Table 1.
Overall | Whites | African American | |
---|---|---|---|
(X ± SE), % | (X ± SE), % | (X ± SE), % | |
(N = 1770) | (N = 794) | (N = 976) | |
APOE genotype, % | |||
ε3/ε3 | 51.1 ± 1.2 | 61.1 ± 1.7 | 43.0 ± 1.6 |
ε2/ε2 | 0.7 ± 0.2 | 0.5 ± 0.3 | 0.9 ± 0.3 |
ε2/ε3 | 14.9 ± 0.8 | 12.6 ± 1.2***d | 16.7 ± 1.2 |
ε2/ε4 | 4.0 ± 0.5 | 2.4 ± 0.5***d | 5.2 ± 0.7 |
ε3/ε4 | 25.4 ± 1.0 | 21.2 ± 1.4***d | 28.9 ± 1.5 |
ε4/ε4 | 3.9 ± 0.5 | 2.3 ± 0.5***d | 5.2 ± 0.7 |
APOE2 allelic dosage | |||
0 | 80.5 ± 0.9 | 84.5 ± 1.3 | 77.2 ± 1.3 |
1 | 18.8 ± 0.9 | 15.0 ± 1.3***d | 21.9 ± 1.3 |
2 | 0.7 ± 0.2 | 0.5 ± 0.3 | 0.9 ± 0.3 |
X ± SE | |||
APOE4 allelic dosage | |||
0 | 66.7 ± 1.1 | 74.2 ± 1.6 | 60.7 ± 1.6 |
1 | 29.4 ± 1.1 | 23.6 ± 1.5***d | 34.1 ± 1.5 |
2 | 3.9 ± 0.5 | 2.3 ± 0.5***d | 5.2 ± 0.7 |
X ± SE | |||
Baseline socio-demographic, SES, and health-related variables | |||
Sex, % male | 42.8 ± 1.2 | 43.7 ± 1.8 | 42.1 ± 1.6 |
Age at v1, years | 48.496 ± 0.218 | 48.606 ± 0.325 | 48.406 ± 0.294 |
African American, % | 55.1 ± 1.2 | 0.000 | 100.0 |
Poverty status, % < 125% of the 2004 federal poverty guidelines | 38.9 ± 1.2 | 31.0 ± 1.6*** | 45.3 ± 1.6 |
Education, completed, % | |||
< HS | 5.9 ± 0.6 | 8.5 ± 1.0***d | 3.9 ± 0.6 |
HS | 59.1 ± 1.2 | 55.9 ± 1.8 | 61.9 ± 1.6 |
> HS | 34.8 ± 1.1 | 35.7 ± 1.7 | 34.2 ± 1.5 |
Literacy, WRAT-3 score | 42.6 ± 0.2 | 44.8 ± 0.3***d | 40.8 ± 0.2 |
Baseline drug and tobacco use | |||
Any drug, current user, % | 17.5 ± 0.9 | 13.1 ± 1.2***d | 21.0 ± 1.4 |
Tobacco, current user, % | 44.8 ± 1.2 | 43.1 ± 1.8 | 46.2 ± 1.6 |
Body mass index, kg/m2 | 30.1 ± 0.2 | 30.3 ± 0.3 | 30.0 ± 0.3 |
Self-rated health, % | |||
Poor/average | 24.1 ± 1.0 | 26.7 ± 1.6**d | 21.9 ± 1.3 |
Good | 41.7 ± 1.2 | 37.5 ± 1.7 | 45.2 ± 1.6 |
Very good/excellent | 34.2 ± 1.1 | 35.8 ± 1.7*d | 32.9 ± 1.5 |
HEI-2010 total score at v1 | 42.5 ± 0.3 | 42.2 ± 0.5 | 42.8 ± 0.4 |
Total energy intake, kcal/day | 2018 ± 24 | 2035 ± 38 | 2003 ± 35 |
CES-D total score | 14.9 ± 0.3 | 15.5 ± 0.4*d | 14.4 ± 0.4 |
Hypertensiona, % | 46.1 ± 1.2 | 40.3 ± 1.8***d | 50.8 ± 1.6 |
Diabetesa, % | |||
No | 64.3 ± 1.1 | 63.3 ± 1.7 | 65.1 ± 1.5 |
Pre-diabetic | 18.6 ± 0.9 | 20.8 ± 1.5 | 16.9 ± 1.2 |
Diabetic | 17.1 ± 0.9 | 16.0 ± 1.3 | 18.1 ± 1.2 |
Dyslipidemiaa, % | 28.8 ± 1.1 | 33.6 ± 1.8***d | 24.9 ± 1.5 |
Cardiovascular diseasea, % | 17.6 ± 0.9 | 15.2 ± 1.3* | 19.7 ± 1.3 |
Co-morbidity indexa | 3.46 ± 0.034 | 3.43 ± 0.05 | 3.48 ± 0.05 |
Cognitive performance at v1, unadjustedb | |||
MMSE, non-normalized | 27.772 ± 0.051 | 28.163 ± 0.075***d | 27.454 ± 0.069 |
MMSE, normalized | 76.7 ± 0.37 | 80.3 ± 0.56***d | 73.8 ± 0.48 |
CVLT-List A | 24.635 ± 0.167 | 26.044 ± 0.263***d | 23.541 ± 0.207 |
CVLT-DFR | 7.321 ± 0.079 | 8.131 ± 0.121***d | 6.690 ± 0.099 |
BVRT | 6.339 ± 0.118 | 6.062 ± 0.167* | 6.566 ± 0.166 |
BTA | 6.692 ± 0.055 | 7.199 ± 0.079***d | 6.287 ± 0.072 |
AF | 18.866 ± 0.127 | 19.776 ± 0.198***d | 18.125 ± 0.160 |
DS-F | 7.317 ± 0.052 | 7.633 ± 0.081***d | 7.058 ± 0.067 |
DS-B | 5.692 ± 0.052 | 6.234 ± 0.083***d | 5.246 ± 0.063 |
CDT | 8.799 ± 0.029 | 8.972 ± 0.041***d | 8.656 ± 0.039 |
TRAILS A | 36.392 ± 0.915 | 31.690 ± 0.831***d | 40.246 ± 1.508 |
