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The Pooled Index demonstrated trends of similar or greater responsiveness to longitudinal decline than ADAS-Cog-Proxy scores. Adding motor function assessments to the ADAS-Cog may improve responsiveness in pre-dementia populations. Adding motor function assessments to the ADAS-Cog may improve responsiveness in pre-dementia populations.Sleep duration and quality have several effects on human health. Some previous studies have shown an association between sleep duration and quality and mental health, but the results of those studies were