{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:03:28Z","timestamp":1790334208392,"version":"4.1.0"},"reference-count":70,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp; Dementia"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Prevalence of dementia is higher in low\u2010 and middle\u2010income countries (LMICs). However, longitudinal studies characterizing cognitive decline and its clinical and epidemiological predictors remain scarce in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\n                      Participants were enrolled from 2011 to 2025 and followed through May 2026. A total of 887 participants were classified as cognitively unimpaired (CU) (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0274), mild cognitive impairment (MCI) (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0378), or dementia of the Alzheimer's type (DAT) (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0235). CU and MCI participants were followed until dementia conversion, which was analyzed under competing risks using cumulative incidence functions and Fine\u2013Gray models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Overall, annualized dementia conversion rate in the MCI group was 10.72 per 100 person\u2010years (95% confidence interval [CI]: 8.54% to 13.29%). In addition, 40.39% of participants progressed to dementia during a mean follow\u2010up time of 3.75 years (standard deviation: 3.28), with an estimated cumulative incidence of 29.85% at 3 years (95% CI: 22.74% to 36.96%),\n                      <jats:bold>a<\/jats:bold>\n                      ccounting for death as a competing event.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>This study adds valuable information for LMICs. However, estimates should be interpreted considering attrition and competing mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71780","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T03:42:35Z","timestamp":1788838955000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Cog\u2010Aging: a 15\u2010year cohort study of cognition in Brazilian older adults"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4004-5222","authenticated-orcid":false,"given":"Gabriela Tom\u00e9 Oliveira","family":"Engelmann","sequence":"first","affiliation":[{"name":"Cog\u2010Aging Research Group, Faculty of Medicine Universidade Federal de Minas Gerais  Belo Horizonte Minas Gerais Brazil"},{"name":"Older Adult Psychiatry and Psychology Extension Program (PROEPSI), Faculty of Medicine Universidade Federal de Minas Gerais  Belo Horizonte Minas 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