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  • 1.
    Vaskivuo, Laura
    et al.
    Natl Inst Hlth & Welf, Publ Hlth Promot Unit, POB 30, Helsinki 00271, Finland.;Univ Helsinki, Dept Psychol & Logoped, Fac Med, Helsinki, Finland..
    Hokkanen, Laura
    Univ Helsinki, Dept Psychol & Logoped, Fac Med, Helsinki, Finland..
    Hanninen, Tuomo
    Kuopio Univ Hosp, Neuroctr, Neurol, Kuopio, Finland..
    Antikainen, Riitta
    Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland.;Oulu Univ Hosp, Med Res Ctr Oulu, Oulu, Finland.;Oulu City Hosp, Oulu, Finland..
    Backman, Lars
    Stockholm Univ, Karolinska Inst, Aging Res Ctr, Stockholm, Sweden..
    Laatikainen, Tiina
    Natl Inst Hlth & Welf, Publ Hlth Promot Unit, POB 30, Helsinki 00271, Finland.;Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland.;Hosp Dist North Karelia, Joensuu, Finland..
    Paajanen, Teemu
    Finnish Inst Occupat Hlth, Helsinki, Finland..
    Stigsdotter-Neely, Anna
    Umea Univ, Dept Psychol, Umea, Sweden.;Karlstad Univ, Dept Social & Psychol Sci, Karlstad, Sweden..
    Strandberg, Timo
    Univ Helsinki, Clinicum, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland..
    Tuomilehto, Jaakko
    Natl Inst Hlth & Welf, Publ Hlth Promot Unit, POB 30, Helsinki 00271, Finland.;South Ostrobothnia Cent Hosp, Seinajoki, Finland.;Univ Helsinki, Dept Publ Hlth, Helsinki, Finland.;Dasman Diabet Inst, Kuwait, Kuwait.;Danube Univ Kerms, Krems, Austria.;Kind Abdulaziz Univ, Jeddah, Saudi Arabia..
    Soininen, Hilkka
    Kuopio Univ Hosp, Neuroctr, Neurol, Kuopio, Finland.;Univ Eastern Finland, Inst Clin Med Neurol, Kuopio, Finland..
    Kivipelto, Miia
    Natl Inst Hlth & Welf, Publ Hlth Promot Unit, POB 30, Helsinki 00271, Finland.;Stockholm Univ, Karolinska Inst, Aging Res Ctr, Stockholm, Sweden.;Univ Eastern Finland, Inst Clin Med Neurol, Kuopio, Finland.;Karolinska Inst, Ctr Alzheimer Res, Stockholm, Sweden..
    Ngandu, Tiia
    Natl Inst Hlth & Welf, Publ Hlth Promot Unit, POB 30, Helsinki 00271, Finland.;Karolinska Inst, Ctr Alzheimer Res, Stockholm, Sweden..
    Self and Informant Memory Reports in FINGER: Associations with Two-Year Cognitive Change2019In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 71, no 3, p. 785-795Article in journal (Refereed)
    Abstract [en]

    Background: Subjective memory complaints (SMCs) may be the first sign of cognitive decline in aging. Objective: To examine whether SMCs reported by oneself and informant predict cognitive change over 2 years among at-risk elderly people, and to determine the relationship of different types of SMCs (prospective and retrospective memory complaints) and change in cognitive function. Methods: This investigation is part of the FINGER project, which is a multicenter randomized controlled trial aiming at preventing cognitive decline in cognitively healthy older adults with increased risk of dementia. A subsample of 303 controlgroup participants (aged 60-80 years) and their informants (n = 261) rated the frequency of SMCs, using the Prospective and Retrospective Memory Questionnaire (PRMQ). Cognitive performance was measured at baseline and at 1- and 2-year follow-up visits using a neuropsychological test battery. Results: Participants who reported more SMCs improved less in global cognition, executive function, and memory during the subsequent 2 years in the fully-adjusted analyses. Self-reported retrospective memory problems predicted less improvement in all cognitive domains, whereas prospective memory problems did not. Informant-reported memory problems were not linked to subsequent change in cognition. Conclusion: Our results indicate that self-reported SMCs, measured with PRMQ, predict future cognitive change in several cognitive domains. By contrast, reports by informants were not linked to changes in cognition. Among cognitively healthy at-risk elderly individuals, the persons themselves observe more easily problems relevant for their future cognitive trajectories than their informants.

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