Barely Significant
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Educational attainment is associated with reduced functional decline in Puerto Ricans with elevated pTau181.

J Alzheimers Dis · 2026 · PMC12982544 · PMID 41660940

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showed a trendno p-value reported
CDR-FUNC by APOE ε4 carrier status in high and low EA groups Among those with high pTau181, APOE ε4 carrier status showed a trend towards worse functional performance differences in the low EA subgroup, where ε4 carriers had greater CDR-FUNC scores than non-carriers (Median ε4 non−carrier = 2, Median ε4 carrier = 8; p = 0.06).

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a negative trendno p-value reported
No significant education × APOE ε4 interaction was observed, though a negative trend suggested that increasing education attenuated ε4-related impairment.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.