{"id":29727,"date":"2026-08-03T15:45:00","date_gmt":"2026-08-03T20:45:00","guid":{"rendered":"https:\/\/okdiario.com\/metabolic\/en\/?p=29727"},"modified":"2026-08-03T14:47:43","modified_gmt":"2026-08-03T19:47:43","slug":"that-new-alzheimer-blood-test-isnt-a-clean-bill-of-health-for-healthy-people-and-doctors-are-warning-why-you-might-want-to-wait","status":"publish","type":"post","link":"https:\/\/okdiario.com\/metabolic\/en\/health\/that-new-alzheimer-blood-test-isnt-a-clean-bill-of-health-for-healthy-people-and-doctors-are-warning-why-you-might-want-to-wait-29727\/","title":{"rendered":"That new Alzheimer blood test isn&#8217;t a clean bill of health for healthy people, and doctors are warning why you might want to wait"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A blood test may help estimate whether a cognitively healthy older adult is likely to develop Alzheimer\u2019s-related symptoms within the next decade. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a study of 982 people with no cognitive impairment, a low result for a marker called<a href=\"https:\/\/www.nia.nih.gov\/2021-2022-alzheimers-disease-related-dementias-scientific-advances\/biomarker-research\" target=\"_blank\" rel=\"noopener\"> percent p-tau217<\/a> identified a group with a very small chance of progressing to mild cognitive impairment over 10 years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The finding is important for what it can rule out, not just what it might predict. A high reading raised concern but did not make future disease certain, while a low reading offered reassurance in more than 9 out of 10 cases. This is closer to a long-range risk filter than a diagnosis in a vial.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the blood marker measures<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Alzheimer\u2019s disease can begin changing the brain years before <a href=\"https:\/\/www.nia.nih.gov\/health\/alzheimers-causes-and-risk-factors\/what-happens-brain-alzheimers-disease\" target=\"_blank\" rel=\"noopener\">memory problems become obvious<\/a>. Tau normally helps support nerve cells, but abnormal forms of the protein become linked to the tangles seen in Alzheimer\u2019s and can also be measured in blood.<\/p>\n\n\n\n<div class=\"gb-element-a00da4e5\">\n<div><div class=\"gb-looper-46613eed\">\n<div class=\"gb-loop-item gb-loop-item-a8390598 post-29721 post type-post status-publish format-standard has-post-thumbnail hentry category-health resize-featured-image\">\n<h3 class=\"gb-text gb-text-24a51617\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/scientists-in-umea-may-have-cracked-the-spread-of-advanced-prostate-cancer-and-the-treatment-they-built-could-rewrite-what-comes-next-29721\/\">Scientists in Ume\u00e5 may have cracked the spread of advanced prostate cancer, and the treatment they built could rewrite what comes next<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Percent p-tau217 looks at the proportion of tau carrying a specific chemical change associated with Alzheimer\u2019s biology. The appeal is easy to see. A blood draw is less burdensome than a <a href=\"https:\/\/www.nia.nih.gov\/health\/alzheimers-symptoms-and-diagnosis\/how-biomarkers-help-diagnose-dementia\" target=\"_blank\" rel=\"noopener\">spinal tap or specialized brain scan<\/a>, although the researchers used mass spectrometry, a laboratory method that is not the same as a home test.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nearly 1,000 people followed for years<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers from the<a href=\"https:\/\/www.fundacioncien.es\/en\/outreach\/news\/a-blood-test-can-estimate-alzheimers-disease-risk-in-cognitively-healthy-individuals-up-to-a-decade-before-symptom-onset\" target=\"_blank\" rel=\"noopener\"> CIEN Foundation and the Reina Sof\u00eda Foundation<\/a> recruited cognitively healthy older adults from the Madrid area through the<a href=\"https:\/\/www.fundacioncien.es\/en\/research-projects\/projects-history\/the-vallecas-project\" target=\"_blank\" rel=\"noopener\"> Vallecas Project<\/a>. Participants were about 75 years old on average, 64% were women, and they returned for annual evaluations for as long as 12 years, with an average follow-up of nearly eight years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The team measured percent p-tau217 at the start and sorted participants into low, intermediate, elevated, or high groups. They then tracked memory and thinking, daily functioning,<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/researchers-report-a-new-alzheimers-clue-and-the-discovery-could-reshape-how-memory-loss-is-understood-before-it-becomes-visible-28462\/\"> changes in the hippocampus<\/a>, and other signs linked to brain-cell damage. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">People in the elevated and high groups declined faster and progressed to mild cognitive impairment or dementia at more than six times the rate seen in the low group.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The negative result carried the clearest message<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Of the 982 participants, 674 fell into the low group, while 145 were intermediate, 103 were elevated, and 60 were high. After 10 years, the low result had a 92.1% negative predictive value for progression to mild cognitive impairment. Put simply, a little more than nine in 10 people with that low result did not cross that clinical threshold during the decade.<\/p>\n\n\n\n<div class=\"gb-element-d318d961\">\n<div><div class=\"gb-looper-74df8353\">\n<div class=\"gb-loop-item gb-loop-item-af206aa7 post-29717 post type-post status-publish format-standard has-post-thumbnail hentry category-health resize-featured-image\">\n<h3 class=\"gb-text gb-text-800ac36f\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/gynecologist-laia-sanchez-warns-that-the-first-perimenopause-signs-in-your-40s-get-brushed-off-as-stress-and-progesterone-starts-dropping-before-your-period-ever-changes-29717\/\">Gynecologist Laia S\u00e1nchez warns that the first perimenopause signs in your 40s get brushed off as stress, and progesterone starts dropping before your period ever changes<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The positive side was less certain. Among people in the high group, 71% progressed to mild cognitive impairment within 10 years, while 41% developed dementia. \u201cThe main strength of this study lies in the high negative predictive value of plasma biomarkers,\u201d lead researcher Jes\u00fas Silva Rodr\u00edguez said.