Table 3.
Modela | No. of Cases/Total at Baseline | DP Score 2 Tertileb | HR (95% CI) | P Value | P Trendc |
---|---|---|---|---|---|
Model 1 | 253/2148 | Lowest | 1 [Reference] | ||
Middle | 0.73 (0.56–0.97) | .03 | |||
Highest | 0.54 (0.39–0.75) | <.001 | <.001 | ||
Model 2 | 251/2141 | Lowest | 1 [Reference] | ||
Middle | 0.72 (0.54–0.95) | .02 | |||
Highest | 0.59 (0.42–0.82) | .002 | .001 | ||
Model 3 | 211/1691 | Lowest | 1 [Reference] | ||
Middle | 0.81 (0.59–1.12) | .20 | |||
Highest | 0.62 (0.43–0.89) | .01 | .01 | ||
Supplementary Analysis | |||||
Model 2 and alcohol | 251/2141 | Lowest | 1 [Reference] | ||
Middle | 0.70 (0.52–0.93) | .01 | |||
Highest | 0.59 (0.42–0.82) | .002 | .002 | ||
Model 2 and nutrient supplements | 251/2141 | Lowest | 1 [Reference] | ||
Middle | 0.72 (0.54–0.96) | .03 | |||
Highest | 0.60 (0.43–0.85) | .003 | .002 | ||
Model 2 and alcohol and nutrient supplements | 251/2141 | Lowest | 1 [Reference] | ||
Middle | 0.70 (0.53–0.93) | .02 | |||
Highest | 0.60 (0.43–0.85) | .003 | .002 | ||
Model 2 and baseline CDRd | 204/1758 | Lowest | 1 [Reference] | ||
Middle | 0.66 (0.48–0.91) | .01 | |||
Highest | 0.64 (0.44–0.92) | .02 | .007 |
Abbreviations: AD, Alzheimer disease; CI, confidence interval; CDR, Clinical Dementia Rating; DP, dietary pattern; HR, hazard ratio.
Model 1: unadjusted. Model 2: adjusted for recruitment cohort, age, education, ethnicity, and sex. Model 3: adjusted for covariates in model 2 and smoking status, body mass index, caloric intake, comorbidity index, and APOE ε4 genotype.
The tertiles were defined based on the distribution of the DP score 2 among participants who remained without dementia during the follow-up.
P trend was obtained by entering the tertile terms as an ordinal variable in the Cox model.
Limited to subjects with more than 2 years of follow-up.