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Table 2 Associations of cardiometabolic diseases (CMDs) and cognitive reserve (CR) level with incident dementia

From: High cognitive reserve attenuates the risk of dementia associated with cardiometabolic diseases

CMD/CR status

No. of subjects

All-cause dementia

(n = 6,600 cases)

 

Alzheimer’s disease

(n = 2,866 cases)

 

Vascular dementia

(n = 1,547 cases)

Basic Adjusted

HR (95% CI)

Multi-Adjusted

HR (95% CI)

 

Basic Adjusted

HR (95% CI)

Multi-Adjusted

HR (95% CI)

 

Basic Adjusted

HR (95% CI)

Multi-Adjusted

HR (95% CI)

CMD status

         

CMD-free

172,776

Reference

Reference

 

Reference

Reference

 

Reference

Reference

CMDs

43,402

1.81 (1.72–1.91)

1.74 (1.65–1.84)

 

1.50 (1.39–1.63)

1.53 (1.40–1.67)

 

2.78 (2.51–3.09)

2.41 (2.17–2.69)

 1 CMD

36,441

1.62 (1.53–1.72)

1.57 (1.48–1.67)

 

1.40 (1.28–1.53)

1.42 (1.30–1.56)

 

2.26 (2.01–2.53)

2.02 (1.79–2.28)

 ≥2 CMDs

6,961

2.88 (2.63–3.15)

2.79 (2.54–3.07)

 

2.11 (1.81–2.45)

2.24 (1.91–2.62)

 

5.67 (4.88–6.59)

4.79 (4.08–5.62)

Greater number of CMDs

 

1.65 (1.59–1.71)

1.63 (1.57–1.70)

 

1.42 (1.33–1.51)

1.47 (1.37–1.57)

 

2.29 (2.15–2.45)

2.15 (1.99–2.32)

CR level

         

Low CR

58,978

Reference

Reference

 

Reference

Reference

 

Reference

Reference

Moderate CR

87,271

0.79 (0.74–0.83)

0.85 (0.80–0.90)

 

0.80 (0.73–0.87)

0.85 (0.78–0.93)

 

0.70 (0.62–0.78)

0.77 (0.69–0.87)

High CR

69,929

0.65 (0.61–0.69)

0.75 (0.70–0.80)

 

0.65 (0.59–0.72)

0.73 (0.66–0.80)

 

0.48 (0.42–0.55)

0.59 (0.52–0.68)

Higher CR level

 

0.80 (0.78–0.83)

0.86 (0.84–0.89)

 

0.81 (0.77–0.85)

0.85 (0.81–0.90)

 

0.69 (0.65–0.74)

0.77 (0.72–0.83)

  1. Basic-adjusted models included age at baseline, sex, race/ethnicity, and socioeconomic status. Multi-adjusted models additionally included body mass index, smoking status, alcohol drinking, physical activity, hypertension, depression, and APOE ε4 carrier status