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Table 1 Demographic and clinical information collection in this multicenter study

From: Sex differences in clinical cognitive impairment with Lewy bodies: a Chinese multicenter study

Items

Subitems

Other information

Demographic data

Sex

Men or women

 

Age at last visit

The age at patients’ last visit at each center

 

Educational years

 
 

Onset age

The onset ages were recorded according to patients’ and/or caregivers’ chief complaints. We conducted the onset ages of cognitive impairment (n = 1038) and parkinsonism (n = 781) in this study

 

Interval between cognitive impairment and parkinsonism

The absolute value of onset age of cognitive impairment minus onset age of parkinsonism among the target patients. There were 781 pieces of data were analyzed, since a total of 781 patients (418 men and 363 women; 19 patients in MCI-LB, 331 patients in DLB, 118 patients in PD-MCI and 313 patients in PDD) had parkinsonism in this study

 

Course of disease

Age at last visit minus onset age

Sex ratio

 

Sex ratios mean the number of men divided women (men/women)

Clinical core features

Fluctuating cognition

The presence was diagnosed with three or more “yes” responses required for structured questions from caregivers confirmed by the Mayo Fluctuations Composite Scale

 

Visual hallucinations

The hallucinations item of 12-item NPI was used to determine the presence of hallucination, as complaining about by the patient and/or caregiver with specifically formed and detailed VH and illusions

 

Parkinsonism

This is diagnosed by having one or more spontaneous cardinal features of parkinsonism included bradykinesia, rest tremor or rigidity evaluated by the motor section (Part III) of the Movement Disorders Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS)

 

RBD

It can be confirmed by caregivers who mentioned five or more behaviors that are mentioned in the RBD screening questionnaire (RBD-SQ); or this patient was diagnosed by an overnight video polysomnography

Cognitive status

MCI or dementia

 

Clinical diagnosis at last visit

Probable MCI-LB, DLB, PD-MCI or PDD

The diagnostic criteria and clinical core features assessments are detailed described below

Neuropsychological assessments

Mini-Mental State Examination (Chinese version)

Scores range from 0 (severe impairment) to 30 (no impairment). It is used to evaluate global cognitive function

 

Montreal Cognitive Assessment

Scores range from 0 (severe impairment) to 30 (no impairment), It is used to evaluate global cognitive function

 

The Activities of daily living

Scores range from 20 (no impairment) to 80 (severe dysfunction), it is used to evaluate the functional status

 

The Clinical Dementia Rating

Scores range from 0.5 (MCI), 1.0 (mild), 2.0 (moderate) to 3.0 (severe), it is used to evaluate the severity of dementia

 

Neuropsychiatric Inventory*

Each subscale ranges between 0 (NPS) and 12 and the total composite score between 0 (no NPS) and 144, it is used to evaluate the presence and severity of NPS

A total of 451 patients (61 patients with MCI-LB, 339 with DLB, 15 with PD-MCI and 36 with PDD) underwent NPI assessment in this study

MRI visual rating scales

Medial Temporal lobe Atrophy*

Scores range from 0 (no atrophy) to 4 (severe volume loss of hippocampal volume, it is used to evaluate the visual regional brain atrophy in the hippocampus, parahippocampal gyrus, entorhinal cortex and the surrounding cerebrospinal fluid spaces

Multiplanar oblique coronal (perpendicular to the axis of the hippocampus), transverse and coronal position reconstructions were made of 3D T1-weighted images for diagnostic multisequence MRI. All of the MRI readings were reviewed by two experienced neuroradiologists double-blindly, and the final rating scores were averaged

A total of 922 patients (74 patients with MCI-LB, 480 with DLB, 107 with PD-MCI and 261 with PDD) completed MRI visual rating scales

 

Fazekas scales*

Scores range from 0 (no or single punctate lesion) to 3 (large confluent lesions), it is used to reflect the whole white matter lesion. The numbers of participants, the principles of MRI parameters and review are the same as described above

APOE genotype*

 

Genomic DNA was extracted from peripheral blood stored at -80 ℃, and the APOE gene was amplified by polymerase chain reaction. All genotypes were determined without knowledge of the patient status

A total of 167 patients (40 patients with MCI-LB, 111 with DLB, 0 with PD-MCI and 16 with PDD) had the APOE genotype test

  1. *It means the items or subitems were optional to provide
  2. RBD rapid eye movement sleep behavior disorder, MCI mild cognitive impairment, MCI-LB mild cognitive impairment with Lewy bodies, DLB dementia with Lewy bodies, PD-MCI Parkinson’s disease with mild cognitive impairment, PDD Parkinson’s disease dementia, NPS neuropsychiatric symptoms, MRI magnetic resonance imaging, APOE apolipoprotein E