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04/12/2014 1 WP3: The Lothian Birth Cohort 1936 Dr Simon Cox [email protected] Lothian Birth Cohort 1936? Elderly, community dwelling adults living in the Lothian area of Scotland. In 1947, all Scottish schoolchildren aged 11 sat the Moray House Test (MHT). Represented a unique programme of Nationwide IQ testing.

Seniors USP - Seminar 12 11 2104 LBC · 04/12/2014 1 WP3:TheLothianBirthCohort1936% % DrSimonCox [email protected] Lothian&Birth&Cohort1936?& • Elderly, community dwelling adults

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04/12/2014  

1  

WP3:  The  Lothian  Birth  Cohort  1936    Dr  Simon  Cox  [email protected]  

Lothian  Birth  Cohort  1936?  •  Elderly, community dwelling adults living in the Lothian

area of Scotland.

•  In 1947, all Scottish schoolchildren aged 11 sat the Moray House Test (MHT). •  Represented a unique programme of Nationwide IQ testing.

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Sco@sh  Council  for  Research  and  EducaEon  (SCRE)  basement  

04/12/2014  

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The  Sco@sh  Mental  Survey  1947’s  ledgers  

1947

Young  adulthood  

Old  age  

Test  score  

Healthy  ageing?  

Average  decline?  

Accelerated    Decline?  

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4  

Young  adulthood  

Old  age  

Test  score  

Healthy  ageing  

Average  decline  

Accelerated    Decline  

Need  This!  

Lothian  Birth  Cohort  1936  

Deary et al. (2011). Int J Epidemiol., 41(6), 1576-1584.

•  Identified 1091 surviving participants of Scottish Mental Survey of 1947 Ø All born in 1936 Ø Moray House Test (MHT) Ø  Living in the Lothian area

•  Aim to conduct follow-up testing to:

characterise the nature, determinants and sequelae of cognitive ageing.

04/12/2014  

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LBC1936  at  Wellcome  Trust  CRF,  Edinburgh  

04/12/2014  

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LBC1936  at  Wellcome  Trust  CRF,  Edinburgh  

LBC1936  –  The  8th  Decade  of  Life  

Inter-­‐wave  retenEon  rate  c.80%  

Age 11

(n = 70,805)

Age 70

(n = 1,091)

Age 73(n = 866)

(MRI = 728)(CDU = 821)

Age 76(n = 697)

(MRI = 488)

Age 79(n ≈ 560)

(MRI ≈ 420)(CDU ≈ 540)

Detailed Cognitive Test Battery

16 tests: domains of memory, speed,

fluid, spatial, crystallised

Heath, Wellbeing, & Psychosocialmedical interview,

investigations, anthropometrics, physical function,

personality & other questionnaires

Genetics and GWAS

genotyping and Illumina 610 Quad

chip

EpigeneticsIllumina 450

Methylation chip

Biomarkersmultiple from blood & urine: metabolic,

inflammation, endocrine, etc.

Brain Imaging (MRI)Structural Parametersintracranial volume - brain tissue volume - hippocampal volume - cerebrospinal fluid volume - grey & white matter volume white matter hyperintensity volume & visual rating scores - cortical parcellation - cortical thickness - mineralization volume microbleed count - enlarged perivascular spaces

Tractographyfractional anisotropy - axial, radial & mean diffusivity - T1 - magnetisation transfer ratio

Carotid Doppler Ultrasound

(CDU)

Moray House Test of General

Cognitive Abilityand detailed social

background, demographics, and

education

04/12/2014  

7  

LBC1936  –  The  8th  Decade  of  Life  

Inter-­‐wave  retenEon  rate  c.80%  

Age 11

(n = 70,805)

Age 70

(n = 1,091)

Age 73(n = 866)

(MRI = 728)(CDU = 821)

Age 76(n = 697)

(MRI = 488)

Age 79(n ≈ 560)

(MRI ≈ 420)(CDU ≈ 540)

Detailed Cognitive Test Battery

16 tests: domains of memory, speed,

fluid, spatial, crystallised

Heath, Wellbeing, & Psychosocialmedical interview,

investigations, anthropometrics, physical function,

personality & other questionnaires

Genetics and GWAS

genotyping and Illumina 610 Quad

chip

EpigeneticsIllumina 450

Methylation chip

Biomarkersmultiple from blood & urine: metabolic,

inflammation, endocrine, etc.

Brain Imaging (MRI)Structural Parametersintracranial volume - brain tissue volume - hippocampal volume - cerebrospinal fluid volume - grey & white matter volume white matter hyperintensity volume & visual rating scores - cortical parcellation - cortical thickness - mineralization volume microbleed count - enlarged perivascular spaces

Tractographyfractional anisotropy - axial, radial & mean diffusivity - T1 - magnetisation transfer ratio

Carotid Doppler Ultrasound

(CDU)

Moray House Test of General

Cognitive Abilityand detailed social

background, demographics, and

education