Trail making test A 2,3. Memory Logical memory Story A delayed recall 4,5. Rey auditory verbal learning test (RAVLT) 2,6

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NEUROLOGY/2016/790584 Table e-1: Neuropsychological test battery Cognitive domain Test Attention/processing speed Digit symbol-coding 1 Trail making test A 2,3 Memory Logical memory Story A delayed recall 4,5 Rey auditory verbal learning test (RAVLT) 2,6 RAVLT total learning, trials 1 5 RAVLT short-term delayed recall; trial 6 RAVLT short-term delayed recall; trial 7 Benton visual retention test recognition 7,8 Language Boston naming test; 30 items 9,10 Semantic fluency (animals) 2,11 Visuospatial Block design 12,13 Executive function Controlled oral word association test 2,11 Trail making test B 2,3 Note: memory tests were used to assess (single-domain) amnestic MCI, impairment in any one of the other domains would result in (single-domain) nonamnestic MCI. Combinations contribute to amnestic or nonamnestic multiple-domain MCI.

AERTS Supplemental Tables & Figures 2 Table e-2: MCI prevalence at biennial follow-up Wave 1 Wave 2 Wave 3 Wave 4 n % Total n % Total % Subtotal n % Total % Subtotal n % Total % Subtotal No MCI 451 64.0 409 58.0 62.9 386 55.9 70.1 305 46.1 60.0 MCI 254 36.0 241 34.2 37.1 165 23.9 29.9 203 30.7 40.0 amci 77 10.9 82 11.6 12.6 41 5.9 7.4 64 7.0 12.6 nmci 95 13.5 83 11.8 12.8 63 9.1 11.4 78 11.8 15.4 amdmci 61 8.7 55 7.8 8.5 45 6.5 8.2 43 6.5 8.5 nmdmci 21 3.0 21 2.9 3.2 16 2.3 2.9 18 2.7 3.5 Subtotal 705 650 551 508 Dementia N/A a 14 2.0 30 4.3 32 4.5 No data N/A 41 5.8 110 15.6 121 17.2 Total 705 705 691 b 661 c a individuals with dementia were excluded from the study at baseline b 14 dementia cases at wave 2 subtracted from total sample c 44 dementia cases at waves 2 and 3 subtracted from total sample MCI: Mild cognitivie impairment; amci: single-domain amnestic MCI; nmci: single-domain nonamnestic MCI; amdmci: multi-domain amnestic MCI; nmdmci: multi-domain nonamnestic MCI

AERTS Supplemental Tables & Figures 3 Figure e-1: Data overview Classifications of all participants per assessment wave: no MCI (green), single domain MCI (yellow), multidomain MCI (orange), dementia (red), missing or incomplete data (white). Completers only (n=508) 100 200 300 400 500 WAVE 1 2 3 4 Total sample (n=705) 100 200 300 400 500 600 700 WAVE 1 2 3 4

AERTS Supplemental Tables & Figures 4 Table e-3: Participant characteristics per pattern Total Stable No MCI Stable MCI Decliners Reverters Statistics N 705 265 (37.6%) 92 (13.0%) 172 (24.4%) 176 (25.0%) Age, yrs (SD) 78.18 (4.59) 77.00 (4.16) 78.19 (4.75) 79.90 (4.91) 78.28 (4.27) Gender, % male 44.4 38.9 48.9 43.6 51.1 Education 11.64 (3.52) 11.68 (3.40) 11.04 (3.46) 11.65 (3.48) 11.88 (3.75) MMSE, adj 28.63 (1.31) 28.95 (1.09) 28.07 (1.46) 28.51 (1.26) 28.54 (1.45) a Kruskal-Wallis; b Chi-square test statistic H = 37.97 a p < 0.001 χ 2 = 7.32 b p = 0.06 H = 4.23 a p = 0.24 H = 32.74 a p < 0.001

