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In addition, ADRD prevention may be most effective when administered earlier in the life course, when changes in the brain may occur 20\u201325 years before the onset of symptoms. Finally, amyloid-\u03b2 (A) and tau (T) accumulation are followed by neurodegeneration (N), key features of AD. However, there are additional biomarkers associated with ADRD. The association between different types of PA across the life course and biomarkers beyond the AT(N) framework is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Examine the association between different types of PA across the life course and biomarkers beyond the AT(N) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PA (occupation\/school, transportation, household) across the life course (school-age, adolescence, young adult, middle adult) was assessed. AD pathology, neurodegeneration, synaptic dysfunction, and gliosis were measured with the Roche NeuroToolKit, a panel of exploratory prototype assays for cerebrospinal fluid biomarkers. Significant bivariate correlations were followed by logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Young adult occupation\/school PA was a significant predictor of neurofilament light protein (NfL, OR = 0.969, 95% CI\u2009=\u20090.940\u20130.999); the full model was significant, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      (df\u2009=\u20092)\u2009=\u200915.57,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, explaining 19.2\u201325.6% of the variance in NfL. Young adult occupation\/school PA was a significant predictor of alpha-synuclein (OR = 0.968, 95% CI\u2009=\u20090.940\u20130.996); the full model was significant, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      (df\u2009=\u20091)\u2009=\u20096.70,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u20090.01, explaining 8.8\u201311.7% of the variance in alpha-synuclein.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PA done as part of one's job or schooling during young adulthood, such as standing and walking, may be protective against dementia later in life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261418259","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T05:32:06Z","timestamp":1771911126000},"page":"810-820","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical activity across the life course and neural biomarkers"],"prefix":"10.1177","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0064-2540","authenticated-orcid":false,"given":"Elisa R.","family":"Torres","sequence":"first","affiliation":[{"name":"Wayne State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eloise D.","family":"Lopez","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia","family":"McBurrows","sequence":"additional","affiliation":[{"name":"Wayne State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendlyn","family":"Kollmorgen","sequence":"additional","affiliation":[{"name":"Roche Diagnostics GmbH, Penzberg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margherita","family":"Carboni","sequence":"additional","affiliation":[{"name":"Neurology, Roche Diagnostics International Ltd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sterling C.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics and Gerontology, Wisconsin Alzheimer's Disease Research Center and Wisconsin Alzheimer's Institute, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA"},{"name":"William S. 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