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Table 2 Incidence and risk of young-onset dementia diagnosed before the age of 65 years based on the status of depression and menopause

From: Association between depression and young-onset dementia in middle-aged women

 

Depression

No.

Event (n)

Person-years

IRa

HR (95% CI)

Model 1b

Model 2c

Model 3d

Model 4e

Any dementia

         

Premenopausal women

No

915,595

1,972

8,505,861

0.23

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

31,336

223

290,499

0.77

3.30 (2.88, 3.79)

2.88 (2.51, 3.31)

2.71 (2.54, 3.12)

2.67 (2.32, 3.07)

Postmenopausal women

No

634,535

5,998

5,056,422

1.19

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

39,885

1,004

309,999

3.24

2.74 (2.57, 2.93)

2.63 (2.46, 2.81)

2.54 (2.37, 2.71)

2.50 (2.34, 2.67)

Alzheimer’s dementia

         

Premenopausal women

No

915,595

1,254

8,505,861

0.15

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

31,336

163

290,499

0.56

3.78 (3.22, 4.46)

3.26 (2.77, 3.84)

3.10 (2.63, 3.65)

3.05 (2.59, 3.59)

Postmenopausal women

No

634,535

4,260

5,056,422

0.84

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

39,885

750

309,999

2.42

2.89 (2.67, 3.12)

2.77 (2.56, 2.99)

2.68 (2.48, 2.90)

2.63 (2.43, 2.85)

Vascular dementia

         

Premenopausal women

No

915,595

457

8,505,861

0.05

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

31,336

39

290,499

0.13

2.51 (1.81, 3.49)

2.28 (1.65, 3.17)

2.07 (1.49, 2.87)

2.03 (1.46, 2.82)

Postmenopausal women

No

634,535

985

5,056,422

0.19

1 (Ref.)

1 (Ref.)

1 (Ref.)

1 (Ref.)

 

Yes

39,885

122

309,999

0.39

2.03 (1.68, 2.45)

1.97 (1.63, 2.37)

1.85 (1.53, 2.23)

1.85 (1.53, 2.23)

  1. CI: confidence interval; HR: hazard ratio; IR: incidence rate; Ref.: reference
  2. aPer 1,000 person-years
  3. bModel 1 was unadjusted
  4. cModel 2 was adjusted for age
  5. dModel 3 was adjusted for age, smoking status, regular exercise, alcohol consumption, body mass index (BMI), hypertension, type 2 diabetes, dyslipidemia, and chronic kidney disease (CKD).
  6. eModel 4 was adjusted for age, smoking status, regular exercise, alcohol consumption, BMI, hypertension, type 2 diabetes, dyslipidemia, CKD, age at menarche, age at menopause, parity, breast feeding, oral contraceptive use, and hormone replacement therapy