Table 4.
Cerebral microbleeds and the risk of dementia
| Dementia | Alzheimer’s dementia | |||
|---|---|---|---|---|
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| n/N | HR (95% CI) | n/N | HR (95% CI) | |
|
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| Model I | ||||
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| No microbleeds | 39/3911 | Reference | 28/3911 | Reference |
| Any microbleeds | 33/930 | 2.02 (1.25–3.24) | 25/930 | 2.10 (1.21–3.64) |
| Lobar* | 21/648 | 1.81 (1.05–3.11) | 17/648 | 2.00 (1.08–3.71) |
| Deep or infratentorial± | 12/282 | 2.39 (1.23–4.61) | 8/282 | 2.15 (0.97–4.78) |
|
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| Model II | ||||
|
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| No microbleeds | 26/3088 | Reference | 18/3088 | Reference |
| Any microbleeds | 21/728 | 1.59 (0.88–2.89) | 16/728 | 1.67 (0.83–3.36) |
| Lobar* | 15/512 | 1.65 (0.86–3.17) | 11/512 | 1.66 (0.77–3.59) |
| Deep or infratentorial± | 6/216 | 1.40 (0.55–3.52) | 5/216 | 1.58 (0.56–4.45) |
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| Model III | ||||
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| No microbleeds | 36/3743 | Reference | 26/3743 | Reference |
| Any microbleeds | 28/868 | 1.73 (1.03–2.90) | 21/868 | 1.83 (1.00–3.33) |
| Lobar* | 17/603 | 1.55 (0.86–2.81) | 14/603 | 1.70 (0.87–3.32) |
| Deep or infratentorial± | 11/265 | 2.42 (1.18–4.96) | 7/265 | 2.34 (0.98–5.63) |
Values represent adjusted hazard ratios (HR) (95% confidence interval [CI]) for incident dementia in participants with microbleeds compared to those without microbleeds.
Model I: adjusted for age, sex, and education level.
Model II: as Model I, additionally adjusted for APOE ε4 carriership (versus ε3/ε3) and a propensity score of cardiovascular risk factors which included hypertension, total and HDL cholesterol, smoking status, diabetes mellitus, lipid-lowering and antithrombotic medication use.
Model III: as Model I, additionally for lacunes, intracranial volume, white matter lesion volume.
n/N= number of dementia cases/total number of participants per strata. Numbers differ for model I to III because missing values for APOE genotype in model II were not imputed, and because white matter lesion volume was calculated in 4,611 participants in model III.
Lobar microbleeds with or without cerebellar microbleeds.
Deep or infratentorial microbleeds with or without lobar microbleeds.