Table 2.
Pooled effect estimates (βs)* and 95% Confidence Intervals (CIs) of composite z-score for global cognition† per doubling increase in serum perfluoroalkyl concentrations among 903 adults 60 years and older.
β (95% CI) | P value | |
---|---|---|
PFOS | ||
Model 1a | −0.001 (−0.040, 0.038) | 0.97 |
Model 2b | −0.001 (−0.040, 0.038) | 0.96 |
Model 3c | −0.009 (−0.049, 0.031) | 0.66 |
Model 4d | −0.009 (−0.048, 0.030) | 0.64 |
PFOA | ||
Model 1a | 0.067 (0.009, 0.12) | 0.02 |
Model 2b | 0.065 (0.008, 0.12) | 0.02 |
Model 3c | 0.059 (0.001, 0.12) | 0.05 |
Model 4d | 0.059 (0.003, 0.12) | 0.04 |
PFHxS | ||
Model 1a | 0.026 (−0.013, 0.064) | 0.20 |
Model 2b | 0.026 (−0.012, 0.064) | 0.18 |
Model 3c | 0.021 (−0.017, 0.059) | 0.28 |
Model 4d | 0.021 (−0.016, 0.058) | 0.27 |
PFNA | ||
Model 1a | 0.065 (0.023, 0.11) | 0.002 |
Model 2b | 0.066 (0.026, 0.11) | 0.001 |
Model 3c | 0.057 (0.014, 0.10) | 0.01 |
Model 4d | 0.057 (0.015, 0.10) | 0.008 |
PFOS, perfluorooctane sulfonate; PFOA, perfluorooctanoate; PFHxS, perfluorohexane sulfonate; PFNA, perfluorononanoate.
Model 1 was adjusted for age, sex, race/ethnicity, education, poverty-income ratio, health insurance, food security, smoking status, alcohol consumption, total recreational activity, and NHANES cycles. Complex survey designs were taken into account in the analyses
Model 2: Model 1 + smoking pack-years, serum cotinine (log-transformed)
Model 3: Model 2 + fish and shellfish consumption
Model 4: Model 3 + CKD status.
Estimates were pooled with 20 imputed data.
Global cognition was created by the average of the standardized z-scores of the four cognitive tests (CERAD Word List Learning Test, CERAD Word List Recall Test, Animal Fluency Test and Digit Symbol Substitution Test).