Evidence map›Paper›PMID 42043433›Full record

ArticleNeuropsychology2026

Plasma biomarkers of neurodegeneration and intraindividual cognitive variability: Comparing variability across test at one time point and using repeated ecological momentary assessment.

Luciana Mascarenhas Fonseca, Doug L Weeks, Michael Cleveland, Zoë W Hawks, Lanee Jung, Yogish C Kudva, Shafaq Rizvi, Jane Bulger, Elizabeth Grinspoon, Kamille Janess and 9 more

Abstract read
In one paragraph

Article in Neuropsychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Luciana Mascarenhas FonsecaDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University Spokane.ORCID 0000-0002-2849-0545
Doug L WeeksDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University Spokane.
Michael ClevelandDepartment of Human Development, Washington State University Pullman.
Zoë W HawksInstitute for Technology in Psychiatry, McLean Hospital.
Lanee JungInstitute for Technology in Psychiatry, McLean Hospital.
Yogish C KudvaDivision of Endocrinology, Diabetes and Nutrition, Mayo Clinic.
Shafaq RizviDivision of Endocrinology, Diabetes and Nutrition, Mayo Clinic.
Jane BulgerDepartment of Medicine, State University of New York Upstate Medical University.
Elizabeth GrinspoonInstitute for Technology in Psychiatry, McLean Hospital.
Kamille JanessJaeb Center for Health Research.
Martin SliwinskiDepartment of Human Development and Family Studies, Pennsylvania State University.
Richard E PratleyAdventHealth Translational Research Institute.
Michael R RickelsPerelman School of Medicine, University of Pennsylvania.
Ruth S WeinstockDepartment of Medicine, State University of New York Upstate Medical University.
Jasmeer P ChhatwalDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Harvard University.
Pia Webb KivisäkkDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Harvard University.
Michal Schnaider BeeriKrieger Klein Alzheimer's Research Center, Brain Health Institute, Institute for Health, Rutgers University.
Laura Thi GermineInstitute for Technology in Psychiatry, McLean Hospital.
Naomi Sage ChaytorDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University Spokane.

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Sudeshna Das · 2019 to 2026
$36.5M
University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI Amanda D. Boyd · 2020 to 2026
$29.0M
Glycemic Variability and Fluctuations in Cognitive Status in Adults with Type 1 DiabetesR01DK121240 · NIDDK · MCLEAN HOSPITAL · PI CHAYTOR, NAOMI SAGE, GERMINE, LAURA THI · 2019 to 2022
$3.1M
Intraindividual cognitive variability in aging adults with Down syndrome: associations with Alzheimer's disease plasma biomarkers, neuropathology and clinical dementiaK99AG082864 · NIA · WASHINGTON STATE UNIVERSITY · PI FONSECA, LUCIANA · 2023 to 2024
$256k
Alzheimer's AssociationNational Institutes of Health; National Institute of Diabetes and Digestive and Kidney DiseasesNational Institutes of Health; National Institute on AgingNCATS NIH HHS UL1 TR001878NIA NIH HHS K99 AG082864NIA NIH HHS P30 AG062421NIA NIH HHS P30 AG066509NIDDK NIH HHS R01 DK121240NIH HHS
6 · The paper itself

Abstract

objectiveIntraindividual cognitive variability (IICV) is a promising measure for early identification of dementia risk. Fewer studies have assessed IICV using high-frequency digital cognitive assessment or in populations with medical conditions. We aimed to characterize associations between IICV for reaction time and accuracy with plasma biomarkers of neurodegeneration (phosphorylated tau 181, phosphorylated tau 217, β-amyloid 42/40 ratio, glial fibrillary acidic protein, and neurofilament light chain) in individuals with Type 1 diabetes.

methodWe analyzed data from 114 participants from the Glycemic Variability and Fluctuations in Cognitive Status in Adults With Type 1 Diabetes study who provided blood samples (

resultsIICVs for reaction time at baseline and across repeated assessments were correlated and associated with β-amyloid 42/40, glial fibrillary acidic protein, neurofilament light chain, and phosphorylated tau 217 (small to moderate effect size,

conclusionsAlthough associations between IICV and plasma biomarkers were not robust after full adjustment, exploratory analyses suggested potential interactions with age and sex. The sample was predominantly non-Hispanic White, limiting the generalizability of our findings. These findings support continued investigation of digital IICV as a dynamic marker of early cognitive vulnerability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Identifiers

PMID42043433
PMCPMC13124075

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.