Depression and APOEε4 Status in Individuals with Subjective Cognitive Decline: A Meta-Analysis

ABSTRACT

Objective@#To evaluate the associative role of depression and apolipoprotein E epsilon 4 allele (APOEε4) in subjective cognitive decline (SCD) and its progression to objective cognitive decline. @*Methods@#After literature search in electronic databases, studies were selected by following precise eligibility criteria. Meta-analyses were performed to examine the role of APOEε4 and depression in SCD or its progression to mild cognitive impairment (MCI) or dementia. @*Results@#APOEε4 positivity was not different between SCD and normal individuals but was significantly higher in individuals with SCD plus than in normal individuals [odds ratio 2.39 (95% CI 1.87, 3.05); p<0.00001] and in SCD converters than in non-converters [odds ratio 5.19 (95% CI 2.36, 11.42); p<0.00001]. Depression was significantly higher in individuals with SCD [standardized mean difference 0.63 (0.45, 0.82); p<0.00001] and SCD plus [standardized mean difference 0.83 (0.43, 1.22); p<0.0001] than in normal individuals. However, depression was not different between SCD and MCI or between SCD converters and non-converters. Age of SCD converters was higher than non-converters [mean difference 2.95 years (0.58, 5.31)]. @*Conclusion@#Whereas APOEε4 positivity was higher in SCD plus and SCD converters, depression was higher in SCD and SCD plus but was not different between SCD and MCI.