-6. 2003..To compare the efficacy and tolerability of dehydroepiandrosterone (DHEA) vs placebo in AD...
Diffusion tensor imaging of cingulum fibers in mild cognitive impairment and Alzheimer diseaseY Zhang
MR Unit 114M, VA Medical Center, 4150, Clement Street, San Francisco, CA 94121, USA
Neurology 68:13-9. 2007..However, it is unclear whether these abnormalities also impact the cingulum fibers, which connect the medial temporal lobe and the posterior cingulate regions...
Research Grants
- ESTROGEN COMPOUNDS, COGNITION & DEMENTIA IN OLDER WOMENKristine Yaffe; Fiscal Year: 2002..This award will foster the applicant's development towards becoming an independent investigator in aging research. ..
- Cognitive Decline in Chronic Renal InsufficiencyKristine Yaffe; Fiscal Year: 2009..Moreover, understandingthese relations may help to identify potential modifiable risk factors and to treat cognitive impairment thereby maintaining independence among patients with renal disease. ..
- Predictors & Outcomes of Cognitive Trajectories in the Oldest OldKristine Yaffe; Fiscal Year: 2007..This award will be instrumental in advancing the applicant's research in the epidemiology of cognitive aging and in mentoring the "next generation" of investigators committed to cognitive aging patient-oriented research. ..
- Cognitive Decline in Chronic Renal InsufficiencyKristine Yaffe; Fiscal Year: 2007..Moreover, understanding these relations may help to identify potential modifiable risk factors and to treat cognitive impairment thereby maintaining independence among patients with renal disease ..
- Sex Hormones, Related Polymorphisms & Cognitive DeclineKristine Yaffe; Fiscal Year: 2006..Further knowledge of the association between sex hormones, hormone-related polymorphisms and cognitive decline may facilitate preventative strategies to maintain independence and to promote optimum brain aging. ..
- Metabolic Syndrome and Cognitive ImpairmentKristine Yaffe; Fiscal Year: 2005..If elders with metabolic syndrome have increased risk of developing cognitive impairment, this would have important clinical and public health significance. ..
- Long Term Depressive Symptom Course & Adverse Health Outcomes among Older WomenKristine Yaffe; Fiscal Year: 2010..It will shed important insights on both the clinical need for monitoring/treating the elderly with depressive symptoms and on the biological mechanisms that may link depression to cognitive and functional decline. ..
