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.
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).
Additional adjustment for baseline gait speed and baseline cognitive scores.