%0 Journal Article %T Quantitative informant- and self-reports of subjective cognitive decline predict amyloid beta PET outcomes in cognitively unimpaired individuals independently of age and APOE ε4. %A Sánchez-Benavides G %A Salvadó G %A Arenaza-Urquijo EM %A Grau-Rivera O %A Suárez-Calvet M %A Milà-Alomà M %A González-de-Echávarri JM %A Minguillon C %A Crous-Bou M %A Niñerola-Baizán A %A Perissinotti A %A Gispert JD %A Molinuevo JL %A %J Alzheimers Dement (Amst) %V 12 %N 1 %D 2020 %M 33204815 暂无%R 10.1002/dad2.12127 %X BACKGROUND: Amyloid beta (Aβ) pathology is an Alzheimer's disease early hallmark. Here we assess the value of longitudinal self- and informant reports of cognitive decline to predict Aβ positron emission tomography (PET) outcome in cognitively unimpaired middle-aged individuals.
METHODS: A total of 261 participants from the ALFA+ study underwent [18F]flutemetamol PET and Subjective Cognitive Decline Questionnaire (SCD-Q) concurrently, and 3 years before scan. We used logistic regressions to evaluate the ability of SCD-Q scores (self and informant) to predict Aβ PET visual read, and repeated analysis of variance to assess whether changes in SCD-Q scores relate to Aβ status.
RESULTS: Self-perception of decline in memory (odds ratio [OR] = 1.2), and informant perception of executive decline (OR = 1.6), increased the probability of a positive scan. Informant reports 3 years before scanning predicted Aβ PET outcome. Longitudinal increase of self-reported executive decline was predictive of Aβ in women (P = .003).
CONCLUSIONS: Subjective reports of cognitive decline are useful to predict Aβ and may improve recruitment strategies.