Table 3.
Mean Differencea in “Average” Cognition Score (Average of Scores From All 4 Cognitive Assessments) in Later Life Across Quintiles of Totalb and Dietaryc Intake of Vitamin E, Vitamin C, and Carotenoids, Nurses’ Health Study, 1995–2001
Antioxidant and Quintile | Median Intaked | Global Composite |
Verbal Composite |
TICS |
|||
---|---|---|---|---|---|---|---|
Mean Difference | 95% CI | Mean Difference | 95% CI | Mean Difference | 95% CI | ||
Total vitamin Ee,f | |||||||
1 | 7 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 12 | 0.04 | 0.01, 0.07 | 0.03 | 0.00, 0.07 | 0.17 | 0.04, 0.30 |
3 | 31 | 0.05 | 0.02, 0.08 | 0.05 | 0.01, 0.08 | 0.21 | 0.07, 0.34 |
4 | 69 | 0.08 | 0.05, 0.11 | 0.09 | 0.05, 0.12 | 0.31 | 0.17, 0.45 |
5 | 159 | 0.05 | 0.02, 0.08 | 0.05 | 0.02, 0.09 | 0.16 | 0.02, 0.31 |
P-trendg | 0.12 | 0.06 | 0.49 | ||||
Dietary vitamin Ee,h | |||||||
1 | 6.2 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 7.1 | 0.03 | 0.00, 0.05 | 0.03 | 0.00, 0.06 | 0.08 | −0.04, 0.21 |
3 | 7.8 | 0.04 | 0.01, 0.06 | 0.04 | 0.00, 0.07 | 0.12 | 0.00, 0.25 |
4 | 8.5 | 0.04 | 0.01, 0.07 | 0.05 | 0.01, 0.08 | 0.12 | 0.00, 0.25 |
5 | 9.9 | 0.05 | 0.02, 0.08 | 0.08 | 0.04, 0.11 | 0.14 | 0.02, 0.27 |
P-trend | 0.0008 | < 0.0001 | 0.03 | ||||
Total vitamin Ce,i | |||||||
1 | 124 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 178 | −0.02 | −0.05, 0.01 | −0.02 | −0.06, 0.01 | −0.09 | −0.22, 0.03 |
3 | 244 | 0.01 | −0.02, 0.04 | 0.01 | −0.02, 0.04 | 0.01 | −0.11, 0.14 |
4 | 389 | 0.01 | −0.02, 0.04 | 0.02 | −0.02, 0.05 | 0.00 | −0.13, 0.13 |
5 | 761 | 0.00 | −0.03, −0.04 | 0.00 | −0.04, 0.03 | −0.06 | −0.20, 0.07 |
P-trend | 0.51 | 0.77 | 0.54 | ||||
Dietary vitamin Ce,j | |||||||
1 | 95 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 126 | 0.03 | 0.00, 0.05 | 0.02 | −0.01, 0.05 | 0.16 | 0.04, 0.28 |
3 | 149 | 0.01 | −0.02, 0.03 | 0.01 | −0.03, 0.04 | 0.05 | −0.07, 0.18 |
4 | 173 | 0.02 | −0.01, 0.05 | 0.03 | 0.00, 0.06 | 0.10 | −0.02, 0.23 |
5 | 213 | 0.03 | 0.00, 0.06 | 0.04 | 0.01, 0.07 | 0.16 | 0.03, 0.28 |
P-trend | 0.12 | 0.009 | 0.05 | ||||
Total carotenoidse,j | |||||||
1 | 8,631 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 11,436 | 0.03 | 0.01, 0.06 | 0.04 | 0.01, 0.07 | 0.09 | −0.03, 0.22 |
3 | 13,841 | 0.05 | 0.02, 0.08 | 0.05 | 0.02, 0.09 | 0.13 | 0.01, 0.26 |
4 | 16,594 | 0.05 | 0.02, 0.08 | 0.07 | 0.03, 0.10 | 0.11 | −0.02, 0.23 |
5 | 21,310 | 0.06 | 0.03, 0.09 | 0.09 | 0.06, 0.13 | 0.13 | 0.00, 0.25 |
P-trend | 0.0001 | < 0.0001 | 0.08 | ||||
Dietary carotenoidse,j | |||||||
1 | 8,326 | 0.00 | Referent | 0.00 | Referent | 0.00 | Referent |
2 | 11,095 | 0.05 | 0.02, 0.08 | 0.07 | 0.04, 0.10 | 0.13 | 0.01, 0.25 |
3 | 13,407 | 0.05 | 0.02, 0.08 | 0.06 | 0.03, 0.09 | 0.12 | 0.00, 0.25 |
4 | 16,044 | 0.06 | 0.03, 0.09 | 0.08 | 0.05, 0.12 | 0.14 | 0.02, 0.27 |
5 | 20,506 | 0.06 | 0.03, 0.09 | 0.10 | 0.07, 0.13 | 0.11 | −0.01, 0.24 |
P-trend | 0.0005 | < 0.0001 | 0.13 |
Abbreviations: CI, confidence interval; TICS, Telephone Interview for Cognitive Status.
a Mean differences compare the mean “average cognition” in later life for women in the quintile of interest with women in quintile 1 (the referent). Therefore, a positive mean difference indicates that women in the quintile of interest have higher “average cognition” than those in quintile 1; a negative mean difference indicates that women in the quintile of interest have lower “average cognition” than those in quintile 1.
b Total intake includes the contributions of foods and supplements.
c Dietary intake includes the contribution of foods only.
d Median intakes are expressed in g/day for vitamins E and C and in μg/day for carotenoids.
e Adjusted for age (years; continuous), education (registered nurse degree, bachelor's degree, graduate degree), time span between cognitive interviews (years; continuous), antidepressant use (yes, no), alcohol intake (none, 0–14 g/day, ≥15 g/day, or missing data), smoking (never, past, or current), physical activity (quintiles of metabolic equivalent of task-hours/week, or missing data), total energy intake (quintiles of kcal/day), body mass index (<22, 22–24, 25–30, ≥30, or missing data), history of high blood pressure (yes, no), history of high cholesterol (yes, no), history of type 2 diabetes (yes, no), and history of myocardial infarction (yes, no).
f Additionally adjusted for use of vitamin C supplements (yes—regularly, yes—seasonally, no, or missing data), use of multivitamins (yes, no, or missing data), and polyunsaturated fat intake (quintiles).
g Linear tests for trend were performed using the median value of each quintile as a continuous variable in regression models.
h Additionally adjusted for use of vitamin E supplements (yes, no, or missing data), vitamin C supplements, and multivitamins and polyunsaturated fat intake (quintiles).
i Additionally adjusted for use of vitamin E supplements and multivitamins.
j Additionally adjusted for use of vitamin E supplements, vitamin C supplements, and multivitamins.