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. 2021 Jun 30;13:120. doi: 10.1186/s13195-021-00855-y

Table 1.

Study sample characteristics, overall, and by race in final analytic sample with imputed covariates (N = 1770), HANDLS 2004–2013

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