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. 2022 May 31;5(5):e2214647. doi: 10.1001/jamanetworkopen.2022.14647

Table 3. Associations for Each Decliner Group and Risk of Incident Dementia.

Characteristic Dementia rate/1000 PY (95% CI) Demographics, adjusted cause-specific HR (95% CI)a P value Demographics plus baseline performance, adjusted cause-specific HR (95% CI)b P value
Global cognition (3MS)
No decline 0.6 (0.4-0.9) 1 [Reference] NA 1 [Reference] NA
Cognition only 8.2 (7.0-9.6) 9.7 (6.6-14.2) <.001 7.1 (4.9-10.5) <.001
Gait only 2.1 (1.5-3.1) 3.4 (2.1-5.5) <.001 4.0 (2.5-6.6) <.001
Dual decline 18.8 (15.8-22.3) 25.2 (17.5-37.8) <.001 22.2 (15.0-32.9) <.001
Memory (HVLT-R)
No decline 0.68 (0.47-1.0) 1 [Reference] NA 1 [Reference] NA
Cognition only 8.0 (6.8-9.3) 11.1 (7.5-16.5) <.001 7.6 (5.1-11.4) <.001
Gait only 2.0 (1.4-3.0) 3.1 (1.8-5.3) <.001 3.8 (2.3-6.5) <.001
Dual decline 18.3 (15.4-21.8) 29.1 (19.5-43.5) <.001 24.9 (16.5-37.6) <.001
Processing speed (SDMT)
No decline 2.6 (2.1-3.1) 1 [Reference] NA 1 [Reference] NA
Cognition only 4.1 (3.3-5.1) 1.5 (1.1-1.9) .007 1.3 (1.0-1.7) .06
Gait only 7.2 (5.9-8.9) 3.0 (2.3-4.0) <.001 3.7 (2.8-5.0) <.001
Dual decline 9.1 (7.1-11.6) 3.7 (2.8-4.9) <.001 4.3 (3.2-5.8) <.001
Verbal fluency (COWAT-F)
No decline 2.8 (2.3-3.4) 1 [Reference] NA 1 [Reference] NA
Cognition only 4.7 (3.8-5.8) 1.4 (1.1-1.9) .01 1.2 (0.9-1.6) .14
Gait only 8.5 (7.0-10.3) 3.0 (2.3-4.0) <.001 4.1 (3.1-5.4) <.001
Dual decline 12.4 (9.9-15.4) 3.8 (2.9-5.1) <.001 4.7 (3.5-6.3) <.001

Abbreviations: 3MS, Modified Mini-Mental State examination; COWAT-F, Controlled Oral Word Association Test (single letter); HR, hazard ratio; HVLT-R, Hopkins Verbal Learning Test-Revised; PY, person-years; SDMT, Symbol Digit Modalities.

a

Adjusted for age at baseline, sex, years of education (<9, 9-11, 12, 13-15, 16, or 17-21 years) and country (Australia or US).

b

Additional adjustment for baseline gait speed and baseline cognitive scores.