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Journal of Geriatric Psychiatry and Neurology, Vol. 18, No. 4, 196-201 (2005)
DOI: 10.1177/0891988705281864

Apolipoprotein E {epsilon}4 and Change in Cognitive Functioning in Community-Dwelling Older Adults

Gary E. Swan, PhD

Center for Health Sciences, SRI International, Menlo Park, California, gary.swan{at}sri.com

Christina N. Lessov-Schlaggar, PhD

Center for Health Sciences, SRI International, Menlo Park, California

Dorit Carmelli, PhD

Center for Health Sciences, SRI International, Menlo Park, California

Gerard D. Schellenberg, PhD

Geriatric Research, Education, and Clinical Center, University of Washington, Seattle

Asenath La Rue, PhD

Wisconsin Alzheimer’s Institute, University of Wisconsin, Madison

The relationship between apolipoprotein E (APOE) {epsilon}4 and change in cognition was examined in older men (n = 247; age = 75.0 ± 3.5 years) and women (n = 79; age = 70.8 ± 4.9 years) free of history of stroke. Participants were examined again 4.0 ± 0.5 years later. Exclusion criteria were (1) initial scores on the Mini-Mental State Examination of 23 or less or (2) the presence of the APOE 2/4genotype. Men with {epsilon}4showed greater decline in some measures of executive function and verbal memory compared to those without {epsilon}4; women with {epsilon}4showed greater decline in Trail Making test performance relative to women without the allele. A significant gender x APOE{epsilon}4interaction was seen for change in performance on short delay cued recall. These results suggest that APOE{epsilon}4is associated with cognitive decline differently in older adult men and women.

Key Words: cognitive decline • elderly • gender difference • APOE {epsilon}4


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