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Table 4 Odds ratios and 95% CIs adjusted for multiple comparisons of risk factors, prodromal features, and comorbidities in cases compared with controls in the year before index date and in the time periods 2 to 4 years and 5 to 10 years before the index date

From: Timing of risk factors, prodromal features, and comorbidities of dementia from a large health claims case–control study

Category

Disease/ condition

1 year

2–4 years

5–10 years

Prevalence cases

Prevalence controls

OR (95%-CI)

Prevalence cases

Prevalence controls

OR (95%-CI)

Prevalence cases

Prevalence controls

OR (95%-CI)

Motor dysfunctions and injuries

Abnormalities of gait and mobility

23.76

16.31

1.63 (1.61–1.64)

22.21

16.45

1.48 (1.46–1.49)

11.90

9.03

1.39 (1.37–1.41)

Extremity injury

7.85

5.70

1.42 (1.40–1.44)

11.25

9.18

1.26 (1.24–1.27)

9.71

8.30

1.20 (1.18–1.21)

Tremor

2.75

1.75

1.59 (1.55–1.63)

3.34

2.25

1.50 (1.47–1.53)

2.77

1.97

1.42 (1.39–1.46)

Psychiatric disorders

Anxiety

5.89

4.04

1.49 (1.47–1.51)

7.63

5.67

1.38 (1.36–1.40)

7.24

5.62

1.32 (1.30–1.34)

Bipolar disorder

0.56

0.22

2.56 (2.41–2.71)

0.61

0.26

2.33 (2.21–2.47)

0.55

0.25

2.23 (2.10–2.38)

Cognitive impairment

2.21

0.98

2.29 (2.22–2.35)

1.77

0.96

1.86 (1.80–1.91)

0.76

0.50

1.51 (1.43–1.58)

Conduct disorder

0.40

0.12

3.31 (3.07–3.57)

0.36

0.17

2.09 (1.95–2.24)

0.25

0.16

1.59 (1.46–1.73)

Delirium

0.95

0.17

5.66 (5.34–6.00)

0.50

0.16

3.19 (2.98–3.41)

0.16

0.06

2.51 (2.23–2.84)

Depression

27.59

18.01

1.75 (1.74–1.77)

30.44

21.60

1.61 (1.59–1.62)

27.12

20.36

1.48 (1.46–1.49)

Emotional state disorders

4.07

2.24

1.85 (1.82–1.89)

5.28

3.70

1.45 (1.43–1.48)

4.78

3.71

1.31 (1.28–1.33)

Memory impairment

10.72

2.88

4.05 (3.99–4.11)

8.70

3.16

2.92 (2.88–2.97)

4.15

2.03

2.10 (2.05–2.15)

Mental retardation

0.31

0.08

3.64 (3.33–3.97)

0.34

0.10

3.41 (3.14–3.70)

0.30

0.09

3.34 (3.04–3.68)

Personality and behavioural disorders due to brain disease. damage and dysfunction

2.02

0.58

3.56 (3.44–3.68)

1.85

0.71

2.65 (2.56–2.74)

1.26

0.58

2.19 (2.10–2.28)

Psychosis

0.74

0.24

3.03 (2.87–3.20)

0.81

0.32

2.56 (2.43–2.68)

0.71

0.31

2.33 (2.20–2.46)

Schizophrenia

1.28

0.41

3.19 (3.06–3.32)

1.30

0.46

2.84 (2.73–2.96)

1.12

0.42

2.68 (2.55–2.80)

Impairment of sensory organs

Anosmia

0.23

0.17

1.40 (1.30–1.52)

0.44

0.31

1.39 (1.31–1.47)

0.48

0.33

1.43 (1.35–1.52)

Visual impairment

11.61

11.41

1.02 (1.01–1.03)

20.47

19.19

1.08 (1.07–1.09)

22.45

20.88

1.10 (1.09–1.11)

Blindness

3.23

2.81

1.15 (1.13–1.18)

4.81

4.22

1.15 (1.13–1.17)

5.10

4.58

1.12 (1.10–1.14)

Hearing impairment. bilateral

5.40

5.10

1.06 (1.04–1.08)

10.04

9.00

1.13 (1.12–1.14)

9.58

8.40

1.16 (1.14–1.18)

