Table 3.
Estimates of Association between CV Risk Factors and Longitudinal Cognitive Scores (n=1139)
| Linear Regression Estimates | Poisson Regression Estimates | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Symbol Digit Modalities | Digit Span Backward | Reverse-Scored East Boston Test, Delayed | ||||||||||
| Model 11 | Model 22 | Model 11 | Model 22 | Model 11 | Model 22 | |||||||
| Exposure characteristic | Beta | p-value | Beta | p-value | Beta | p-value | Beta | p-value | IRR3 | p-value | IRR | p-value |
| Central obesity4 | −2.09 | <.001 | 0.32 | 0.570 | −0.41 | 0.001 | −0.24 | 0.060 | 1.14 | 0.007 | 1.05 | 0.359 |
| Time5 | −0.21 | <.001 | −0.21 | <.001 | −0.01 | 0.121 | −0.01 | 0.114 | 1.01 | 0.029 | 1.01 | 0.005 |
| Central obesity*Time | −0.09 | 0.012 | −0.10 | 0.010 | −0.01 | 0.159 | −0.01 | 0.144 | 0.99 | 0.142 | 0.99 | 0.147 |
| High glucose | −2.06 | 0.010 | −1.03 | 0.156 | −0.48 | 0.005 | −0.28 | 0.081 | 1.23 | 0.001 | 1.17 | 0.012 |
| Time | −0.23 | <.001 | −0.24 | <.001 | −0.02 | 0.001 | −0.02 | 0.004 | 1.01 | 0.072 | 1.01 | 0.029 |
| High glucose*Time | −0.15 | 0.003 | −0.15 | 0.004 | 0.00 | 0.997 | 0.00 | 0.893 | 0.99 | 0.444 | 1.00 | 0.573 |
| Diabetes | −5.22 | <.001 | −1.85 | 0.079 | −0.90 | 0.000 | −0.45 | 0.057 | 1.26 | 0.011 | 1.10 | 0.273 |
| Time | −0.24 | <.001 | −0.24 | <.001 | −0.02 | 0.000 | −0.02 | 0.001 | 1.01 | 0.106 | 1.01 | 0.024 |
| Diabetes*Time | −0.26 | 0.001 | −0.25 | 0.002 | 0.02 | 0.337 | 0.02 | 0.322 | 1.00 | 0.971 | 1.00 | 0.943 |
| High Triglycerides | −0.34 | 0.647 | −1.11 | 0.094 | −0.15 | 0.329 | −0.28 | 0.064 | 1.03 | 0.663 | 1.03 | 0.565 |
| Time | −0.24 | <.001 | −0.25 | <.001 | −0.02 | 0.001 | −0.02 | 0.003 | 1.01 | 0.089 | 1.01 | 0.032 |
| High Triglycerides*Time | −0.04 | 0.388 | −0.05 | 0.314 | 0.00 | 0.697 | 0.00 | 0.708 | 1.00 | 0.631 | 1.00 | 0.962 |
| Low HDL | −0.23 | 0.731 | 1.13 | 0.069 | −0.12 | 0.401 | −0.04 | 0.766 | 1.11 | 0.057 | 1.04 | 0.488 |
| Time | −0.24 | <.001 | −0.25 | <.001 | −0.02 | 0.008 | −0.02 | 0.017 | 1.01 | 0.029 | 1.01 | 0.010 |
| Low HDL*Time | −0.03 | 0.485 | −0.04 | 0.413 | −0.01 | 0.457 | −0.01 | 0.366 | 0.99 | 0.132 | 0.99 | 0.257 |
| Hyperlipidemia | −0.65 | 0.277 | −0.61 | 0.257 | −0.04 | 0.750 | −0.05 | 0.668 | 1.03 | 0.614 | 1.03 | 0.502 |
| Time | −0.24 | <.001 | −0.25 | <.001 | −0.02 | 0.003 | −0.02 | 0.005 | 1.00 | 0.307 | 1.01 | 0.099 |
| Hyperlipidemia*Time | −0.03 | 0.409 | −0.01 | 0.703 | 0.01 | 0.546 | 0.01 | 0.473 | 1.00 | 0.714 | 1.00 | 0.796 |
| Hypertension | −3.32 | <.001 | −0.83 | 0.157 | −0.42 | 0.002 | −0.09 | 0.490 | 1.22 | <.001 | 1.10 | 0.061 |
| Time | −0.23 | <.001 | −0.23 | <.001 | −0.02 | 0.002 | −0.02 | 0.007 | 1.01 | 0.084 | 1.01 | 0.029 |
| Hypertension*Time | −0.07 | 0.062 | −0.08 | 0.050 | 0.00 | 0.780 | 0.00 | 0.884 | 1.00 | 0.507 | 1.00 | 0.638 |
| Heart Age6 | −3.41 | <.001 | −1.10 | 0.062 | −0.52 | <.001 | −0.21 | 0.118 | 1.31 | <.001 | 1.18 | 0.001 |
| Time | −0.23 | <.001 | −0.23 | <.001 | −0.02 | 0.004 | −0.02 | 0.009 | 1.01 | 0.068 | 1.01 | 0.064 |
| Heart Age*Time | −0.08 | 0.033 | −0.09 | 0.025 | 0.00 | 0.954 | 0.00 | 0.796 | 1.00 | 0.444 | 1.00 | 0.620 |
Model 1 adjusts for variables shown and age at cognitive baseline (years).
Model 2 adjusts for variables in model 1 as well as covariates considered time-invariant: study site, race/ethnicity, education ≤ high school, physical activity score at cognitive baseline, and time-varying: menopause status, difficulty paying for basics, alcohol use ≥ twice/week, central obesity, and current smoking.
Estimates for East Boston Memory Test represent difference in number of items missed between those without the exposure characteristic compared to those with it. IRR>1.0 represents worse performance on test.
Model 2 for central obesity does not include central obesity as a covariate.
Time is defined as years since cognitive baseline visit.
Model 2 for heart age does not include current smoking as a covariate as smoking is a component of the heart age score.