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Memory complaints and risk of cognitive impairment after nearly 2 decades among older women
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OBJECTIVES: To investigate the association between subjective memory complaints (SMCs) and long-term risk of cognitive impairment in aging because most previous studies have followed individuals for only a few years. METHODS: Participants were 1,107 cognitively normal, community-dwelling older women (aged 65 years and older at baseline) in a prospective study of aging. SMCs were assessed shortly after baseline and repeatedly over time with the yes/no question, "Do you feel you have more problems with memory than most?" Cognitive status 18 years later (normal or impaired with mild cognitive impairment or dementia) was determined by an expert panel. Using logistic regression, we investigated the association between SMCs over time and risk of cognitive impairment, adjusting for demographics, baseline cognition, and characteristics that differed between those with and without SMCs. RESULTS: At baseline, 8.0% of participants (n = 89) endorsed SMCs. Baseline SMCs were associated with increased risk of cognitive impairment 18 years later (adjusted odds ratio [OR] = 1.7, 95% confidence interval 1.1-2.8). Results were unchanged after excluding participants with depression. The association between SMCs and cognitive impairment was greatest at the last SMC assessment time point (18 years before diagnosis: adjusted OR = 1.7 [1.1-2.9]; 14 years before diagnosis: adjusted OR = 1.6 [0.9-2.7]; 10 years before diagnosis: adjusted OR = 1.9 [1.1-3.1]; 4 years before diagnosis: adjusted OR = 3.0 [1.8-5.0]). CONCLUSIONS: SMCs are associated with cognitive impairment nearly 2 decades later among older women. SMCs may be a very early symptom of an insidious neurodegenerative disease process, such as Alzheimer disease.
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“Individuals with SCD may eventually be diagnosed with MCI, MCI due to Alzheimer's disease, or another form of dementia.[251][252][253]”
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“Not all those who experience subjective cognitive decline go on to develop MCI or dementia, but many do.”
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Metadata
- Authors
- Kaup, A. R., Nettiksimmons, J., LeBlanc, E. S., & Yaffe, K.
- Affiliations
- San Francisco VA Medical Center (US)
- Venue
- Neurology
- Published
- 2015-11-24
- Volume
- 85
- Issue
- 21
- Pages
- 1852-1858
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC4662698
- OpenAlex
- W2193383487
- Cited by
- 109
- References
- 29
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 9 · 2023: 4 · 2022: 4 · 2021: 16 · 2020: 16 · 2019: 20 · 2018: 10 · 2017: 11 · 2016: 4
- FWCI
- 6.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Neurology (publishedVersion, other-oa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Veterans Affairs (IK2 RX001629)
- Kaiser Permanente
- University of Minnesota
- University of Pittsburgh
- National Institute on Aging (R01AG005394, R01AG005407, R01AG027576, K24AG031155, R01AG026720, R01AG027574)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01-AR35582, R01AR035584, R01AR35583, R01AR035582, R01AR035583, R01‐AR‐35584)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- subjective memory complaints, cognitive impairment, older women, long-term risk, mild cognitive impairment, dementia, Alzheimer's disease, aging, early detection of neurodegeneration
- MeSH terms
- Aged, Aging, Female, Humans, Memory Disorders, Prospective Studies, Risk Factors, Time Factors, Cohort Studies, Cognitive Dysfunction
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