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Sex differentiated and domain specific patterns of longitudinal cognitive decline across subjective cognitive decline
Cassandra Morrison1, Mahsa Dadar2,3, Yashar Zeighami2,3
1Department of Psychology, Carleton University, Ottawa, Ontario, K1S 5B6, Canada.
Background:
Subjective cognitive decline (SCD) is associated with increased cognitive impairment and dementia. However, limited research has explored how amyloid (A) pathology contributes to these cognitive changes over time and whether these changes differ by sex.
Methods:
1185 cognitively normal older adults (955 A-, 230 A+; 959 SCD-, 226 SCD+) from the National Alzheimer's Coordinating Center dataset were included. Linear mixed effects examined the interactions between SCD, sex, and amyloid positivity in predicting cognitive decline.
Results:
SCD+ and A+ individuals exhibited increased global cognition declines (p<.05), and A+SCD+ individuals showed the steepest decline in global cognition and function status (p<.05). A+ males exhibited increased functional deficits (p<.05), while A+SCD+ females exhibited increased language deficits (p<.05).
Discussion:
Our findings suggest that SCD and amyloid-positivity differentially impact global cognition, functional status, and language in males versus females, with important implications for clinical trials and therapeutic interventions.
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