AERTS Supplemental Tables & Figures 5 Table e-4: Diagnosis prior to dementia classification 2 years prior 4 years prior 6 years prior N % (95% CI) N % (95% CI) N % (95% CI) No MCI 11 16.2 (8.4 27.1) 19 32.2 (20.6 45.6) 16 50.0 (31.9 68.1) MCI 57 83.8 (72.9 91.6) 40 67.8 (54.4 79.4) 16 50.0 (31.9 68.1) amci 17 25.0 (15.3 37.0) 18 30.5 (19.2 43.9) 4 12.5 (3.5 29.0) nmci 6 8.8 (3.3 18.2) 4 6.8 (1.9 16.5) 7 21.9 (9.3 40.0) amdmci 30 44.1 (32.1 56.7) 15 25.4 (15.0 38.4) 4 12.5 (3.5 29.0) nmdmci 4 5.9 (1.6 14.4) 3 5.1 (1.1 14.1) 1 3.1 (0.1 16.2) Subsample 68 59 32 No data 8 10.5 17 22.4 44 57.9 Total sample 76 Amnestic MCI 47 69.1 (56.7 79.8) 33 55.9 (42.4 68.8) 8 25.0 (11.5 43.4) Non-amnestic MCI 10 14.7 (7.3 25.4) 7 11.9 (4.9 22.9) 8 25.0 (11.5 43.4)

AERTS Supplemental Tables & Figures 6 Figure e-2: Cumulative incidence of dementia for (A) amnestic and nonamnestic or (B) single and multiple domain subtypes of MCI

AERTS Supplemental Tables & Figures 7 Figure e-3: The effect of reversion from (A) single- or (B) multiple-domain MCI on cumulative incidence of dementia

AERTS Supplemental Tables & Figures 8 Supplementary references 1. Wechsler D. Wechsler Adult Intelligence Scale - Third Edition. 3rd ed. San Antonio: The Psychological Corporation; 1997. 2. Strauss E, Sherman EMS, Spreen O. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. 3rd Editio. Oxford University Press; 2006. 3. Tombaugh TN. Trail Making Test A and B: Normative data stratified by age and education. Arch Clin Neuropsychol. 2004;19:203 214. 4. Wechsler D. Wechsler Memory Scale. 3rd ed. San Antonio: The Psychological Corporation; 1997. 5. Grundman M, Petersen RC, Ferris SH, et al. Mild Cognitive Impairment Can Be Distinguished From Alzheimer Disease and Normal Aging for Clinical Trials. JAMA Neurol. 2004;61:59 66. 6. Ivnik RJ, Malec JF, Smith GE, et al. Mayo s older americans normative studies: Updated AVLT norms for ages 56 to 97. Clin Neuropsychol. 1992;6:1 30. 7. Benton AL, Sivan AB, Spreen O. Der Benton Test Manual. 7th ed. Bern: Huber; 1996. 8. Lechevallier-Michel N, Fabrigoule C, Lafont S, Letenneur L, Dartigues J-F. Normes pour le MMSE, le test de rétention visuelle de Benton, le set test d Isaacs, le sous-test des codes de la WAIS et le test de barrage de Zazzo chez des sujets âgés de 70 ans et plus : données de la cohorte PAQUID. /data/revues/00353787/01600011/1059/. Elsevier Masson; Epub 2008. 9. Kaplan E. The Boston Naming Test. Philadelphia: Lippincott Williams Wilkins; 2001. 10. Fastenau PS, Denburg NL, Mauer B a. Parallel short forms for the Boston Naming Test: psychometric properties and norms for older adults. J Clin Exp Neuropsychol. 1998;20:828 834. 11. Tombaugh T, Kozak J, Rees L. Normative Data Stratified by Age and Education for Two Measures of Verbal Fluency FAS and Animal Naming. Arch Clin Neuropsychol. 1999;14:167 177. 12. Wechsler D. WAIS-R Manual. New York: The Psychological Corporation; 1981. 13. Ivnik RJ, Malec JF, Smith GE, et al. Mayo s older americans normative studies: WAIS-R norms for ages 56 to 97. Clin. Neuropsychol. 1992.