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. 2019 Jul 23;16(7):e1002853. doi: 10.1371/journal.pmed.1002853

Table 4. Summary of factors significantly associated with worse or better cognitive performance and/or faster or slower cognitive declinea.

Factor Performance Decline
Worse performance or faster decline
Age at baseline Global; MMSE Global; MMSE
Anxietyb Global
APOE*4 carriage Global Global; MMSE
Body mass index Global
Depression, current Global; MMSE
Diabetes Global; MMSE MMSE
Health, poorb,c Global; MMSE Global
Hypertension Global
Peripheral vascular disease Global
Smoking, current Global
Smoking, past Global
Stroke Global; MMSE Global; MMSE
Better performance or slower decline
Alcohol, 1 drink/weekd MMSE
Alcohol, 2+ drinks/weekd MMSE MMSE
Cardiovascular disease MMSE Global; MMSE
Education Global; MMSE
Physical activity, vigorouse Global; MMSE

aSignificant effects for at least 1 fully adjusted multivariable model (independent effects) are shown in bold font, and significant effects for only partially adjusted multivariable models are in normal font. Empty cells indicate no significant results. Global cognition was calculated as a composite of 4 neuropsychological tests, each representing 1 of 4 cognitive domains: memory, language, processing speed, and executive functioning. MMSE denotes Mini-Mental State Examination.

bNot included in fully adjusted models.

cVersus very good.

dVersus nil/minimal alcohol.

eOne or more times/week versus minimal activity.