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. 2026 Feb 23;13:1761323. doi: 10.3389/fnut.2026.1761323

Table 2.

Association between NPS group and cognitive impairmenta.

NPS group Crude model Model 1 Model 2
OR (95% CI) P value OR (95% CI) P value OR (95% CI) P value
CERAD
0 Reference Reference Reference
1–2 1.47 (0.98–2.22) 0.061 1.26 (0.84–1.89) 0.251 1.27 (0.80–2.01) 0.277
3–4 2.28 (1.34–3.86) 0.003 1.44 (0.81–2.56) 0.208 1.43 (0.76–2.69) 0.230
P for trend 0.002 0.230 0.247
CFDAST
0 Reference Reference Reference
1–2 1.06 (0.74–1.53) 0.731 1.13 (0.76–1.67) 0.536 1.11 (0.72–1.72) 0.597
3–4 2.41 (1.46–3.96) 0.001 2.19 (1.32–3.64) 0.004 2.03 (1.18–3.51) 0.016
P for trend <0.001 0.001 0.007
CFDDS
0 Reference Reference Reference
1–2 0.97 (0.62–1.53) 0.896 0.94 (0.55–1.60) 0.820 0.86 (0.45–1.65) 0.617
3–4 2.31 (1.35–3.95) 0.003 1.93 (1.10–3.38) 0.024 1.74 (0.94–3.24) 0.069
P for trend <0.001 0.007 0.025
a

Cognitive impairment was defined as scoring in the lowest quartile of each cognitive test. Crude model: no covariates adjusted. Model 1: adjusted for age, gender, and race. Model 2: additionally adjusted for education level, smoking status, alcohol consumption, caffeine intake, BMI category, hypertension, diabetes, and energy intake. Bold values indicate statistically significant associations (P < 0.05). NPS, Naples Prognostic Score; OR, odds ratio; CI, confidence interval; CERAD, total score from consortium to establish a registry for Alzheimer’s disease test; CFDAST, animal fluency test score; CFDDS, digit symbol substitution test score.