Salivary Cortisol and Cognitive Decline and Alzheimer Disease in Older Adults - Report - MDSpire

Salivary Cortisol and Cognitive Decline and Alzheimer Disease in Older Adults

  • By

  • Ted K. S. Ng

  • Todd Beck

  • Yashwanth Sudhini

  • Robert S. Wilson

  • Denis A. Evans

  • Kumar B. Rajan

  • July 15, 2026

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Cortisol Levels in Saliva and Their Association with Cognitive Decline and Alzheimer’s Disease in Elderly Individuals

Overview

This study investigates the relationship between diurnal salivary cortisol levels and cognitive decline, including incident Alzheimer's disease (AD), in a diverse cohort of older adults.

Background

Alzheimer's disease is a significant global health issue, particularly as populations age, leading to increased disability and mortality. Understanding biomarkers that reflect systemic processes influencing cognitive aging is crucial for developing prevention strategies.

Data Highlights

No specific numerical data or trial results were provided in the source material.

Key Findings

  • Salivary cortisol reflects biologically active cortisol levels, making it valuable for studying stress and cognitive aging.
  • Higher peripheral cortisol levels are associated with hippocampal atrophy and increased risk of Alzheimer's disease.
  • Prior studies have shown mixed results regarding cortisol's association with cognitive outcomes in healthy older adults.
  • This study characterized diurnal salivary cortisol in nearly 4000 older adults, focusing on its association with cognitive decline and incident AD.
  • Racial differences in diurnal cortisol patterns and cognitive implications were evaluated, particularly among Black and White participants.

Clinical Implications

The findings suggest that salivary cortisol may serve as a useful biomarker for understanding cognitive decline and Alzheimer's disease risk. Clinicians should consider the role of stress physiology in cognitive assessments and potential interventions.

Conclusion

This research underscores the need for further exploration of salivary cortisol as a biomarker in cognitive aging and Alzheimer's disease, particularly in diverse populations.

Related Resources & Content

  1. Alzheimer's Association Workgroup, Alzheimer's Association, 2024 -- Biology-Based Criteria for Diagnosis and Staging of Alzheimer's Disease
  2. Salivary Cortisol and Cognitive Decline and Alzheimer Disease in Older Adults | Neurology | JAMA Network Open, JAMA Network, 2026 -- Salivary Cortisol and Cognitive Decline and Alzheimer Disease in Older Adults
  3. The Journal of Clinical Endocrinology & Metabolism — Cortisone Levels in Hair and Their Association with Metabolic Syndrome: More Significant Connections in Younger Adults Compared to Older Individuals
  4. cedars-sinai pulse — Alzheimer’s Risk in Middle Age
  5. Frontiers in Neurology — Association between circulating biomarkers of one-carbon metabolism and glymphatic system function in cognitive decline of Alzheimer’s disease
  6. Endocrine Reviews — Cognitive Assessment in Adults With Adrenal Cortisol Insufficiency: Challenges and Opportunities
  7. Alzheimer's Association Workgroup Publishes Biology-Based Criteria for Diagnosis and Staging of Alzheimer's Disease
  8. Salivary Cortisol and Cognitive Decline and Alzheimer Disease in Older Adults | Neurology | JAMA Network Open | JAMA Network
  9. Associations of cortisol with Alzheimer’s disease fluid and neuroimaging biomarkers: A systematic review - ScienceDirect

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