Hearing impairment. side unspecified

19.5

17.18

1.17 (1.16–1.18)

29.14

25.82

1.19 (1.18–1.20)

26.86

23.74

1.19 (1.18–1.20)

Hearing impairment. unilateral

0.28

0.28

0.98 (0.92–1.05)

0.59

0.56

1.07 (1.02–1.12)

0.68

0.61

1.11 (1.06–1.17)

Other sensory disorders

0.71

0.18

3.96 (3.73–4.20)

0.55

0.22

2.47 (2.33–2.62)

0.26

0.13

2.03 (1.86–2.22)

Sleep disorders

Insomnia

0.10

0.07

1.60 (1.42–1.81)

0.15

0.09

1.53 (1.39–1.70)

0.13

0.08

1.52 (1.35–1.71)

Other sleeping disorder

7.20

5.50

1.34 (1.32–1.35)

9.51

7.71

1.26 (1.25–1.28)

8.92

7.40

1.23 (1.21–1.25)

Restless legs syndrome

2.97

2.67

1.11 (1.09–1.14)

3.31

3.01

1.10 (1.08–1.13)

2.93

2.57

1.14 (1.12–1.17)

Sleep apnea

4.33

3.88

1.12 (1.10–1.14)

4.95

4.39

1.14 (1.12–1.16)

4.59

4.03

1.15 (1.13–1.17)

Autonomic dysfunction and fatigue

Bladder disorder

3.39

2.31

1.48 (1.45–1.51)

4.07

2.97

1.39 (1.36–1.42)

3.30

2.51

1.33 (1.30–1.36)

Constipation

6.83

4.43

1.59 (1.56–1.61)

9.68

6.81

1.47 (1.45–1.49)

7.56

5.42

1.44 (1.41–1.46)

Dizziness

19.20

14.33

1.43 (1.41–1.44)

25.74

20.17

1.38 (1.37–1.39)

21.24

17.27

1.31 (1.30–1.33)

Fatigue

0.21

0.17

1.26 (1.16–1.36)

0.29

0.23

1.26 (1.17–1.35)

0.24

0.20

1.25 (1.15–1.36)

Hypotension

3.11

2.32

1.35 (1.32–1.38)

4.76

3.74

1.29 (1.27–1.31)

4.26

3.57

1.20 (1.18–1.23)

Sexual dysfunction

2.46

2.44

1.01 (0.99–1.03)

3.58

3.34

1.08 (1.06–1.10)

4.04

3.63

1.13 (1.10–1.15)

Risk factors

Alcohol abuse/ dependence

2.32

1.01

2.35 (2.29–2.42)

2.44

1.18

2.13 (2.08–2.19)

2.09

1.09

1.96 (1.90–2.02)

Nicotine abuse/ dependence

3.92

3.12

1.28 (1.25–1.30)

4.85

3.87

1.27 (1.25–1.30)

4.66

3.65

1.30 (1.28–1.33)

Migraine

2.34

2.30

1.02 (1.00–1.04)

3.03

2.90

1.04 (1.02–1.07)

3.46

3.33

1.04 (1.02–1.07)

Obesity

15.97

15.23

1.06 (1.05–1.07)

20.13

18.93

1.08 (1.07–1.09)

20.43

18.73

1.12 (1.11–1.13)

Traumatic brain injury

0.51

0.22

2.31 (2.18–2.45)

0.72

0.43

1.70 (1.62–1.78)

0.54

0.37

1.46 (1.38–1.55)

Vascular diseases and metabolic disorders

Atrial fibrillation

21.17

18.99

1.15 (1.14–1.16)

20.16

18.64

1.10 (1.09–1.12)

14.61

13.39

1.11 (1.10–1.12)

Carotid artery stenosis

7.13

6.47

1.11 (1.09–1.12)

8.63

7.78

1.12 (1.11–1.13)

7.50

6.67

1.14 (1.12–1.15)

Cerebrovascular disease

24.58

15.71

1.75 (1.74–1.77)

25.67

18.24

1.55 (1.54–1.57)

20.30

15.29

1.42 (1.40–1.43)

Hypercholesterolaemia

27.21

26.31

1.05 (1.04–1.06)

32.58

30.96

1.08 (1.07–1.09)

