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. 2022 Mar 13;45:101335. doi: 10.1016/j.eclinm.2022.101335

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.

ǂ

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.