Abstract | BACKGROUND: AIMS: METHODS: Multinomial logistic regression was used to estimate overall and sex-specific odds ratios (OR) (95% confidence intervals (CI)) for treatment effects and predictors associated with the risk of cognitive decline/ dementia, and the women-to-men ratio of odds ratio (RORs). RESULTS: Over a median four years, 763 cognitive decline/ dementia (30.9% women) were recorded in 5888 participants. Women had lower odds of cognitive decline/ dementia than men (OR 0.78, 95%CI 0.63-0.95). Active treatment was associated with lower odds of cognitive decline/ dementia (0.84, 0.72-0.98), with no evidence of sex difference. Higher education (0.96,0.94-0.98 (per year)) and baseline Mini-Mental State Examination (MMSE)) were associated with lower odds of cognitive decline/ dementia (0.84,0.82-0.86 (per point higher)). Higher diastolic blood pressure (1.11,1.02-1.20 (per 10 mmHg)), low estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m2 (1.27,1.03-1.58), and peripheral arterial disease (1.78,1.26-2.52) were associated with higher odds of cognitive decline/ dementia. APOE ɛ4 was not associated with cognitive decline/ dementia (1.05 (0.85-1.30)). Low eGFR was more strongly associated with cognitive decline/ dementia in women than men (RORs, 1.60 (1.03-2.48)). Diabetes was more strongly associated with men than women. CONCLUSIONS:
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Authors | Jessica Gong, Katie Harris, Christophe Tzourio, Stephen Harrap, Sharon Naismith, Craig S Anderson, John Chalmers, Mark Woodward |
Journal | International journal of stroke : official journal of the International Stroke Society
(Int J Stroke)
Pg. 17474930211059298
(Nov 18 2021)
ISSN: 1747-4949 [Electronic] United States |
PMID | 34791978
(Publication Type: Journal Article)
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