32.60

30.83

1.09 (1.08–1.10)

Hypertension

80.08

75.69

1.30 (1.29–1.31)

83.92

79.20

1.38 (1.37–1.39)

80.36

75.82

1.32 (1.31–1.33)

Ischemic heart disease

31.74

28.91

1.15 (1.14–1.16)

34.54

31.40

1.16 (1.15–1.17)

31.40

28.20

1.17 (1.16–1.18)

Type 2 diabetes mellitus

34.62

29.28

1.28 (1.27–1.29)

35.78

30.18

1.29 (1.28–1.30)

32.55

27.02

1.31 (1.29–1.32)

Infections

Acute upper respiratory infection

5.42

5.21

1.04 (1.03–1.06)

13.19

12.91

1.03 (1.01–1.04)

14.99

14.44

1.05 (1.04–1.06)

Antibiotic resistance

0.09

0.06

1.48 (1.30–1.69)

0.09

0.07

1.32 (1.16–1.49)

0.04

0.03

1.28 (1.04–1.58)

Cystitis

4.58

4.01

1.15 (1.13–1.17)

8.78

7.97

1.11 (1.10–1.13)

9.10

8.26

1.12 (1.10–1.13)

Pneumonia

2.24

1.94

1.16 (1.13–1.19)

3.81

3.63

1.05 (1.03–1.07)

3.25

3.08

1.06 (1.04–1.08)

Sepsis

0.37

0.24

1.51 (1.42–1.61)

0.43

0.34

1.27 (1.20–1.34)

0.29

0.23

1.24 (1.15–1.34)

Gastrointestinal disorders

Crohns disease

0.30

0.27

1.09 (1.02–1.17)

0.36

0.33

1.06 (1.00–1.13)

0.36

0.33

1.08 (1.01–1.16)

Duodenal ulcer

0.84

0.70

1.21 (1.16–1.26)

1.14

0.96

1.19 (1.15–1.23)

1.15

0.96

1.21 (1.16–1.25)

Gastritis

12.43

10.74

1.18 (1.17–1.19)

17.69

15.68

1.16 (1.15–1.17)

18.5

16.46

1.16 (1.14–1.17)

Reflux disease

15.37

14.38

1.08 (1.07–1.09)

18.55

17.37

1.08 (1.07–1.09)

18.31

17.10

1.09 (1.08–1.10)

Stomach ulcer

1.23

1.00

1.23 (1.19–1.28)

1.73

1.44

1.20 (1.17–1.24)

1.70

1.42

1.20 (1.17–1.24)

Ulcerative colitis

0.60

0.56

1.06 (1.02–1.12)

0.74

0.68

1.09 (1.05–1.14)

0.73

0.67

1.09 (1.04–1.14)

Comorbidities

Epilepsy

3.54

1.62

2.23 (2.18–2.28)

3.27

1.67

1.99 (1.95–2.04)

2.44

1.31

1.88 (1.83–1.94)

Multiple sclerosis

0.28

0.18

1.58 (1.47–1.71)

0.31

0.20

1.55 (1.44–1.66)

0.30

0.20

1.55 (1.43–1.67)

Parkinsons disease

5.82

2.18

2.78 (2.72–2.83)

5.26

2.24

2.43 (2.38–2.47)

3.46

1.59

2.23 (2.17–2.28)

General symptoms and conditions

Cancer

21.05

23.44

0.87 (0.86–0.88)

24.86

26.24

0.93 (0.92–0.94)

22.37

22.61

0.99 (0.98–0.99)

Ostearthritis

45.70

44.46

1.05 (1.05–1.06)

55.67

53.64

1.09 (1.08–1.10)

54.33

51.85

1.11 (1.10–1.12)

Other rheumatoid arthritis

3.86

3.78

1.02 (1.00–1.04)

4.69

4.49

1.05 (1.03–1.06)

4.57

4.26

1.08 (1.06–1.10)

Senility

18.45

14.78

1.32 (1.30–1.33)

17.06

14.30

1.24 (1.23–1.25)

8.88

7.79

1.17 (1.15–1.18)

Unspecific pain

20.75

17.54

1.24 (1.22–1.25)

23.17

19.91

1.22 (1.21–1.23)

17.57

15.01

1.22 (1.21–1.23)