Apolipoprotein E (APOE) genotype is expressed as a binary categorical variable, with participants classified as carriers (one or more ɛ4 alleles present) or non-carriers (no ɛ4 allele present).
As sleep may affect various aspects of cognition differently,49 we include five cognitive composite indices, reflecting the average of domain-specific standardized test scores (Z-scores) administered as part of the WRAP battery.40 (link) The cognitive composites include working memory,50 (link) immediate memory, delayed memory, executive function (EF)51 (link) and a Preclinical Alzheimer Cognitive Composite (PACC).52 (link),53 The tests contributing to each composite are shown in Supplementary Table 2.
Cognitive status is determined for each visit using a consensus review process that incorporated internal as well as published norms. A multi-disciplinary panel reviews cases to determine whether mild cognitive impairment or dementia was present.54
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