Table 2.
Risk for dementia associated with mid- and late-life adiposity.
| N dementia/N | Minimally adjusted modela | Fully adjusted modelb | |||
|---|---|---|---|---|---|
| HR (95% CI) | P | HR (95% CI) | P | ||
| Adiposity measured at 50–64 years | 296/9 222 | ||||
| BMI | |||||
| Underweight | 12/437 | 0.95 (0.52 to 1.72) | 0.86 | 0.92 (0.51 to 1.67) | 0.79 |
| Normal weight | 129/4729 | Ref | - | Ref | - |
| Overweight | 106/2933 | 1.41 (1.08 to 1.82) | 0.01 | 1.41 (1.09 to 1.83) | 0.01 |
| Obesity | 49/1123 | 1.76 (1.26 to 2.46) | <0.01 | 1.77 (1.26 to 2.47) | <0.01 |
| Waist circumference | |||||
| No abdominal obesity | 138/5111 | Ref | - | Ref | - |
| Abdominal obesity | 158/4111 | 1.54 (1.21 to 1.95) | <0.01 | 1.56 (1.23 to 1.98) | <0.01 |
| Waist-to-height ratio | |||||
| No abdominal obesity | 60/2521 | Ref | - | Ref | - |
| Abdominal obesity | 236/6701 | 1.55 (1.15 to 2.07) | <0.01 | 1.55 (1.16 to 2.08) | <0.01 |
| Adiposity measured at ≥ 65 years | 327/3806 | ||||
| BMI | |||||
| Underweight | 44/468 | 1.21 (0.87 to 1.69) | 0.25 | 1.22 (0.88 to 1.70) | 0.24 |
| Normal weight | 176/2278 | Ref | - | Ref | - |
| Overweight | 82/1046 | 1.07 (0.82 to 1.40) | 0.60 | 1.07 (0.82 to 1.40) | 0.62 |
| Obesity | 25/341 | 1.14 (0.74 to 1.75) | 0.55 | 1.14 (0.74 to 1.74) | 0.56 |
| Waist circumference | |||||
| No abdominal obesity | 178/2022 | Ref | - | Ref | - |
| Abdominal obesity | 149/1784 | 1.12 (0.89 to 1.41) | 0.34 | 1.11 (0.88 to 1.40) | 0.36 |
| Waist-to-height ratio | |||||
| No abdominal obesity | 88/775 | Ref | - | Ref | - |
| Abdominal obesity | 239/3031 | 0.97 (0.75 to 1.25) | 0.82 | 0.97 (0.75 to 1.25) | 0.80 |
BMI body mass index group.
Cox model was used to separately test the age-specific association between each adiposity measure and subsequent dementia. Adiposity was measured at baseline for each participant. The distribution of age at adiposity measurement and dementia onset is shown in Supplementary Fig. 1.
aMinimally adjusted model: baseline age, sex, and education level were adjusted.
bFully adjusted model: baseline age, sex, education level, smoking frequency, and drinking frequency were adjusted.