TRAILS B | 143.723 ± 3.702 | 111.639 ± 4.573***d | 170.019 ± 5.455 |
Annualized rate of cognitive change, unadjustedc | |||
MMSE, non-normalized | − 0.0116 ± 0.0103 | − 0.0055 ± 0.0149 | − 0.0101 ± 0.0141 |
MMSE, normalized | − 0.1941 ± 0.0847┼ | − 0.1596 ± 0.1315 | − 0.1570 ± 0.1111 |
CVLT-List A | − 1.353 ± 0.0430┼ | − 1.4380 ± 0.0719┼ | − 1.2940 ± 0.05259┼ |
CVLT-DFR | − 0.4505 ± 0.0179┼ | − 0.4804 ± 0.0296┼ | − 0.4258 ± 0.02214┼ |
BVRT | + 0.4659 ± 0.0266┼ | + 0.3166 ± 0.0358┼,***,d | + 0.5669 ± 0.0375┼ |
BTA | − 0.0618 ± 0.01243┼ | − 0.0803 ± 0.0192┼ | − 0.0447 ± 0.0163┼ |
AF | + 0.0132 ± 0.0242 | + 0.0400 ± 0.0402 | + 0.0025 ± 0.0298 |
DS-F | − 0.0139 ± 0.0102 | − 0.0008 ± 0.0169 | − 0.0196 ± 0.0128 |
DS-B | − 0.0067 ± 0.0103 | + 0.0071 ± 0.0164 | − 0.0113 ± 0.0132 |
CDT | − 0.0155 ± 0.0075┼ | − 0.0200 ± 0.0115 | − 0.00958 ± 0.00990 |
TRAILS A | + 0.4719 ± 0.2897 | + 0.3703 ± 0.2800 | + 0.3995 ± 0.4610 |
TRAILS B | + 4.0767 ± 0.8128┼ | + 2.298 ± 1.015┼ | + 5.0957 ± 1.1905┼ |
Abbreviations: AF animal fluency, APOE Apolipoprotein E genotype, BMI body mass index, BTA Brief Test of Attention, BVRT Benton Visual Retention Test, CDT Clock Drawing Test, CES-D Center for Epidemiologic Studies-Depression, CVLT-DFR California Verbal Learning Test-Delayed Free Recall, CVLT-List A California Verbal Learning Test-List A, DS-B Digits Span-Backward, DS-F Digits Span-Forward, HANDLS Healthy Aging in Neighborhood of Diversity across the Lifespan, HEI-2010 Healthy Eating Index, 2010 version, HS High school, MMSE Mini-Mental State Examination, SD standard deviation, TRAILS A Trailmaking Test, Part A, TRAILS B Trailmaking Test, part B, WRAT-3 Wide Range Achievement Test, 3rd revision, X mean
Values are means (X) ± SE for continuous variables and % for categorical variables. The sample selected has complete data on MMSE and 10 other cognitive test scores at visits 1 and/or 2 and complete data on APOE genotypes. Other covariates were multiple imputed (5 imputations with 10 iterations), using chained equations. All cognitive test scores are in the direction of higher score ➔ better performance with the exception of BVRT (# of errors) and TRAILS A and B (# of sec. to complete)
aThe co-morbidity index was calculated as the sum of hypertension, diabetes, and dyslipidemia (or statin use), and self-reported history of cardiovascular disease included atrial fibrillation, angina, coronary artery disease, congestive heart failure, or myocardial infarction, ranging from 0 to 5
bCrude baseline cognitive test score
cCrude estimated annual rate of change in cognitive performance based on mixed-effects linear regression model with TIME as the only covariate. Difference by race was determined by interacting TIME with race
dp < 0.05 upon further adjustment for age, sex, and poverty status in multiple linear, logistic, multinomial logit, or mixed-effects linear regression models with race entered as the main predictor
*p < 0.05; ** p < 0.01; *** p < 0.001, t-test for null hypothesis of no between-race differences
┼p < 0.05, t-test for null hypothesis of γ1 = 0 (fixed effects coefficient for TIME) in mixed-effects linear regression models with TIME as the only variable