Cited by 428Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsCancer-related cognitive impairment studies

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Subjective cognitive decline and rates of incident Alzheimer's disease and non-Alzheimer's disease dementia

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Slot, Rosalinde E.R., Sikkes, Sietske A.M., Berkhof, Johannes, Brodaty, Henry, Buckley, Rachel, Cavedo, Enrica, Dardiotis, Efthimios, Guillo‐Benarous, Francoise, Hampel, Harald, Kochan, Nicole A., Lista, Simone, Luck, Tobias, Maruff, Paul, Molinuevo, José Luis, Kornhuber, Johannes, Reisberg, Barry, Riedel‐Heller, Steffi G., Risacher, Shannon L., Roehr, Susanne, Sachdev, Perminder S., Scarmeas, Nikolaos, Scheltens, Philip, Shulman, Melanie B., Saykin, Andrew J., Verfaillie, Sander C.J., Visser, Pieter Jelle, Vos, Stephanie J.B., Wagner, Michael, Wolfsgruber, Steffen, Jessen, Frank, the Alzheimer's Disease Neuroimaging Initiative, the DESCRIPA working group, the INSIGHT‐preAD study group, SCD‐I working group, van der Flier, Wiesje M.·2019·Alzheimer's & Dementia

DOI 10.1016/j.jalz.2018.10.003PMC PMC6465066

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Abstract

INTRODUCTION: In this multicenter study on subjective cognitive decline (SCD) in community-based and memory clinic settings, we assessed the (1) incidence of Alzheimer's disease (AD) and non-AD dementia and (2) determinants of progression to dementia. METHODS: Eleven cohorts provided 2978 participants with SCD and 1391 controls. We estimated dementia incidence and identified risk factors using Cox proportional hazards models. RESULTS: In SCD, incidence of dementia was 17.7 (95% Poisson confidence interval 15.2-20.3)/1000 person-years (AD: 11.5 [9.6-13.7], non-AD: 6.1 [4.7-7.7]), compared with 14.2 (11.3-17.6) in controls (AD: 10.1 [7.7-13.0], non-AD: 4.1 [2.6-6.0]). The risk of dementia was strongly increased in SCD in a memory clinic setting but less so in a community-based setting. In addition, higher age (hazard ratio 1.1 [95% confidence interval 1.1-1.1]), lower Mini-Mental State Examination (0.7 [0.66-0.8]), and apolipoprotein E ε4 (1.8 [1.3-2.5]) increased the risk of dementia. DISCUSSION: SCD can precede both AD and non-AD dementia. Despite their younger age, individuals with SCD in a memory clinic setting have a higher risk of dementia than those in community-based cohorts.

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Fig. 1. Flowchart of participant selection. Overview of inclusion of participants. Abbreviations: MCI, mild cognitive impairment; SCD, subjective cognitive decline.CC BY-NC-ND · PubMed Central

Fig. 2. Type of dementia diagnosis in memory clinic and community settings. Dementia diagnoses per type of recruitment setting. Total number of dementia diagnoses: memory clinic n = 107, community n = 87. Results are represented as N (%).CC BY-NC-ND · PubMed Central

Fig. 3. Incidence rates of dementia and AD and non-AD dementia. (A) Incidence rates of dementia per decade in individuals with SCD and controls. (B) Incidence rates of AD and non-AD dementia per decade. Results are presented as incidence rates per 1000 person-years (95% Poisson confidence intervals) per decade. Abbreviations: AD, Alzheimer’s disease; CI, confidence interval; SCD, subjective cognitive decline.CC BY-NC-ND · PubMed Central

Fig. 4. Kaplan-Meier curves of cumulative risk of dementia in controls and individuals with subjective cognitive decline in memory clinic and community cohorts. Kaplan-Meier curves of the cumulative risk of progression to dementia per decade, stratified for recruitment setting.CC BY-NC-ND · PubMed Central

