SCD trajectory | Additional adjustment for one-time assessment of SCD at year 4a | Primary endpoint of dementiaa | Redefining the trajectories using simplified rulesa, b |
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HR (95% CI) | p value | HR (95% CI) | p value | HR (95% CI) | p value |
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No SCD | 1.0 (Ref) | Ref | 1.0 (Ref) | Ref | 1.0 (Ref) | Ref |
Intermittent SCD | 1.4 (1.1–1.8) | 0.011 | 1.5 (1.1–2.1) | 0.010 | 1.5 (1.3–1.8) | < 0.001 |
Persistent SCD | 2.1 (1.6–2.8) | < 0.001 | 2.2 (1.5–3.2) | < 0.001 | 2.6 (2.0–3.4) | < 0.001 |
- SCD subjective cognitive decline, HR hazard ratio, CI confidence interval, Ref reference group
- aModel adjusted for baseline variables of age, sex, ethnicity, years of education, APOE e4 status, current smoking, diabetes mellitus, hypertension, hyperlipidemia, Mini-Mental State Examination score, total score on Geriatric Depression Scale, and presence of anxiety symptoms
- bThe following simplified rules were used to redefine the identified trajectories—No SCD was redefined as participants who reported SCD in none of the 4 annual visits, Intermittent SCD as those who reported SCD in 1 to 2 of the annual visits, and Persistent SCD as those who reported SCD in 3 to 4 of the annual visits