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      Ginseng intake and Alzheimer disease-specific cognition in older adults according to apolipoprotein ε4 allele status

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          Abstract

          Background

          The probable association among ginseng intake, Alzheimer’s disease (AD)-specific cognition, and apolipoprotein ε4 (APOE4) remains poorly investigated. Hence, we examined the association between ginseng intake and AD-specific cognition in older adults under the moderating effect of APOE4 status.

          Methods

          This study enrolled 160 adults aged 65–90 years without dementia. All participants underwent comprehensive dietary and clinical assessments including ginseng intake, AD-related cognition (i.e., delayed episodic memory, as the earliest cognitive change in AD), and non-memory cognition for comparative purposes.

          Results

          Ginseng intake was associated with higher delayed episodic memory, but not non-memory cognition, compared to no ginseng intake. The interaction between ginseng intake and APOE4 status had a significant effect on delayed episodic memory. Subgroup analyses showed that ginseng intake was associated with higher delayed episodic memory in the APOE4-negative but not the APOE4-positive subgroup. The benefits of ginseng intake on delayed episodic memory were prominent in the high duration (≥5 years) and midlife onset (<65 years) groups.

          Conclusion

          Our study of older adults with no dementia suggests that ginseng intake (with high duration and midlife onset) had a beneficial effect on AD-specific cognitive decline, i.e., the delayed episodic memory. In addition, APOE4 status moderates the association between ginseng intake status and AD-specific cognitive decline.

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          Most cited references45

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          The Clinical Dementia Rating (CDR): current version and scoring rules.

          J Morris (1993)
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            Development and validation of a geriatric depression screening scale: a preliminary report.

            A new Geriatric Depression Scale (GDS) designed specifically for rating depression in the elderly was tested for reliability and validity and compared with the Hamilton Rating Scale for Depression (HRS-D) and the Zung Self-Rating Depression Scale (SDS). In constructing the GDS a 100-item questionnaire was administered to normal and severely depressed subjects. The 30 questions most highly correlated with the total scores were then selected and readministered to new groups of elderly subjects. These subjects were classified as normal, mildly depressed or severely depressed on the basis of Research Diagnostic Criteria (RDC) for depression. The GDS, HRS-D and SDS were all found to be internally consistent measures, and each of the scales was correlated with the subject's number of RDC symptoms. However, the GDS and the HRS-D were significantly better correlated with RDC symptoms than was the SDS. The authors suggest that the GDS represents a reliable and valid self-rating depression screening scale for elderly populations.
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              Alzheimer's disease.

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                Author and article information

                Contributors
                Journal
                Front Aging Neurosci
                Front Aging Neurosci
                Front. Aging Neurosci.
                Frontiers in Aging Neuroscience
                Frontiers Media S.A.
                1663-4365
                12 April 2023
                2023
                : 15
                : 1152626
                Affiliations
                [1] 1Department of Psychiatry, Hallym University College of Medicine , Chuncheon, Gangwon, Republic of Korea
                [2] 2Department of Neuropsychiatry, Hallym University Hangang Sacred Heart Hospital , Seoul, Republic of Korea
                [3] 3Department of Neuropsychiatry, Hallym University Dongtan Sacred Heart Hospital , Hwaseong, Gyeonggi, Republic of Korea
                [4] 4Department of Psychiatry, Seoul W Psychiatric Office , Seoul, Republic of Korea
                [5] 5Department of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital , Hwaseong, Gyeonggi, Republic of Korea
                [6] 6Department of Psychiatry, Soonchunhyang University Hospital , Seoul, Republic of Korea
                [7] 7Institute of Human Behavioral Medicine, Medical Research Center, Seoul National University , Seoul, Republic of Korea
                [8] 8Department of Psychiatry, Kangwon National University School of Medicine , Chuncheon, Gangwon, Republic of Korea
                Author notes

                Edited by: Beatrice Arosio, University of Milan, Italy

                Reviewed by: Franca Rosa Guerini, Fondazione Don Carlo Gnocchi Onlus (IRCCS), Italy; Minho Moon, Konyang University, Republic of Korea

                *Correspondence: Jee Wook Kim, 38549@ 123456hallym.ac.kr

                This article was submitted to Neurocognitive Aging and Behavior, a section of the journal Frontiers in Aging Neuroscience

                Article
                10.3389/fnagi.2023.1152626
                10130443
                24244552-95ca-4f38-b588-4bb85bb9fec8
                Copyright © 2023 Lee, Choe, Suh, Choi, Kim, Hwang, Yi, Jhoo and Kim.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 28 January 2023
                : 14 March 2023
                Page count
                Figures: 1, Tables: 7, Equations: 0, References: 45, Pages: 11, Words: 7503
                Categories
                Aging Neuroscience
                Original Research

                Neurosciences
                ginseng,cognition,alzheimer’s disease,apolipoprotein ε4,memory
                Neurosciences
                ginseng, cognition, alzheimer’s disease, apolipoprotein ε4, memory

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