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The main effect of APOEɛ4 on the change in the MoCA score was not significant for either men or women. When the data from both men and women were used, the APOEɛ4 + /M group exhibited a steeper rate of cognitive decline than did the APOEɛ4 + /F and APOEɛ4-/F groups. These results were consistent with those of sensitivity analyses. Sex may be considered when APOEɛ4-related vulnerability to early cognitive decline is evaluated in PD patients. Sex may be considered when APOEɛ4-related vulnerability to early cognitive decline is evaluated in