Nienke M.E. Scheltens

ORCID: 0000-0002-8581-9984
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About
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Research Areas
  • Dementia and Cognitive Impairment Research
  • Alzheimer's disease research and treatments
  • Neurological Disease Mechanisms and Treatments
  • Neurological Disorders and Treatments
  • Functional Brain Connectivity Studies
  • Diet and metabolism studies
  • Advanced MRI Techniques and Applications
  • Advanced Neuroimaging Techniques and Applications
  • Optical Imaging and Spectroscopy Techniques
  • Ginkgo biloba and Cashew Applications
  • Cardiovascular Health and Disease Prevention
  • Artificial Intelligence in Healthcare
  • Cholinesterase and Neurodegenerative Diseases

Amsterdam Neuroscience
2015-2019

Amsterdam University Medical Centers
2018-2019

Vrije Universiteit Amsterdam
2018-2019

Neurology, Inc
2019

Amsterdam UMC Location Vrije Universiteit Amsterdam
2014-2017

A 'frontal variant of Alzheimer's disease' has been described in patients with predominant behavioural or dysexecutive deficits caused by disease pathology. The description this rare phenotype limited to case reports and small series, many clinical, neuroimaging neuropathological characteristics are not well understood. In retrospective study, we included 55 a behavioural-predominant presentation (behavioural disease) diagnosis high-likelihood (n = 17) and/or biomarker evidence pathology...

10.1093/brain/awv191 article EN Brain 2015-07-02

Nutrition is an important modifiable risk factor in Alzheimer's disease. Previous trials of the multinutrient Fortasyn Connect showed benefits mild disease dementia. LipiDiDiet investigated effects on cognition and related measures prodromal Here, we report 24-month results trial.LipiDiDiet was a randomised, controlled, double-blind, parallel-group, multicentre trial (11 sites Finland, Germany, Netherlands, Sweden), with optional 12-month double-blind extensions. The enrolled individuals...

10.1016/s1474-4422(17)30332-0 article EN cc-by The Lancet Neurology 2017-10-30

Alzheimer's disease (AD) is a heterogeneous disorder with complex underlying neuropathology that still not completely understood. For better understanding of this heterogeneity, we aimed to identify cognitive subtypes using latent class analysis (LCA) in large sample patients AD dementia. In addition, explored the relationship between identified subtypes, and their demographical neurobiological characteristics.We performed LCA based on neuropsychological test results 938 consecutive probable...

10.1136/jnnp-2014-309582 article EN Journal of Neurology Neurosurgery & Psychiatry 2015-03-17

Abstract Introduction Patients with Alzheimer's disease (AD) show heterogeneity in profile of cognitive impairment. We aimed to identify subtypes four large AD cohorts using a data‐driven clustering approach. Methods included probable dementia patients from the Amsterdam Dementia Cohort ( n = 496), Disease Neuroimaging Initiative 376), German Competence Network 521), and University California, San Francisco 589). Neuropsychological data were clustered nonnegative matrix factorization....

10.1016/j.jalz.2017.03.002 article EN publisher-specific-oa Alzheimer s & Dementia 2017-04-17

When differential diagnosis of dementia includes both Alzheimer's disease (AD) and the behavioural variant frontotemporal (bvFTD), distribution cerebral glucose metabolism as measured using [18F]‑2‑fluoro‑2‑deoxy‑d‑glucose positron emission tomography ([18F]FDG-PET) may be helpful. One important clue for differentiation is presence hypometabolism in posterior cingulate cortex (PCC), usually associated with AD. PCC however, could also present bvFTD. Therefore, specificity was examined. Based...

10.1016/j.nicl.2018.05.024 article EN cc-by-nc-nd NeuroImage Clinical 2018-01-01

Alzheimer's disease (AD) is a heterogeneous disorder.To investigate whether cognitive AD subtypes are associated with different rates of progression.We included 1,066 probable patients from the Amsterdam Dementia Cohort (n = 290), Disease Neuroimaging Initiative 268), Competence Network 226), and University California, San Francisco 282) available follow-up data. Patients were previously clustered into two based on their neuropsychological test results: one most prominent memory impairment...

