Skip to main content
. Author manuscript; available in PMC: 2019 May 11.
Published in final edited form as: Ann Neurol. 2018 May 11;83(5):935–944. doi: 10.1002/ana.25228

Table 2.

Relative Risk (RR) of Clinical Diagnosis of Incident AD dementia for Every 10 mm Hg Increase in Systolic BP and 5 mm Hg Increase in Diastolic BP Above and Below the BP Threshold

RR (95% CI)
No BP Meds
RR (95% CI)
BP Meds
RR (95% CI)
No ε4 Allele
RR (95% CI)
Any ε4 Allele
N/AD 912/191 1225/246 1330/245 608/160

Systolic BP
Linear Risk 0.95 (0.90, 1.00) 1.07 (1.02, 1.12) 1.02 (0.97, 1.06) 1.05 (0.98, 1.13)
SBP Threshold 150 (148, 153) 120 (110, 130) 143 (140, 146) 141 (138, 144)
10 mm Hg below 0.78 (0.72, 0.85) 0.80 (0.58, 1.09) 0.88 (0.80, 0.96) 0.70 (0.62, 0.80)
10 mm Hg above 1.30 (1.17, 1.44) 1.09 (1.04, 1.15) 1.13 (1.05, 1.21) 1.43 (1.29, 1.59)

Diastolic BP
Linear Risk 0.92 (0.87, 0.97) 1.07 (1.02, 1.12) 1.02 (0.97, 1.07) 1.03 (0.97, 1.09)
DBP Threshold 84 (80, 88) 76 (74, 78) 76 (74, 78)
5 mm Hg below 0.90 (0.84, 0.96) 0.92 (0.83, 1.01) 0.74 (0.66, 0.83)
5 mm Hg above 1.03 (0.84, 1.26) 1.18 (1.10, 1.27) 1.32 (1.20, 1.44)

No ε4 Allele Any ε4 Allele
No BP Meds BP Meds No BP Meds BP Meds

N/AD 585/105 745/140 245/70 363/90

Systolic BP
Linear Risk 0.89 (0.82, 0.97) 1.09 (1.03, 1.16)a 1.13 (1.02, 1.25) 1.00 (0.92, 1.10)
SBP Threshold 153 (150, 156) - 139 (138, 140) 141 (138, 144)
10 mm Hg below 0.77 (0.69, 0.86) - 0.56 (0.46, 0.68) 0.81 (0.67, 0.97)
10 mm Hg above 1.29 (1.08, 1.54) - 2.00 (1.70, 2.31) 1.17 (1.02, 1.35)

Diastolic BP
Linear Risk 0.92 (0.85, 0.99)a 1.09 (1.02, 1.16)a 1.00 (0.81, 1.23) 1.10 (0.94, 1.28)
DBP Threshold - - 76 (75, 77) 76 (74, 78)
5 mm Hg below - - 0.60 (0.51, 0.72) 0.83 (0.71, 0.97)
5 mm Hg above - - 1.57 (1.33, 1.86) 1.20 (1.07, 1.34)
a

No observable change in pattern of log hazard function suggests the use of linear risk estimates

NOTE: Estimates adjusted for age, education, race, sex, heart disease, and diabetes. The presence of APOE ε4 allele adjusted for medication use, and medication use adjusted for APOE ε4 allele estimates