Table 3.
Risk for dementia associated with APOE4.
| Events/person-years |
Incidence rate* |
HR (95% CI), | HR (95% CI), | HR (95% CI), | |||
|---|---|---|---|---|---|---|---|
| Non-APOE4 Carriers | APOE4 carriers | Non-APOE4 carriers | APOE4 carriers | Model 1† | Model 2 | Model 3 | |
| All-cause dementia | |||||||
| All | 3281/4,155,062 | 2667/1,311,270 | 0·79 | 2·03 | 2·65 (2·52–2·79) | 2·67 (2·54–2·81) | 2·73 (2·59–2·87) |
| Young-onsetǂ | 349/3,335,485 | 131/1,053,453 | 0·10 | 0·12 | 1·19 (0·97–1·45) | 1·23 (1·00–1·50) | 1·26 (1·03–1·54) |
| Late-onset§ | 2932/2,798,517 | 2536/874,175 | 1·05 | 2·90 | 2·83 (2·69–2·99) | 2·85 (2·70–3·01) | 2·90 (2·75–3·06) |
| AD | |||||||
| All | 1172/4,161,795 | 1322/1,315,407 | 0·28 | 1·01 | 3·64 (3·37–3·94) | 3·64 (3·36–3·93) | 3·69 (3·41–4·00) |
| Young-onset | 97/3,335,485 | 47/1,053,453 | 0·03 | 0·04 | 1·53 (1·08–2·17) | 1·55 (1·09–2·20) | 1·58 (1·11–2·24) |
| Late-onset | 1075/2,798,517 | 1275/874,175 | 0·38 | 1·46 | 3·88 (3·58–4·21) | 3·87 (3·57–4·20) | 3·93 (3·62–4·27) |
| VD | |||||||
| All | 758/4,162,776 | 565/1,317,422 | 0·18 | 0·43 | 2·41 (2·16–2·68) | 2·45 (2·19–2·73) | 2·52 (2·26–2·81) |
| Young-onset | 56/3,335,485 | 20/1,053,453 | 0·02 | 0·02 | 1·14 (0·68–1·89) | 1·19 (0·71–1·98) | 1·27 (0·76–2·13) |
| Late-onset | 702/2,798,517 | 545/874,175 | 0·25 | 0·62 | 2·55 (2·28–2·85) | 2·60 (2·32–2·91) | 2·67 (2·39–2·99) |
AD, Alzheimer's disease; APOE4, apolipoprotein E4; CI, confidence interval; HR, hazard ratio; VD, vascular dementia.
Refers to number of cases per 1000 person-years.
Cox proportional hazard regression models were used to examine the association between APOE4 and incident dementia. Model 1 was adjusted for age and gender; Model 2 was adjusted for Model 1 plus education, income, BMI, smoking, physical activity, alcohol consumption, sleep duration, and diet; Model 3 was adjusted for blood pressure, HDL-C, LDL-C, triglycerides, and HbA1c.
Young-onset dementia was defined as dementia diagnosed <65 years. The analysis was conducted among individuals aged younger than 65 years at baseline.
Late-onset dementia was defined as dementia diagnosed ≥65 years. The analysis was conducted among individuals aged older than 65 years at the end of follow-up.