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Characteristics of subjective cognitive decline associated with amyloid positivity

Janssen, O. ; Ossenkoppele, Rik LU and Visser, P.J. (2022) In Alzheimer's and Dementia 18(10). p.1832-1845
Abstract
Introduction: The evidence for characteristics of persons with subjective cognitive decline (SCD) associated with amyloid positivity is limited. Methods: In 1640 persons with SCD from 20 Amyloid Biomarker Study cohort, we investigated the associations of SCD-specific characteristics (informant confirmation, domain-specific complaints, concerns, feelings of worse performance) demographics, setting, apolipoprotein E gene (APOE) ε4 carriership, and neuropsychiatric symptoms with amyloid positivity. Results: Between cohorts, amyloid positivity in 70-year-olds varied from 10% to 76%. Only older age, clinical setting, and APOE ε4 carriership showed univariate associations with increased amyloid positivity. After adjusting for these, lower... (More)
Introduction: The evidence for characteristics of persons with subjective cognitive decline (SCD) associated with amyloid positivity is limited. Methods: In 1640 persons with SCD from 20 Amyloid Biomarker Study cohort, we investigated the associations of SCD-specific characteristics (informant confirmation, domain-specific complaints, concerns, feelings of worse performance) demographics, setting, apolipoprotein E gene (APOE) ε4 carriership, and neuropsychiatric symptoms with amyloid positivity. Results: Between cohorts, amyloid positivity in 70-year-olds varied from 10% to 76%. Only older age, clinical setting, and APOE ε4 carriership showed univariate associations with increased amyloid positivity. After adjusting for these, lower education was also associated with increased amyloid positivity. Only within a research setting, informant-confirmed complaints, memory complaints, attention/concentration complaints, and no depressive symptoms were associated with increased amyloid positivity. Feelings of worse performance were associated with less amyloid positivity at younger ages and more at older ages. Discussion: Next to age, setting, and APOE ε4 carriership, SCD-specific characteristics may facilitate the identification of amyloid-positive individuals. © 2021 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association. (Less)
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author
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author collaboration
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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alzheimer's disease, amyloid, cerebrospinal fluid, positron emission tomography, subjective cognitive decline
in
Alzheimer's and Dementia
volume
18
issue
10
pages
1832 - 1845
publisher
Wiley
external identifiers
  • pmid:34877782
  • scopus:85120831306
ISSN
1552-5279
DOI
10.1002/alz.12512
language
English
LU publication?
yes
id
c70ff366-0141-4c88-87b8-3532c7e2fe6e
date added to LUP
2022-02-07 12:49:40
date last changed
2023-01-16 10:17:32
@article{c70ff366-0141-4c88-87b8-3532c7e2fe6e,
  abstract     = {{Introduction: The evidence for characteristics of persons with subjective cognitive decline (SCD) associated with amyloid positivity is limited. Methods: In 1640 persons with SCD from 20 Amyloid Biomarker Study cohort, we investigated the associations of SCD-specific characteristics (informant confirmation, domain-specific complaints, concerns, feelings of worse performance) demographics, setting, apolipoprotein E gene (APOE) ε4 carriership, and neuropsychiatric symptoms with amyloid positivity. Results: Between cohorts, amyloid positivity in 70-year-olds varied from 10% to 76%. Only older age, clinical setting, and APOE ε4 carriership showed univariate associations with increased amyloid positivity. After adjusting for these, lower education was also associated with increased amyloid positivity. Only within a research setting, informant-confirmed complaints, memory complaints, attention/concentration complaints, and no depressive symptoms were associated with increased amyloid positivity. Feelings of worse performance were associated with less amyloid positivity at younger ages and more at older ages. Discussion: Next to age, setting, and APOE ε4 carriership, SCD-specific characteristics may facilitate the identification of amyloid-positive individuals. © 2021 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.}},
  author       = {{Janssen, O. and Ossenkoppele, Rik and Visser, P.J.}},
  issn         = {{1552-5279}},
  keywords     = {{Alzheimer's disease; amyloid; cerebrospinal fluid; positron emission tomography; subjective cognitive decline}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1832--1845}},
  publisher    = {{Wiley}},
  series       = {{Alzheimer's and Dementia}},
  title        = {{Characteristics of subjective cognitive decline associated with amyloid positivity}},
  url          = {{http://dx.doi.org/10.1002/alz.12512}},
  doi          = {{10.1002/alz.12512}},
  volume       = {{18}},
  year         = {{2022}},
}