Table 3.
Results of Cox Proportional Hazards Models of Time to Dementia for Older Adult Patients with Hypertension by Any Antihypertensive Medication Usage, With and Without Adjusting for Blood Pressure Control*
Variable | Models without adjusting for ApoE ε4 | Models adjusting for ApoE ε4 | ||||
---|---|---|---|---|---|---|
Models without adjusting for blood pressure control (n = 1234 and 707) | ||||||
HR | 95% CI | p value | HR | 95% CI | p value | |
Prescribed any antihypertensive medication | 0.57 | 0.37–0.88 | 0.01 | 0.65 | 0.38–1.12 | 0.12 |
Not prescribed antihypertensive medication | Ref | Ref | ||||
Age at baseline | 1.11 | 1.08–1.15 | <0.001 | 1.12 | 1.08–1.16 | <0.001 |
Years of education | 0.89 | 0.84–0.95 | <0.001 | 0.88 | 0.82–0.95 | <0.001 |
Male | 0.96 | 0.61–1.53 | 0.87 | 0.85 | 0.46–1.55 | 0.59 |
Female | ||||||
Coronary artery disease | 1.03 | 0.66–1.60 | 0.90 | 0.85 | 0.51–1.42 | 0.53 |
Chronic renal disease | 0.94 | 0.48–1.83 | 0.85 | 1.32 | 0.63–2.77 | 0.46 |
Heart failure | 1.10 | 0.67–1.80 | 0.72 | 1.13 | 0.63–2.03 | 0.69 |
Transient ischemic attack | 1.14 | 0.57–2.27 | 0.71 | 1.21 | 0.55–2.70 | 0.64 |
Stroke | 1.56 | 0.70–3.51 | 0.28 | 1.53 | 0.62–3.76 | 0.35 |
Atrial fibrillation | 0.69 | 0.34–1.39 | 0.30 | 0.83 | 0.39–1.78 | 0.63 |
Diabetes - type 1 or 2 | 0.92 | 0.62–1.38 | 0.69 | 0.85 | 0.51–1.40 | 0.52 |
Chronic obstructive pulmonary disease | 0.45 | 0.18–1.15 | 0.10 | 0.54 | 0.21–1.44 | 0.22 |
Cancer | 0.61 | 0.41–0.90 | 0.01 | 0.55 | 0.34–0.87 | 0.011 |
ApoE ε4 carriers | N/A | N/A | N/A | 2.07 | 1.30–3.29 | 0.002 |
Models adjusting for blood pressure control (n = 838 and 560) | ||||||
Prescribed any antihypertensive medication | 0.65 | 0.32–1.30 | 0.22 | 0.96 | 0.38–2.44 | 0.93 |
Not prescribed antihypertensive medication | Ref | Ref | ||||
Age at baseline | 1.13 | 1.08–1.17 | <0.001 | 1.15 | 1.10–1.20 | <0.001 |
Years of education | 0.88 | 0.81–0.95 | 0.002 | 0.85 | 0.77–0.95 | 0.003 |
Male | 0.96 | 0.54–1.73 | 0.90 | 1.06 | 0.49–2.29 | 0.87 |
Female | ||||||
Blood pressure suboptimally treated | 1.78 | 1.11–2.86 | 0.02 | 2.19 | 1.22–3.94 | 0.009 |
Coronary artery disease | 1.15 | 0.66–2.02 | 0.62 | 0.99 | 0.51–1.92 | 0.98 |
Chronic renal disease | 1.01 | 0.45–2.26 | 0.98 | 1.37 | 0.55–3.40 | 0.50 |
Heart failure | 1.23 | 0.65–2.30 | 0.52 | 1.09 | 0.52–2.28 | 0.82 |
Transient ischemic attack | 1.34 | 0.63–2.89 | 0.45 | 1.44 | 0.58–3.55 | 0.43 |
Stroke | 1.15 | 0.38–3.48 | 0.81 | 0.86 | 0.23–3.16 | 0.82 |
Atrial fibrillation | 0.60 | 0.26–1.40 | 0.24 | 0.74 | 0.29–1.90 | 0.53 |
Diabetes - type 1 or 2 | 0.70 | 0.42–1.18 | 0.18 | 0.72 | 0.37–1.38 | 0.32 |
Chronic obstructive pulmonary disease | 0.40 | 0.12–1.33 | 0.14 | 0.51 | 0.15–1.77 | 0.29 |
Cancer | 0.76 | 0.47–1.24 | 0.27 | 0.72 | 0.40–1.28 | 0.26 |
ApoE ε4 carriers | N/A | N/A | N/A | 2.11 | 1.15–3.88 | 0.017 |
*HR = hazard ratio; 95% CI = 95% confidence interval