10.3233/jad-171088 article EN Journal of Alzheimer s Disease 2018-08-05

Intrinsic functional connectivity (FC) measured by fMRI in the default mode network (DMN) has a potential value as biomarker for disease progression and treatment response (Castellanos et al., 2013; Pievani 2014). However, little is known about inter MRI site consistency of test-retest reproducibility DMN measurements.. Five healthy local volunteers (55-90 ys) were enrolled 13 3T sites (Siemens, GE, Philips) across Europe scanned two sessions at least week apart. A harmonized acquisition...

10.1016/j.jalz.2015.06.159 article EN Alzheimer s & Dementia 2015-07-01

Abstract Introduction Alzheimer's disease (AD) is associated with synapse loss. Souvenaid, containing the specific nutrient combination Fortasyn Connect, was designed to improve formation and function. The NL‐ENIGMA study explored effect of Souvenaid on function in early AD by assessing cerebral glucose metabolism (CMRglc) 18 F‐fluorodeoxyglucose ([ F]FDG) positron emission tomography (PET). Methods We conducted an exploratory double‐blind randomized controlled single‐center trial. Fifty...

10.1016/j.trci.2019.08.002 article EN cc-by-nc-nd Alzheimer s & Dementia Translational Research & Clinical Interventions 2019-01-01

Abstract Background To explore the utility of International Working Group (IWG)-1 criteria in recruitment for Alzheimer’s disease (AD) clinical trials, we applied more recently proposed research diagnostic to individuals enrolled a randomized controlled prevention trial (RCT) and assessed their progression. Methods The multinational LipiDiDiet RCT targeted 311 with IWG-1 defined prodromal AD. Based on centrally analyzed baseline biomarkers, participants were classified according IWG-2...

10.1186/s13195-021-00799-3 article EN cc-by Alzheimer s Research & Therapy 2021-03-25

Abstract Introduction Alzheimer's disease is associated with early synaptic loss. Specific nutrients are known to be rate limiting for synapse formation. Studies have shown that administering specific may improve memory function, possibly by increasing This Dutch study explores the Effect of a Nutritional Intervention on cerebral Glucose Metabolism in (NL‐ENIGMA, Trial Register NTR4718, http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4718 ). The NL‐ENIGMA designed test whether...

10.1016/j.trci.2016.07.004 article EN cc-by-nc-nd Alzheimer s & Dementia Translational Research & Clinical Interventions 2016-09-02

Alzheimer Disease (AD) is associated with synapse loss. The medical food Souvenaid ®1 contains Fortasyn Connect, a combination of nutrients designed to enhance formation and function in AD. Two earlier studies demonstrated memory improvement mild AD dementia patients after intervention for 12 24 weeks.The 24-week study also showed effects on brain network organisation measured electroencephalography (EEG), which strengthens the hypothesis that affects synaptic function. To provide further...

10.1016/j.jalz.2014.05.627 article EN Alzheimer s & Dementia 2014-07-01

Hypometabolism of the posterior cingulate cortex (PCC) is associated with Alzheimer's disease (AD). PCC vulnerability, however, could also be present in other neurodegenerative diseases, such as behavioural variant frontotemporal dementia (bvFTD), and normal aging. The aims this study were to assess 1) proportion AD, bvFTD cognitive subjects (CN) hypometabolism, 2) relationship between metabolism demographical, neuropsychological, neurobiological characteristics CN. We included 33 probable...

10.1016/j.jalz.2015.06.009 article EN Alzheimer s & Dementia 2015-07-01

Increasing evidence suggests substantial heterogeneity in cognitive phenotypes Alzheimer's disease (AD). We aimed to identify subtypes AD dementia by performing latent class analysis (LCA) based on neuropsychological data. For LCA we used data of an extensive test battery 938 patients with probable dementia. In general, were 69±9 (mean ± standard deviation) years old and MMSE was 21±3. performed multinomial logistic regression cluster membership as dependent variable dichotomized...

