title: Plasma IGF-I levels and cognitive performance in older women.
abstract: BACKGROUND
  Emerging biologic and epidemiologic evidence suggests benefits of insulin-like growth factor-I (IGF-I) in cognitive aging.
  
  
  OBJECTIVE
  To examine the relation of circulating IGF-I to cognition.
  
  
  METHODS
  We measured plasma IGF-I and IGF-binding protein-3 (IGFBP-3) in 590 women aged 60-68 years. An average 10 years later, we administered telephone-based tests of general cognition (Telephone Interview of Cognitive Status [TICS]), verbal memory, category fluency, and attention. We estimated multivariable-adjusted mean differences in performance across levels of IGF-I/IGFBP-3 molar ratio.
  
  
  RESULTS
  On the TICS, each standard deviation (S.D.) increase in molar ratio was significantly associated with better performance: multivariable-adjusted mean difference=0.2 units, 95% confidence interval (0.0,0.4), p=0.05. This effect estimate for each S.D. increase in molar ratio was cognitively equivalent to the mean difference we observed on the TICS between women 1 year apart in age. On a global score combining all tests, there was also a trend of better performance with each S.D. increase in molar ratio (p=0.07). IGF-I levels were not associated with performance in verbal memory.
  
  
  CONCLUSIONS
  Higher IGF-I levels may be associated with better general cognition.
authors.affiliation: Division of Aging, Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School, 3rd floor, 181 Longwood Avenue, Boston, MA 02115, USA. ookereke@partners.org
authors.forename: Olivia
authors.initials: O
authors.lastname: Okereke
authors.forename: Jae Hee
authors.initials: JH
authors.lastname: Kang
authors.forename: Jing
authors.initials: J
authors.lastname: Ma
authors.forename: Susan E
authors.initials: SE
authors.lastname: Hankinson
authors.forename: Michael N
authors.initials: MN
authors.lastname: Pollak
authors.forename: Francine
authors.initials: F
authors.lastname: Grodstein
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D001288:Attention / Q000502:physiology*; D015415:Biomarkers / Q000097:blood; D003071:Cognition / Q000502:physiology*; D005260:Female; D006801:Humans; D007334:Insulin-Like Growth Factor I / Q000032:analysis*; D008568:Memory / Q000502:physiology*; D008875:Middle Aged; D013223:Statistics as Topic; D013647:Task Performance and Analysis
chemical_list: D015415:Biomarkers; D007334:Insulin-Like Growth Factor I