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Authors: Slot, R. E. R., Sikkes, S. A. M., Berkhof, J., Brodaty, H., Buckley, R., Cavedo, E., Dardiotis, E., Guillo‐Benarous, F., Hampel, H., Kochan, N. A., Lista, S., Luck, T., Maruff, P., Molinuevo, J. L., Kornhuber, J., Reisberg, B., Riedel‐Heller, S. G., Risacher, S. L., Roehr, S., Sachdev, P. S., Scarmeas, N., Scheltens, P., Shulman, M. B., Saykin, A. J., Verfaillie, S. C. J., Visser, P. J., Vos, S. J. B., Wagner, M., Wolfsgruber, S., Jessen, F., Initiative, T. A. D. N., the DESCRIPA working group, the INSIGHT‐preAD study group, SCD‐I working group, & van der Flier, W. M.
Affiliations: Amsterdam Neuroscience (NL)
Amsterdam University Medical Centers (NL)
UNSW Sydney (AU)
Harvard University (US)
Centre National de la Recherche Scientifique (FR)
University of Thessaly (GR)
NYU Langone Health (US)
Nordhausen University of Applied Sciences (DE)
Florey Institute of Neuroscience and Mental Health (AU)
Neurology Department Hospital Clínic i Universitari‐IDIBAPS and BarcelonaBeta Brain Research Center Pasqual Maragall Foundation Barcelona Spain
Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
Institute of Social Medicine Occupational Health and Public Health (ISAP) Faculty of Medicine University of Leipzig Leipzig Germany
Indiana University Indianapolis (US)
National and Kapodistrian University of Athens (GR)
Maastricht University (NL)
University of Bonn (DE)
University of Cologne (DE)
Alzheimer Center Amsterdam Department of Neurology Amsterdam Neuroscience Vrije Universiteit Amsterdam Amsterdam UMC Amsterdam the Netherlands
Corresponding author: the Alzheimer's Disease Neuroimaging Initiative
ORCID: Slot, Rosalinde E.R.
Sikkes, Sietske A.M.
Berkhof, Johannes
Brodaty, Henry
Buckley, Rachel
Cavedo, Enrica
Dardiotis, Efthimios
Hampel, Harald
Kochan, Nicole A.
Lista, Simone
Luck, Tobias
Maruff, Paul
Kornhuber, Johannes
Reisberg, Barry
Risacher, Shannon L.
Sachdev, Perminder S.
Scarmeas, Nikolaos
Scheltens, Philip
Shulman, Melanie B.
Saykin, Andrew J.
Verfaillie, Sander C.J.
Visser, Pieter Jelle
Vos, Stephanie J.B.
Wagner, Michael
Wolfsgruber, Steffen
Jessen, Frank
Venue: Alzheimer's & Dementia
Publisher: Wiley
Published: 2018-12-13
Volume: 15
Issue: 3
Pages: 465-476
ISSN: 1552-5260 (ISSN-L)
1552-5279
DOI: 10.1016/j.jalz.2018.10.003
PMC: PMC6465066
OpenAlex: W2904079367
Cited by: 428
References: 61
Citations by year: 2026: 39 · 2025: 55 · 2024: 68 · 2023: 65 · 2022: 65 · 2021: 54 · 2020: 62 · 2019: 17 · 2018: 3
FWCI: 26.57
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/4.0/ (am)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: Alzheimer s & Dementia (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion, cc-by)
VU Research Portal (publishedVersion, other-oa)
Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc-nd)
PubMed Central (acceptedVersion, cc-by-nc-nd)
Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc-nd)
HAL (submittedVersion, cc-by-nc-nd)
Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
University of Thessaly Institutional Repository (University of Thessaly) (submittedVersion)
CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion, other-oa)
Massey Research Online (Massey University) (submittedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
IUScholarWorks (Indiana University) (submittedVersion)
Purdue University Indianapolis (Indiana University) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders: ZonMw
Alzheimer's Association (IIRG-09-133014)
Centre Hospitalier Universitaire de Bordeaux (CIC EC7)
AXA Research Fund
U.S. Department of Health and Human Services (AG08051, AG03051)
National Institute on Aging (P30 AG010133, R01 AG019771, K01 AG049050)
U.S. Department of Defense (W81XWH-12-2-0012)
National Institute of Biomedical Imaging and Bioengineering
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
Keywords: subjective cognitive decline, Alzheimer's disease
MeSH terms: Aged, Aged, 80 and over, Dementia, Female, Humans, Male, Middle Aged, Risk Factors, Self Concept, Cohort Studies, Incidence, Disease Progression, Diagnostic Self Evaluation, Cognitive Dysfunction

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Subjective cognitive decline and rates of incident Alzheimer's disease and non-Alzheimer's disease dementia

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