Table 2.
Association between anti-HTN medication use and incident AD from Cox proportional hazards model in the whole sample and in anti-HTN medication users
| Number of users | Number of users | AD/person-years | Whole samplea | Anti-HTN medicationb users | ||
|---|---|---|---|---|---|---|
| Unadjusted HR (95% CI) | Adjusted HR1 (95% CI)c | Adjusted HR2 (95% CI)d | Adjusted HR2 (95% CI) | |||
| Antihypertensive | 1992 | 166/12,212 | 0.78 (0.62–0.97)e | 0.75 (0.60–0.94)e | 0.76 (0.60–0.96)e | NA |
| ACE inhibitors | 801 | 59/4430 | 0.90 (0.68–1.19) | 0.91 (0.68–1.22) | 0.95 (0.71–1.29) | 1.06 (0.76–1.50) |
| β-Blockers | 717 | 56/4125 | 0.90 (0.67–1.20) | 0.86 (0.64–1.16) | 0.90 (0.67–1.21) | 1.02 (0.73–1.43) |
| Calcium channel blockers | 670 | 51/4115 | 0.77 (0.57–1.03) | 0.73 (0.54–0.98)e | 0.75 (0.55–1.04) | 0.85 (0.60–1.20) |
| Dihydropyridine | 317 | 22/1823 | 0.75 (0.49–1.16) | 0.69 (0.45–1.07) | 0.75 (0.48–1.17) | 0.84 (0.53–1.34) |
| Non-dihydropyridine | 373 | 32/2370 | 0.88 (0.61–1.27) | 0.87 (0.60–1.26) | 0.88 (0.60–1.30) | 0.99 (0.66–1.49) |
| Diuretics | 1253 | 95/7289 | 0.75 (0.59–0.96)e | 0.74 (0.58–0.95)e | 0.72 (0.56–0.93)e | 0.77 (0.56–1.06) |
| Loop | 386 | 36/1848 | 1.02 (0.72–1.45) | 1.00 (0.70–1.43) | 0.98 (0.67–1.43) | 1.09 (0.73–1.64) |
| Thiazide | 940 | 67/5697 | 0.74 (0.57–0.97)e | 0.71 (0.54–0.94)e | 0.70 (0.53–0.93)e | 0.75 (0.54–1.04) |
| Potassium sparing | 476 | 34/2869 | 0.69 (0.49–0.99)e | 0.67 (0.46–0.96)e | 0.69 (0.48–0.99)e | 0.74 (0.50–1.10) |
Key: ACE, angiotensin-converting enzyme; AD, Alzheimer’s disease; CABG, coronary artery bypass graft; CI, confidence interval; HR, hazard ratio; MI, myocardial infarction; NA, not applicable.
The reference group of each class of anti-HTNs comprises use of other anti-HTNs and nonusers.
The reference group of each class of anti-HTNs comprises use of other anti-HTNs.
Adjusted relative hazard estimated from models that control for age, sex, education, number of APOE ε4 alleles, and smoking and drinking habits at baseline.
Adjusted relative hazard estimated from models that control for variables above plus history of high cholesterol, diabetes, stroke, CABG, and MI.
p ≤ 0.05.