*For global cognition, sex differences in level emerged as statistically significant at the time of diagnosis (p = 0.024), and between-sex differences in slopes were different 5 years before diagnosis (p = 0.006). For executive function, sex differences in level emerged as statistically significant 15 years before PD diagnosis (p = 0.005), and between-sex differences in slopes were different 15 years before diagnosis (p = 0.007). For functional status, sex differences in level became statistically significant 15 years before diagnosis (p < 0.001). Between-sex differences in slopes were different at 15, 10, and 5 years before diagnosis (p = 0.01, p < 0.001, and p = 0.004) and at diagnosis (p = 0.04), but not after diagnosis (p > 0.4 for all time points after diagnosis).