Pathway‐based genome analysis of cognitive impairment in a forager‐horticulturalist South American population

The genetic etiology of Cognitive Impairment (CI) is poorly understood. This is due, in part, to the complexity of diverse genetic and environmental risk factors in large, heterogeneous study populations. To overcome this obstacle, we examined a population with low genetic heterogeneity and fewer risk factors commonly found in industrialized populations ‐ the Tsimane of Bolivia (N = 353; mean age = 69 years [60–93 years]). The Tsimane are a geographically isolated forager‐horticulturalist population with high levels of physical activity and low prevalence of coronary artery disease, hypertension, and diabetes, even at advanced ages. The absence of these typical Alzheimer’s Disease (AD)‐related comorbidities provides a novel opportunity to isolate aspects of CI that are often intertwined with cardiometabolic and other non‐communicable chronic diseases.