Three-Minute Take-Home Test May Identify Symptoms Linked to Alzheimer's Disease
53 points
6 hours ago
| 4 comments
| smithsonianmag.com
| HN
pedalpete
2 hours ago
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There is a growing body of research showing that increasing slow-wave activity during sleep can improve outcomes, including sleep quality[1], memory, and correlations with amyloid response[2].

Sadly, our latest grant application did not receive funding, but we are supporting other clinical researchers with our technology. Our technology is based on more than a decade of research with 50+ published, peer reviewed studies.

We focus on sleep directly rather than the disease, which means people do not have to wait years for regulatory approvals before they can feel day-to-day benefits.

For those curious about learning more, our approach and links to additional research are on our website https://affectablesleep.com .

Mild-to-moderate Alzheimer’s changes in sleep https://doi.org/10.1016/j.jagp.2024.07.002

Slow-wave activity, memory, and amyloid response https://doi.org/10.1093/ageing/afad228

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Citizen8396
48 minutes ago
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What do you do with user data?
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pedalpete
27 minutes ago
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We don’t sell or share EEG data with third parties. The data is encrypted on the device and in storage. Our system processes it to show the user how they respond to stimulation, but company staff do not have direct access to individual user data. Internally we only look at anonymized or aggregated data to improve the technology.

Is that what you meant? I assumed you meant from a privacy perspective.

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octaane
1 minute ago
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Are you planning on allowing this device to work with Android? I'm asking because I can see on your website that it requires an iphone currently.
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DaveZale
2 hours ago
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yes, poor sleep quality leads to bad days, bad days lead to more bad sleep, it is a downward spiral and may impact many of us in our prime years, too.

All the best on your research and funding. Quality sleep has been undervalued, especially among work cultures that value overachieving at the expense of personal health.

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pedalpete
1 hour ago
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Thanks. A researcher we work with has postulated that build-up of metabolic waste (amyloid and tau, among others) directly impairs the glymphatic system, leading to more build-up. A viscous cycle.

I don't think she's the first to postulate this, but I believe she is researching this relationship now.

Though work culture is an important one, we're somewhat more focused on the less self-imposed sleep challenges related to maternity and perimenopause/menopause.

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DaveZale
15 minutes ago
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that's a cute Freudian slip (or deliberate joke) - viscous cycle - sure, amyloid and tau are probably very viscous when you poke at them with the laboratory utensil of your choice. And accumulation of them is like a viscious cycle of plaque accumulation and even worse clearance. It seems exponetial
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tootie
25 minutes ago
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I have narcolepsy and it's hard to describe what an absolute fog I was in for years before diagnosis. The current best treatment is a powerful depressant taken at bed time and again middle of the night to induce deep sleep.
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tptacek
4 hours ago
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The standard statistical caution for these kinds of screening tests is especially important here, because while Alzheimers drugs may be more effective earlier in the disease course, none of them are "effective" in the sense of meaningfully staving the disease off; the upside to early detection is not very strong.

Meanwhile: the big challenge for screening tests is base rate confounding: the test needs to be drastically more specific the lower the percentage of the cohort that truly has the condition is. Relatively low rates of false positives can pile up quickly against true positives for conditions that are rare in the population.

The bad thing here is: you get a test suggestive of early-onset Alzheimers. It could realistically be the case that the test positive indicates in reality a coin-flip chance you have it. But that doesn't matter, because it will take years for the diagnosis to settle, and your mental health is materially injured in the meantime.

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DavidSJ
3 hours ago
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while Alzheimers drugs may be more effective earlier in the disease course, none of them are "effective" in the sense of meaningfully staving the disease off; the upside to early detection is not very strong.

One correction here: the amyloid antibodies that successfully clear out a large amount of plaque have yet to report data from intervention trials prior to symptom onset, so we can’t say this with confidence and in fact we have good reason to suspect they would be more effective at this disease stage.

I wrote about this and related topics here: https://www.astralcodexten.com/p/in-defense-of-the-amyloid-h...

Edited to add: the sort of test discussed in the OP wouldn’t be relevant to presymptomatic treatment, however, since it’s a test of symptoms rather than biomarkers for preclinical disease.

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pedalpete
2 hours ago
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That is an amazing breakdown of AD, and I think it will be my go-to for sharing in the future.

Have you seen the research in phase-targeted auditory stimulation, memory, amyloid, and sleep? Do you have thoughts on that?

Acoustic stimulation during sleep predicts long-lasting increases in memory performance and beneficial amyloid response in older adults - https://doi.org/10.1093/ageing/afad228

Acoustic Stimulation to Improve Slow-Wave Sleep in Alzheimer's Disease: A Multiple Night At-Home Intervention https://doi.org/10.1016/j.jagp.2024.07.002

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mcswell
1 hour ago
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I am not understanding this: "It can’t directly predict who will develop Alzheimer’s, but it does identify who could be at a higher risk." I get the part that it can't "directly predict", but what does it mean to "identify who could be at a higher risk"? How was "higher risk" independently diagnosed in the study in order to show a correlation between higher risk according to this test, and higher risk according to some other test?
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dr_dshiv
2 hours ago
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Exercise significant skepticism with neuroscience. People are credulous — and many studies are honestly shams. Like that “MIT study shows that ChatGPT reduces brain activity.”

Why is this pilot study in the Smithsonian?

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pedalpete
2 hours ago
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I tend to agree with you, and many sleep studies are even worse. I work in the space.

I believe replication is key.

It was amazing when the room temperature superconductor paper came out about 18 months ago, the immediate response was to share the news, and then replicate.

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