Table 2. Independent associations of brachial-ankle pulse wave velocity at baseline with subsequent cognitive decline in community-dwelling Japanese aged ≥65 years.
| Independent variable | Model 1 (n = 524) | Model 2 (n = 524) | Model 3 (n = 487) | Model 4 (n = 483) |
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| PWV tertile | ||||
| lowest (reference) | 1 | 1 | 1 | 1 |
| middle | 2.61 (1.32–5.18)** | 2.44 (1.21–4.90)* | 2.35 (1.12–4.95)* | 2.39 (1.11–5.15)* |
| highest | 3.88 (1.99–7.54)** | 2.90 (1.44–5.86)** | 2.76 (1.30–5.84)** | 2.95 (1.29–6.74)** |
| Female sex | 1.15 (0.74–1.88) | 0.92 (0.54–1.57) | 0.99 (0.57–1.73) | |
| Age, per year | 1.06 (1.02–1.11)* | 1.04 (0.99–1.09) | 1.05 (0.99–1.10) | |
| Duration of follow-up, per year | 1.51 (1.14–2.01)* | 1.45 (1.05–2.00)* | 1.55 (1.11–2.16)** | |
| ≥13 years of education | 0.19 (0.04–0.82)* | 0.20 (0.04–0.87)* | ||
| Going outdoors more than once a day | 0.47 (0.21–1.05) | 0.48 (0.22–1.09) | ||
| Usual walking speed, per tertile increase | 0.81 (0.57–1.14) | 0.81 (0.57–1.15) | ||
| White blood cell count, per tertile increase | 1.23 (0.89–1.71) | 1.17 (0.84–1.64) | ||
| MMSE ≥26 points | 2.82 (1.03–7.69)* | 2.78 (1.01–7.68)* | ||
| Use of antihypertensive medication | 0.77 (0.43–1.38) | |||
| Systolic blood pressure, per tertile increase | 1.06 (0.75–1.52) | |||
| HDL cholesterol, per tertile increase | 0.82 (0.59–1.15) | |||
| Albumin, per tertile increase | 1.00 (0.78–1.33) | |||
| APOE genotype, ε4 | 0.85 (0.42–1.72) | |||
APOE, apolipoprotein E; CI, confidence interval; HDL, high-density lipoprotein; OR, odds ratio; PWV, pulse wave velocity; MMSE, Mini-Mental State Examination.
*P < 0.05, **P < 0.01.
Tertiles were defined as follows: usual walking speed (m/s): ≤1.29, 1.29–1.47, ≥1.47; white blood cell count (/µL): ≤4700, 4700–5800, ≥5800; systolic blood pressure (mm Hg): ≤121, 121–137, ≥137; HDL cholesterol (mg/dL): ≤51, 51–63, ≥63; albumin (g/dL): ≤4, 4–4.3, ≥4.3.