10.1016/j.jalz.2014.04.195 article EN Alzheimer s & Dementia 2014-07-01

A “frontal variant of Alzheimer's disease” has been described in patients with predominant behavioral or dysexecutive deficits caused by disease (AD) pathology. The description these rare AD phenotypes limited to case reports and small series, many characteristics are not well understood. We included 55 “behavioral-variant” (bvAD) a neuropathological diagnosis high-likelihood (n=17) and/or biomarker evidence pathology (n=44). In addition, we 29 autopsy/biomarker-defined...

10.1016/j.jalz.2015.07.118 article EN Alzheimer s & Dementia 2015-07-01

Alzheimer’s disease (AD) dementia is a heterogeneous disorder with variability in cognitive presentation. We aimed to identify AD subtypes using data-driven dual clustering approach. repeated analyses four large independent cohorts assess robustness of the identified subtypes. included probable patients Mini-Mental State Examination score (MMSE) >16/30 from Amsterdam Dementia Cohort (ADC, n=496), Disease Neuroimaging Initiative (ADNI, n=376), German Competence Network (DCN, n=521), and...

10.1016/j.jalz.2016.06.1804 article EN Alzheimer s & Dementia 2016-07-01

Alzheimer Disease (AD) is associated with synapse loss. The medical food Souvenaid ®1 contains Fortasyn Connect, a combination of nutrients designed to enhance formation and function in AD. Two earlier studies demonstrated memory improvement mild AD dementia patients after intervention for 12 24 weeks.The 24-week study also showed effects on brain network organisation measured electroencephalography (EEG), which strengthens the hypothesis that affects synaptic function. To provide further...

10.1016/j.jalz.2014.05.115 article EN Alzheimer s & Dementia 2014-07-01

Intrinsic functional connectivity (FC) measured by fMRI in the default mode network (DMN) has a potential value as biomarker for disease progression and treatment response (Castellanos et al., 2013; Pievani 2014). However, little is known about inter MRI site consistency of test-retest reproducibility DMN measurements. Five healthy local volunteers (55-90 ys) were enrolled 13 3T sites (Siemens, GE, Philips) across Europe scanned two sessions at least week apart. A harmonized acquisition...

10.1016/j.jalz.2015.06.543 article EN Alzheimer s & Dementia 2015-07-01

Hypometabolism of the posterior cingulate cortex (PCC) is associated with Alzheimer's disease (AD). PCC vulnerability, however, could also be present in other neurodegenerative diseases, such as behavioural variant frontotemporal dementia (bvFTD), and normal aging. The aims this study were to assess 1) proportion AD, bvFTD cognitive subjects (CN) hypometabolism, 2) relationship between metabolism demographical, neuropsychological, neurobiological characteristics CN. We included 33 probable...

10.1016/j.jalz.2015.06.379 article EN Alzheimer s & Dementia 2015-07-01

There is considerable heterogeneity in clinical manifestation and rate of decline among patients with Alzheimer's disease (AD). We previously identified two distinct cognitive subtypes four large AD cohorts: the first characterized by prominent memory impairment, second more impairment non-memory domains. Non-memory was associated younger age, APOE e4 negative genotype, atrophy posterior cortex relative spared hippocampi. Taking these as a starting point, we now evaluated whether phenotype...

10.1016/j.jalz.2017.07.335 article EN Alzheimer s & Dementia 2017-07-01

Alzheimer's disease (AD) is associated with synaptic loss. Souvenaid, containing the specific nutrient combination Fortasyn Connect, was designed to improve synapse formation and function. The NL-ENIGMA study explored effect of Souvenaid on function in early AD by assessing cerebral glucose metabolism (CMRglc) 18F-fluorodeoxyglucose ([18F]FDG) positron emission tomography (PET). We conducted an exploratory double-blind randomised controlled single-center trial. Fifty patients mild cognitive...

10.1016/j.jalz.2019.06.1238 article EN Alzheimer s & Dementia 2019-07-01
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