Table 3.
Regression models predicting incident Dementia in participants who were diagnosed with MCI at Baseline. Model 1 included demographic, cardiovascular risk factors and baseline MCI etiology; Model 2 adds recruitment factors.
| Model 1 | Model 2 | ||||||
|---|---|---|---|---|---|---|---|
| Coefficient | HR | HR 95% CI | p value | HR | HR 95% CI | p value | |
| African American (reference: White) | 0.66 | 0.56 — 0.77 | <0.0001 | 0.71 | 0.61 — 0.84 | <0.0001 | |
| Female (reference: Male) | 1.01 | 0.91 — 1.11 | 0.8642 | 1.03 | 0.94 — 1.14 | 0.5172 | |
| Education: (reference: HS education) | |||||||
| under HS | 1.02 | 0.81 — 1.28 | 0.8859 | 0.99 | 0.79 — 1.25 | 0.9542 | |
| over HS | 0.79 | 0.68 — 0.93 | 0.0035 | 0.80 | 0.68 — 0.93 | 0.0049 | |
| Bachelor | 0.93 | 0.81 — 1.08 | 0.3359 | 0.94 | 0.82 — 1.09 | 0.4149 | |
| Masters | 0.85 | 0.73 — 0.98 | 0.0298 | 0.85 | 0.74 — 0.99 | 0.0343 | |
| Doctorate | 0.81 | 0.68 — 0.97 | 0.0236 | 0.79 | 0.66 — 0.95 | 0.0112 | |
| unknown | 2.14 | 0.79 — 5.77 | 0.1332 | 2.13 | 0.79 — 5.77 | 0.1350 | |
| Diabetes: (reference: non-diabetic) | |||||||
| recent/active | 1.04 | 0.89 — 1.22 | 0.5856 | 1.07 | 0.91 — 1.25 | 0.4100 | |
| remote/inactive | 1.77 | 1.12 — 2.79 | 0.0148 | 1.96 | 1.24 — 3.10 | 0.0040 | |
| unknown | 1.33 | 0.60 — 2.94 | 0.4785 | 1.33 | 0.59 — 2.98 | 0.4885 | |
| Hypertension: (reference: non hypertensive) | |||||||
| recent/active | 0.98 | 0.89 — 1.09 | 0.7567 | 0.98 | 0.89 — 1.08 | 0.6952 | |
| remote/inactive | 1.01 | 0.77 — 1.32 | 0.9447 | 0.97 | 0.74 — 1.28 | 0.8546 | |
| unknown | 0.91 | 0.39 — 2.15 | 0.8351 | 0.95 | 0.40 — 2.28 | 0.9086 | |
| Cardiac Event/Condition:* (reference: no event/condition) | |||||||
| recent/active | 0.95 | 0.80 — 1.13 | 0.5712 | 0.95 | 0.80 — 1.14 | 0.5954 | |
| unknown | 0.88 | 0.73 — 1.06 | 0.1770 | 0.87 | 0.72 — 1.05 | 0.1374 | |
| Primary etiology for MCI (reference: Alzheimer’s disease) | |||||||
| Vascular disease | 0.60 | 0.46 — 0.79 | 0.0003 | 0.63 | 0.48 — 0.83 | 9.00E-04 | |
| Lewy body | 1.17 | 0.93 — 1.47 | 0.1716 | 1.10 | 0.88 — 1.38 | 0.4079 | |
| other | 0.64 | 0.52 — 0.79 | <0.0001 | 0.63 | 0.51 — 0.77 | <0.0001 | |
| missing/unknown | 0.59 | 0.54 — 0.66 | <0.0001 | 0.63 | 0.57 — 0.70 | <0.0001 | |
| Referral: (reference: referred by self/relative/friend) | |||||||
| health professional | 1.46 | 1.29 — 1.64 | <0.0001 | ||||
| other† | 0.88 | 0.77 — 1.00 | 0.0574 | ||||
| unknown | 0.80 | 0.61 — 1.06 | 0.1225 | ||||
| Family History of Dementia: (reference: no family history) | |||||||
| ≥1 1st degree relative | 1.12 | 1.01 — 1.25 | 0.0256 | ||||
| unknown | 1.00 | 0.83 — 1.21 | 0.9727 | ||||
Reference for Baseline cognitively unimpaired: White, Male, High School education, non-diabetic, non-hypertensive, no history of cardiac event/condition, referred by self/relative/friend, and no family history of dementia.
The designation of “recent/active” was given if the condition occurred within the year prior to the study visit or required active management in the case of chronic conditions and the report was consistent with information obtained during the subject and study partner interview. The label “remote/inactive” was indicated if the condition existed or occurred in the past or more than one year ago, but had resolved or no longer needed treatment or management. As implied, if a condition was reported by either the participant or the study partner or indicated from other records, it was designated as “absent”. A label of “unknown” selected if there was insufficient data to determine the status of the condition.
Cardiac event/condition includes history of myocardial infarction (MI), atrial fibrillation (AFib), and congestive heart failure (CHF). “Recent/active” selected if any of the three conditions were “recent/active”; categorization “absent” if all three were “absent” or “remote/inactive”, and “unknown” for combinations of “unknown”, “absent”, and “remote/inactive”.
The category of “Other” for Referral Source represents a mixture of categories, including Alzheimer’s Disease Center (ADC) solicitation, non-ADC study, population sample, or non-ADC media appeal.
NOTE: As is evident in the table, variables of interest included a number of “unknown” responses. Sensitivity analyses were performed, wherein an “unknown” response for any of the covariates in the table resulted in the subject being excluded from analyses. Although sample size was markedly reduced, race results were practically unchanged.