Evidence map›Paper›PMID 39072956›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Amyloid and SCD jointly predict cognitive decline across Chinese and German cohorts.

Kai Shao, Xiaochen Hu, Luca Kleineidam, Melina Stark, Slawek Altenstein, Holger Amthauer, Henning Boecker, Ralph Buchert, Katharina Buerger, Michaela Butryn and 56 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Minor neuropsychological deficits and stage 2 of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Brain Topological Changes in Subjective Cognitive Decline and Associations with Amyloid Stages.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  11. Article
  12. Amyloid and SCD jointly predict cognitive decline across Chinese and German cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

66 authors.

Kai ShaoDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Xiaochen HuGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Luca KleineidamGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Melina StarkGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Slawek AltensteinGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Holger AmthauerDepartment of Nuclear Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Berlin, Germany.
Henning BoeckerGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Ralph BuchertDepartment of Nuclear Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
Katharina BuergerGerman Center for Neurodegenerative Diseases (DZNE, Munich), Munich, Germany.
Michaela ButrynGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Yanning CaiDepartment of clinical biobank, XuanWu Hospital of Capital Medical University, Beijing, China.
Yue CaiInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Nicoleta Carmen CosmaDepartment of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Guanqun ChenDepartment of Neurology, Beijing ChaoYang Hospital of Capital Medical University, Beijing, China.
Zhigeng ChenDepartment of Radiology and Nuclear Medicine, XuanWu Hospital of Capital Medical University, Beijing, China.
Marcel DaamenGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Alexander DrzezgaGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Emrah DüzelGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Markus EsslerDepartment of Nuclear Medicine, University Hospital Bonn, Bonn, Germany.
Michael EwersGerman Center for Neurodegenerative Diseases (DZNE, Munich), Munich, Germany.
Klaus FliessbachGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Florian C GaertnerDepartment of Nuclear Medicine, University Hospital Bonn, Bonn, Germany.
Wenzel GlanzGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Tengfei GuoInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Niels HansenDepartment of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany.
Beiqi HeSchool of Information and Communication Engineering, Hainan University, Haikou, China.
Daniel JanowitzInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Ingo KilimannGerman Center for Neurodegenerative Diseases (DZNE), Rostock, Germany.
Bernd J KrauseDepartment of Nuclear Medicine, Rostock University Medical Centre, Rostock, Germany.
Guoyu LanInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Catharina LangeDepartment of Nuclear Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin, Berlin, Germany.
Christoph LaskeGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.
Yuxia LiDepartment of Neurology, Tangshan Central Hospital, Tanshan, China.
Ruixian LiDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Lin LiuInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Jie LuDepartment of Radiology and Nuclear Medicine, XuanWu Hospital of Capital Medical University, Beijing, China.
Fansheng MengMedical Imaging Department of Hainan Cancer Hospital, Haikou, China.
Matthias H MunkGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.
Oliver PetersGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Robert PerneczkyGerman Center for Neurodegenerative Diseases (DZNE, Munich), Munich, Germany.
Josef PrillerGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Alfredo RamirezGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Boris-Stephan RauchmannDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Matthias ReimoldDepartment of Nuclear Medicine and Clinical Molecular Imaging, Eberhard-Karls-University, Tuebingen, Germany.
Axel RomingerDepartment of Nuclear Medicine, Ludwig-Maximilian-University Munich, Munich, Germany.
Ayda RostamzadehDepartment of Psychiatry, Medical Faculty, University of Cologne, Cologne, Germany.
Nina Roy-KluthGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Anja SchneiderGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Annika SpottkeGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Eike Jakob SpruthGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Pan SunInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Stefan TeipelGerman Center for Neurodegenerative Diseases (DZNE), Rostock, Germany.
Xiao WangDepartment of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Min WeiDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Yongzhe WeiDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Jens WiltfangDepartment of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany.
Shaozhen YanDepartment of Radiology and Nuclear Medicine, XuanWu Hospital of Capital Medical University, Beijing, China.
Jie YangDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Xianfeng YuDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Mingkai ZhangDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Liang ZhangSchool of Information and Communication Engineering, Hainan University, Haikou, China.
DELCODE study group, SILCODE study group
Michael WagnerGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Frank JessenGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Ying HanDepartment of Neurology, XuanWu Hospital of Capital Medical University, Beijing, China.
Elizabeth KuhnGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0002-3744-1155

Funding

China Scholarship Council 202208110122Fondation Philippe Chatrier and Helmhotz Artificial Intelligence Cooperation UnitGerman Center for Neurodegenerative Diseases BN012Koeln Fortune Program/Faculty of Medicine, University of CologneNational Natural Science Foundation of China 82001773National Natural Science Foundation of China 82020108013Shenzhen Bay Scholars ProgramSino-German Cooperation Grant M-0759STI2030-Major Projects 2022ZD0211800Tianchi Scholars Program
6 · The paper itself

Abstract

introductionSubjective cognitive decline (SCD) in amyloid-positive (Aβ+) individuals was proposed as a clinical indicator of Stage 2 in the Alzheimer's disease (AD) continuum, but this requires further validation across cultures, measures, and recruitment strategies.

methodsEight hundred twenty-one participants from SILCODE and DELCODE cohorts, including normal controls (NC) and individuals with SCD recruited from the community or from memory clinics, underwent neuropsychological assessments over up to 6 years. Amyloid positivity was derived from positron emission tomography or plasma biomarkers. Global cognitive change was analyzed using linear mixed-effects models.

resultsIn the combined and stratified cohorts, Aβ+ participants with SCD showed steeper cognitive decline or diminished practice effects compared with NC or Aβ- participants with SCD. These findings were confirmed using different operationalizations of SCD and amyloid positivity, and across different SCD recruitment settings. DISCUSSION: Aβ+ individuals with SCD in German and Chinese populations showed greater global cognitive decline and could be targeted for interventional trials. HIGHLIGHTS: SCD in amyloid-positive (Aβ+) participants predicts a steeper cognitive decline. This finding does not rely on specific SCD or amyloid operationalization. This finding is not specific to SCD patients recruited from memory clinics. This finding is valid in both German and Chinese populations. Aβ+ older adults with SCD could be a target population for interventional trials.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBiomarkersCognitive DysfunctionNeuropsychological TestsPositron-Emission TomographyAgedChinaCohort StudiesEast Asian PeopleFemaleGermanyHumansMaleMiddle AgedAmyloid beta-PeptidesBiomarkersamyloid pathologycognitive declinecross‐cultural studylongitudinal designPETplasma Aβ42/40 ratioStage 2 Alzheimer's diseasesubjective cognitive decline

Identifiers

PMID39072956
PMCPMC11497667

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.