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why the finding matters for prevention<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Finding people who are likely to decline is one of the hardest parts of running Alzheimer\u2019s prevention trials. A blood marker could help researchers invite higher-risk volunteers while reducing unnecessary repeat testing for people whose near-term risk appears low. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In practical terms, that could mean fewer clinic visits and a better chance of testing treatments before everyday memory problems take hold.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The results also fit a broader shift in Alzheimer\u2019s research.<a href=\"https:\/\/aaic.alz.org\/releases-2024\/blood-tests-alzheimers-biomarkers.asp\" target=\"_blank\" rel=\"noopener\"> Earlier research<\/a> involving 2,718 cognitively unimpaired people found that p-tau217 blood testing predicted amyloid buildup detected by brain scans or spinal fluid tests in 79% to 86% of cases. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Adding a confirmatory scan or spinal fluid test after a positive blood result pushed confidence above 90%.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"1013\" src=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening.jpg\" alt=\"A laboratory technician holds a blood sample labeled Alzheimer&#039;s Test, illustrating research into p-tau217 biomarkers for cognitive decline risk.\" class=\"wp-image-29730\" title=\"\" srcset=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening.jpg 1800w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening-300x169.jpg 300w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening-768x432.jpg 768w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening-1536x864.jpg 1536w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/08\/alzheimers-blood-test-ptau217-biomarker-screening-150x84.jpg 150w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><figcaption class=\"wp-element-caption\">A blood sample prepared for Alzheimer&#8217;s testing represents the type of laboratory analysis researchers used to measure p-tau217, a biomarker that may help estimate future cognitive decline risk in healthy older adults.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">This is not routine screening yet<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The study does not mean healthy adults should immediately ask for an Alzheimer\u2019s blood test at their next checkup. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Current clinical guidance focuses on people who already have objective cognitive impairment and are being assessed in specialized memory care. It also warns that blood tests vary in quality and should not replace a full evaluation by a healthcare professional.<\/p>\n\n\n\n<div class=\"gb-element-ac8ac947\">\n<div><div class=\"gb-looper-d8bea9db\">\n<div class=\"gb-loop-item gb-loop-item-0e026dff post-29714 post type-post status-publish format-standard has-post-thumbnail hentry category-nutrition resize-featured-image\">\n<h3 class=\"gb-text gb-text-b3475687\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/at-82-he-keeps-getting-faster-despite-taking-up-running-only-after-retiring-the-strange-breakfast-this-spanish-marathoner-swears-by-every-day-29714\/\">At 82 he keeps getting faster despite taking up running only after retiring: the strange breakfast this Spanish marathoner swears by every day<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">There are practical questions, too. The participants came from one older cohort in the Madrid region, so the findings need to be confirmed across more diverse populations and health systems. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers will also need consistent laboratory cutoffs and<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/john-van-swieten-neurologist-on-hereditary-dementia-most-dont-want-to-know-precisely-because-theres-still-no-treatment-29183\/\"> clear counseling<\/a> for people who receive results about a disease they may not develop for years, or may never develop at all.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A risk tool, not a verdict<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Senior author Pascual S\u00e1nchez-Juan said the immediate value is \u201cnot deterministically predicting who will develop the disease.\u201d Instead, the test could identify a large low-risk group and help select people who may benefit from closer follow-up or prevention studies. No one should treat a high number as a verdict.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the end of the day, the advance is quieter than a diagnosis in a vial. It offers a way to narrow uncertainty, especially when the result is low, while keeping medical judgment at the center.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The full study was published in <em><a href=\"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/10.1002\/alz70861_108362\" target=\"_blank\" rel=\"noopener\">Alzheimer\u2019s &amp; Dementia<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A blood test may help estimate whether a cognitively healthy older adult is likely to develop Alzheimer\u2019s-related symptoms within the &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"That new Alzheimer blood test isn&#8217;t a clean bill of health for healthy people, and doctors are warning why you might want to wait\" class=\"read-more button\" href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/that-new-alzheimer-blood-test-isnt-a-clean-bill-of-health-for-healthy-people-and-doctors-are-warning-why-you-might-want-to-wait-29727\/#more-29727\" aria-label=\"Read more about That new Alzheimer blood test isn&#8217;t a clean bill of health for healthy people, and doctors are warning why you might want to wait\">Read more<\/a><\/p>\n","protected":false},"author":19,"featured_media":29729,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-29727","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","resize-featured-image"],"_links":{"self":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/29727","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/comments?post=29727"}],"version-history":[{"count":2,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/29727\/revisions"}],"predecessor-version":[{"id":29731,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/29727\/revisions\/29731"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media\/29729"}],"wp:attachment":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media?parent=29727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/categories?post=29727"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/tags?post=29727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}