Table 1.
Total () | Mean-centered baseline 10-y average | ||
---|---|---|---|
() | () | ||
Intake age (y) | 75 () | 73 () | 76 () |
Sex | |||
Male | 1,748 (42 %) | 627 (44 %) | 1,121 (41 %) |
Female | 2,418 (58 %) | 786 (56 %) | 1,632 (59 %) |
ACT cohort | |||
Original (1994–1996) | 2,135 (51 %) | 1 (0 %) | 2,134 (78 %) |
Expansion (2000–2003) | 651 (16 %) | 48 (3 %) | 603 (22 %) |
Replacement (2005–2018) | 1,380 (33 %) | 1,364 (97 %) | 16 (1 %) |
Birth cohort | |||
162 (4 %) | 0 (0 %) | 162 (6 %) | |
325 (8 %) | 6 (0 %) | 319 (12 %) | |
627 (15 %) | 30 (2 %) | 597 (22 %) | |
890 (21 %) | 79 (6 %) | 811 (29 %) | |
790 (19 %) | 126 (9 %) | 664 (24 %) | |
425 (10 %) | 245 (17 %) | 180 (7 %) | |
947 (23 %) | 927 (66 %) | 20 (1 %) | |
APOE allele | |||
Yes | 1,103 (26 %) | 403 (29 %) | 700 (25 %) |
No | 3,063 (74 %) | 1,010 (71 %) | 2,053 (75 %) |
Race | |||
White | 3,760 (90 %) | 1,259 (89 %) | 2,501 (91 %) |
Non-White | 406 (10 %) | 154 (11 %) | 252 (9 %) |
Year 2000 census tract median household income ($USD) | |||
383 (9 %) | 111 (8 %) | 272 (10 %) | |
1,292 (31 %) | 387 (27 %) | 905 (33 %) | |
2,048 (49 %) | 730 (52 %) | 1,318 (48 %) | |
443 (11 %) | 185 (13 %) | 258 (9 %) | |
Degree | |||
None | 345 (8 %) | 26 (2 %) | 319 (12 %) |
GED/HS | 1,623 (39 %) | 314 (22 %) | 1,309 (48 %) |
Bachelor’s | 966 (23 %) | 387 (27 %) | 579 (21 %) |
Master’s | 614 (15 %) | 367 (26 %) | 247 (9 %) |
Doctorate | 244 (6 %) | 129 (9 %) | 115 (4 %) |
Other | 374 (9 %) | 190 (13 %) | 184 (7 %) |
Smoking status | |||
Never | 2,019 (48 %) | 712 (50 %) | 1,307 (47 %) |
Past | 1,947 (47 %) | 667 (47 %) | 1,280 (46 %) |
Current | 200 (5 %) | 34 (2 %) | 166 (6 %) |
Regular exercisec | |||
Yes | 3,021 (73 %) | 1,040 (74 %) | 1,981 (72 %) |
No | 1,145 (27 %) | 373 (26 %) | 772 (28 %) |
BMI | |||
Underweight | 35 (1 %) | 8 (1 %) | 27 (1 %) |
Normal | 1,304 (31 %) | 427 (30 %) | 877 (32 %) |
Overweight | 1,764 (42 %) | 601 (43 %) | 1,163 (42 %) |
Obese | 1,063 (26 %) | 377 (27 %) | 686 (25 %) |
Diabetes | |||
Yes | 436 (10 %) | 167 (12 %) | 269 (10 %) |
No | 3,730 (90 %) | 1,246 (88 %) | 2,484 (90 %) |
Heart disease | |||
Yes | 690 (17 %) | 147 (10 %) | 543 (20 %) |
No | 3,476 (83 %) | 1,266 (90 %) | 2,210 (80 %) |
CVD | |||
Yes | 360 (9 %) | 89 (6 %) | 271 (10 %) |
No | 3,806 (91 %) | 1,324 (94 %) | 2,482 (90 %) |
Hypertension | |||
Yes | 1,680 (40 %) | 622 (44 %) | 1,058 (38 %) |
No | 2,486 (60 %) | 791 (56 %) | 1,695 (62 %) |
CASI IRT (Crane et al. 2008) score | 0.35 () | 0.54 () | 0.26 () |
Moved during ACT follow-up | |||
Yes | 2,350 (56 %) | 422 (30 %) | 1,928 (70 %) |
No | 1,806 (43 %) | 988 (70 %) | 818 (30 %) |
Missing | 10 (0.2%) | 3 (0.2%) | 7 (0.3%) |
Dementia diagnosisd | |||
Yes | 1,138 (27 %) | 175 (12 %) | 963 (35 %) |
No | 3,028 (73 %) | 1,238 (88 %) | 1,790 (65 %) |
Alzheimer’s disease diagnosisd | |||
Yes | 921 (22 %) | 144 (10 %) | 777 (28 %) |
No | 3,245 (78 %) | 1,269 (90 %) | 1,976 (72 %) |
Note: ACT, Adult Changes in Thought; AD, Alzheimer’s disease; APOE, apolipoprotein E; BMI, body mass index; CASI IRT, Cognitive Assessment Screening Instrument Item Response Theory; CVD, cardiovascular disease; GED, general equivalency diploma; HS, high school; USD, U.S. dollars.
Stratification by year-specific mean-centered exposure averages removes the influence of the strong temporal variation and focuses on within-year population comparisons. To calculate the mean-centered values, we subtracted the year-specific [(i.e., time-varying, based on baseline (entry) year] mean across 10-y average exposures from each 10-y average exposure.
Missingness reported for “Never moved during ACT follow-up.” Other variables had missingness of less than in the original data set. As described in the text, we imputed missing values of non-APOE covariates (median household income, degree, smoking status, BMI category, diabetes, heart disease, CVD, hypertension) with the mean category or value of each to prevent individuals from dropping out of the subsequent inverse probability weighting selection model process.
Regular exercise refers to self-reported exercise for at least 15 minutes three times per week.
Dementia and AD-subtype dementia case numbers reflect diagnoses across the entire study population. Case numbers may vary in specific analyses based on inclusion criteria; e.g., the primary analysis based on 10-y average exposure has two fewer dementia cases due to missing 10-y average exposure data.