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Table 1 Schedule of enrolment, assessments and close-out

From: GERO Cohort Protocol, Chile, 2017–2022: Community-based Cohort of Functional Decline in Subjective Cognitive Complaint elderly

  

Enrolment

Assessment

Close-out

TIMEPOINT

 

-t1

t1

t2

t3

ENROLMENT:

     

Eligibility screen

Informed consent

 

X

   
 

X

   

ASSESSMENTS:

Functionality

Technological - Activities of Daily Living Questionnaire (T-ADLQ) [30].

X

 

X

X

Everyday Cognition Scale (ECog) [31].

X

 

X

X

Pfeffer Functional Activities Questionnaire (PQAF) [29].

X

 

X

X

Socio-demographic a [67]

Marital status.

 

X

X

X

Education.

 

X

  

Occupational background.

 

X

  

Ethnicity.

 

X

  

Individual and household income.

 

X

X

X

Assets inventory.

 

X

X

X

Health insurance.

 

X

X

X

Household conformation.

 

X

X

X

Social network information.

 

X

X

X

Health, risk factors, anthropometric and laboratory assessment b

Health related quality of life (EQ-5D) [32].

 

X

X

X

Tabacum and alcohol consumption (Alcohol Use Disorders Identification Test, AUDIT) [33].

 

X

X

X

Audition and vision section of the Chilean National Health Survey [34].

 

X

X

X

Physical activity, sedentarism and diet [34].

 

X

X

X

Oral health thought the Oral Health Impact Profile (OHIP).

 

X

X

X

Frailty: Fried Frailty Phenotype and the Frail Questionnaires [35, 36].

 

X

X

X

Anthropometric measurements: weight, body mass index (BMI), systolic and diastolic blood pressure (seat and standing).

 

X

X

X

Framingham Cardiovascular Risk Scale.

 

X

X

X

Laboratory evaluation: hemogram, glycaemia, lipid profile, level of vitamin B12 and folic acid, thyroid hormone (TSH and free T4) and hepatic profile.

 

X

X

X

Health inventory on 18 health conditions (including cardiovascular events).

 

X

X

X

Psychological assessment c

Engagement in stimulating activities.

 

X

X

X

Ageing related losses.

 

X

X

X

Personality traits [37, 38].

 

X

X

X

Psychological well-being [39].

 

X

X

X

Geriatric Depression Scale - Brink and Yesavage [40].

 

X

X

X

Depression, Anxiety and Stress Scale (DASS-21) [41].

 

X

X

X

Coping processes [42].

 

X

X

X

Social integration.

 

X

X

X

Cognitive reserve scale [43].

 

X

X

X

Stage and clinical symptoms d

Clinical Dementia Rating for Frontotemporal Lobar Degeneration (CDR-FTLD)-eight domains [44].

X

 

X

X

Alzheimer Disease- 8 (AD8) [45, 46].

X

 

X

X

Neuropsychological evaluation

Global Cognitive Function:

    

- Minimental-State Examination (MMSE) [47].

X

 

X

X

- Montreal Cognitive Examination (MoCA) [48].

X

 

X

X

- Addenbrooke’s Cognitive Examination (ACE III) [49].

 

X

X

X

Memory:

- Short Term Memory Binding Test [50, 51].

- Free and Cued Selective Reminding Test (FCRST) [52,53,54]

- Supermarket task [55].

 

X

X

X

Executive functions:

- Ineco Frontal Screening [56].

- Verbal fluency test [57].

- Color Trail Test Part B [58, 59].

 

X

X

X

Language: Sydney Language Battery (Sydbat) [60].

 

X

X

X

Visuo-constructive abilities: Rey Complex Fig [61, 62]..

 

X

X

X

Social Cognition: MiniSea [63].

 

X

X

X

Motor assessment e

Soft neurological signs:

-Heidelberg Neurological Soft Signs [64].

-Edinburgh Motor Assessment (EMAS) [65].

 

X

X

X

Balance: simple-task, dual-task (including cognitive task), and sensorimotor task.

 

X

X

X

Walking assessment: carrying a cup with water, and counting backwards from 100.

 

X

X

X

Other scales:

- Tinetti test [66].

- Activities-Specific Balance Confidence Scale (ABC) [67].

- Timed up and go [68].

 

X

X

X

Neuroimaging f

Three whole-brain sequences:

- High-resolution T1-weighted magnetic resonance image (MRI).

- Resting-state functional magnetic resonance images (RS-fMRI)

- Diffusion tensor-based images (DTI).

- Axial T2 and Flair sequences to detect infarcts and white-matter alterations.

 

X

 

X

Gut microbiome

16S analysis from stool samples [69].

 

X

X

X

Biomarkers

Six inflammatory biomarkers, IL-2, IL-6, IL-10, TNFα, SAP and CRP [70,71,72,73,74].

 

X

 

X

Genetic study

Family pedigree through a questionnaire in accordance to Goldman criteria [75].

 

X

  

Candidate genes associated with neurodegenerative diseases (ApoE, TREM2 and MAPT) using real time PCR analysis.

 

X

  

Genome-Wide Association Study (GWAS) [76].

 

X

  
  1. a This module used standard items taken from previous studies [34]
  2. b Chile has its own prices to valuate health states using EQ5D [32, 77]. Items for tabacum consumption, physical activity, sedentarism, diet evaluation were taken from the National Health Survey 2009–2010, many of them in accordance to PAHO monitoring instruments [34]. AUDIT instrument has been validated in Chile [33]. Health inventory includes items for diagnosis, past and current treatment [78]. Operational measure of frailty includes a brief 5 items scale: unintentional weight loss, weakness, exhaustion, slow gait, and low physical activity [79, 80]. Framingham scale (validated in Chile) includes diabetes, hypertension, dyslipidemia, tabacum consumption, male gender and age as risk factor of cardiovascular disease [81]
  3. c Instruments previously validated for the Chilean population. Instruments developed by GERO (engagement in stimulating activities, aging related losses and social integration) and validated in a pilot study with a sample of 250 elderlies
  4. d AD8 has been validated in Chile [82]
  5. e Balance is evaluated using a Bertec FP4060–05-PT force platform (Bertec Corporation, Columbus, Ohio, USA). Electro-cardio-physiological and electrodermal activity is collected through a BIOPAC MP150 device (BIOPAC Systems Inc., Goleta, CA, USA). A custom-made MATLAB script is used to present the stimuli and send triggers to the AcqKnowledge software (BIOPAC) in sync with the onset of the stimuli
  6. f For a more detailed information of the neuroimaging protocol see Additional file 1