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December 2022; 12 (6) Research Article

Physical Functional Impairment and the Risk of Incident Mild Cognitive Impairment in an Observational Study of World Trade Center Responders

View ORCID ProfileAlison Pellecchia, View ORCID ProfileMinos Kritikos, Jack Guralnik, Isaac Ahuvia, View ORCID ProfileStephanie Santiago-Michels, Melissa Carr, Roman Kotov, Evelyn J. Bromet, View ORCID ProfileSean A.P. Clouston, Benjamin J. Luft
First published October 12, 2022, DOI: https://doi.org/10.1212/CPJ.0000000000200089
Alison Pellecchia
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Minos Kritikos
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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  • ORCID record for Minos Kritikos
Jack Guralnik
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Isaac Ahuvia
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Stephanie Santiago-Michels
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Melissa Carr
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Roman Kotov
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Evelyn J. Bromet
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Sean A.P. Clouston
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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  • ORCID record for Sean A.P. Clouston
Benjamin J. Luft
Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
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Full PDF
Citation
Physical Functional Impairment and the Risk of Incident Mild Cognitive Impairment in an Observational Study of World Trade Center Responders
Alison Pellecchia, Minos Kritikos, Jack Guralnik, Isaac Ahuvia, Stephanie Santiago-Michels, Melissa Carr, Roman Kotov, Evelyn J. Bromet, Sean A.P. Clouston, Benjamin J. Luft
Neurol Clin Pract Dec 2022, 12 (6) e162-e171; DOI: 10.1212/CPJ.0000000000200089

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Article Information

vol. 12 no. 6 e162-e171
DOI: 
https://doi.org/10.1212/CPJ.0000000000200089

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received June 10, 2022
  • Accepted August 24, 2022
  • First Published October 12, 2022.

Article Versions

  • Previous version (October 12, 2022 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2022 American Academy of Neurology

Author Disclosures

    1. Alison Pellecchia, MPH,
    2. Minos Kritikos, PhD,
    3. Jack Guralnik, MD, PhD, MPH,
    4. Isaac Ahuvia, MA,
    5. Stephanie Santiago-Michels, MA,
    6. Melissa Carr, BA,
    7. Roman Kotov, PhD,
    8. Evelyn J. Bromet, PhD,
    9. Sean A.P. Clouston, PhD and
    10. Benjamin J. Luft, MD
  1. Alison Pellecchia, MPH,
  2. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Minos Kritikos, PhD,
  4. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Jack Guralnik, MD, PhD, MPH,
  6. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Isaac Ahuvia, MA,
  8. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Stephanie Santiago-Michels, MA,
  10. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Melissa Carr, BA,
  12. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Roman Kotov, PhD,
  14. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. National Institutes of Aging, R01AG049953, Co-Investigator, 2020 – present.

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Evelyn J. Bromet, PhD,
  16. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. I'm the Associate Editor of Psychological Medicine

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. Co-investigator on grants from NIA, NIOSH, and NSF. Current

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. Sean A.P. Clouston, PhD and
  18. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. Journal of Alzheimer's Disease, Associate Editor, 2020-2022

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. (1) Anonos, Inc; I am a biostatistical consultant for this data security company.

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NIH/NIA, R01 AG049953, PI, 2015-2022 NIH/NIA, RF1 AG058595, PI, 2019-2024 CDC/NIOSH, U01 OH011314, Co-I, 2016-2020 CDC/NIOSH, U01 OH012258, MPI, 2021-2026 CDC/NIOSH, U01 OH012257, MPI, 2021-2024 NIH/NIA, R01 AG067590, MPI, 2021-2026 NIH/NIA, R21 AG074706, MPI, 2021-2023

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  19. Benjamin J. Luft, MD
  20. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. Stony Brook World Trade Center Wellness Program (AP, SS-M, MC, SAPC, BJL), Renaissance School of Medicine at Stony Brook University, NY; Program in Public Health and Department of Family (MK, SAPC), Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, NY; Department of Epidemiology and Public Health (JG), University of Maryland School of Medicine, Baltimore; Department of Psychology (IA), Stony Brook University, NY; Department of Psychiatry (RK, EJB), Stony Brook University, NY; and Department of Medicine (BJL), Renaissance School of Medicine at Stony Brook University, NY.
  1. Correspondence
    Dr. Clouston sean.clouston{at}stonybrookmedicine.edu
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Neurology: Clinical Practice |  Print ISSN: 2163-0402
Online ISSN: 2163-0933

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