Background
Methods
Measurement of risk factors
Dementia outcome
Statistical analysis
Results
Characteristics | Women (n = 273,262) | Men (n = 228,964) |
---|---|---|
Age (years) (mean (SD)) | 56.3 (8.0) | 56.7 (8.2) |
Ethnicity: | ||
White | 257,320 (94.2) | 215,111 (93.9) |
Other | 14,678 (5.8) | 12,344 (6.1) |
Blood pressure (mmHg): | ||
Systolic (mean (SD)) | 135.3 (19.2) | 140.9 (17.5) |
Diastolic (mean (SD)) | 80.7 (10.0) | 84.1 (10.0) |
AHA hypertension categories: | ||
Normal | 55,316 (20.2) | 20,020 (8.7) |
Elevated | 35,561 (13.0) | 26,008 (11.4) |
Stage 1 hypertension | 72,038 (26.4) | 62,661 (27.4) |
Stage 2 hypertension | 109,578 (40.1) | 119,722 (52.3) |
Smoking status: | ||
Never smoker | 161,979 (59.3) | 111,404 (48.7) |
Former smoker | 85,412 (31.3) | 87,535 (38.2) |
Current smoker | 24,359 (8.9) | 28,593 (12.5) |
By smoking intensity: | ||
1–9 cigarettes per day | 4397 (18.1) | 2805 (9.8) |
10–19 cigarettes per day | 8440 (34.7) | 6996 (24.5) |
≥ 20 cigarettes per day | 5590 (22.9) | 7908 (27.7) |
Not reported | 5932 (24.4) | 10,884 (38.1) |
Diabetes: | ||
Type 1 diabetes* | 564 (0.2) | 652 (0.3) |
Type 2 diabetes | 9946 (3.6) | 15,514 (6.8) |
Body mass index (kg/m2): | ||
Body mass index (mean (SD)) | 27.1 (5.2) | 27.8 (4.2) |
BMI categories: | ||
Underweight (< 18.5) | 2079 (0.8) | 547 (0.2) |
Healthy weight (18.5–24.9) | 105,618 (38.7) | 56,710 (24.8) |
Overweight (25.0–29.9) | 99,828 (36.5) | 112,175 (49.0) |
Obese (30.0 and above) | 64,282 (23.5) | 57,888 (25.3) |
Waist circumference (cm) (mean (SD)) | 84.7 (12.6) | 97.0 (11.4) |
Waist-to-hip ratio (mean (SD)) | 0.82 (0.07) | 0.94 (0.07) |
Waist-to-height ratio (mean (SD)) | 0.52 (0.08) | 0.55 (0.07) |
History of stroke | 3143 (1.2) | 4500 (2.0) |
Socioeconomic status (Townsend score thirds): | ||
High | 138,673 (50.7) | 115,578 (50.5) |
Middle | 81,866 (30.0) | 66,667 (29.1) |
Low | 52,396 (19.2) | 46,423 (20.3) |
Lipids (mmol/L): | ||
Total cholesterol (mean (SD)) | 5.9 (1.1) | 5.5 (1.1) |
HDL (mean (SD)) | 1.6 (0.4) | 1.3 (0.3) |
LDL (mean (SD)) | 3.6 (0.9) | 3.5 (0.9) |
Elevated cholesterol | 93,062 (34.1) | 54,507 (23.8) |
Drug use: | ||
Antihypertensive drugs | 38,406 (14.1) | 47,966 (20.9) |
Lipid-lowering drugs | 29,503 (10.8) | 45,731 (20.0) |
Sex comparison of risk factor associations
Blood pressure
Smoking
Diabetes
Adiposity
Stroke
Socioeconomic status
Lipids
Risk factors by dementia subtypes
Modification by age
Modification by socioeconomic status
Sex comparison of rates of dementia
Variables | Rates/10,000 person years (95% CI) | Difference of rate differences (95% CI) | |
---|---|---|---|
Women (n = 273,262) | Men (n = 228,964) | ||
AHA hypertension categories: | |||
Normal | 6.43 (5.49, 7.37) | 8.71 (7.32, 10.11) | – |
Elevated | 5.23 (4.43, 6.02) | 7.24 (6.20, 8.27) | − 0.27 (− 2.37, 1.82) |
Stage 1 hypertension | 5.69 (5.10, 6.28) | 7.17 (6.49, 7.85) | − 0.80 (− 2.68, 1.08) |
Stage 2 hypertension | 6.44 (6.00, 6.87) | 7.05 (6.63, 7.47) | − 1.67 (− 3.45, 0.11) |
Smoking status: | |||
Never smoker* | 5.78 (5.42, 6.13) | 7.27 (6.77, 7.76) | – |
Former smoker | 5.92 (5.46, 6.38) | 7.99 (7.50, 8.47) | 0.57 (− 0.33, 1.48) |
Current smoker | 8.11 (6.93, 9.29) | 8.98 (7.89, 10.06) | − 0.63 (− 2.35, 1.09) |
Smoking intensity (average number of cigarettes smoked daily): | |||
Never smoker** | 5.19 (4.87, 5.51) | 6.53 (6.08, 6.97) | – |
1–9 cigarettes | 5.58 (3.43, 7.72) | 10.47 (6.78, 14.17) | 3.56 (− 0.75, 7.87) |
10–19 cigarettes | 6.76 (5.09, 8.43) | 7.82 (5.86, 9.77) | − 0.28 (−2.91, 2.36) |
20 cigarettes | 8.19 (5.91, 10.47) | 10.56 (8.37, 12.75) | 1.04 (− 2.18, 4.25) |
Diabetes: | |||
No diabetes | 5.78 (5.46, 6.10) | 6.74 (6.39, 7.08) | – |
Type 1# | 15.74 (4.77, 26.71) | 17.63 (7.58, 27.67) | 0.93 (− 13.96, 15.81) |
Type 2 | 9.72 (8.12, 11.33) | 12.34 (10.80, 13.89) | 1.66 (− 0.62, 3.94) |
Body mass index: | |||
Healthy weight (18.5–24.9) | 6.03 (5.55, 6.50) | 8.68 (7.97, 9.40) | – |
Underweight (< 18.5) | 10.52 (6.30, 14.73) | 10.68 (2.75, 18.60) | − 2.50 (− 11.51, 6.52) |
Overweight (25.0–29.9) | 5.57 (5.15, 6.00) | 7.01 (6.57, 7.46) | − 1.22 (− 2.27, − 0.16) |
Obese (30.0 and above) | 6.67 (6.09, 7.24) | 8.16 (7.50, 8.82) | − 1.16 (− 2.39, 0.07) |
Stroke: | |||
None | 5.87 (5.60, 6.14) | 7.52 (7.19, 7.85) | – |
History of stroke | 14.64 (11.51, 17.76) | 17.05 (14.36, 19.74) | 0.76 (− 3.38, 4.91) |
Townsend score thirds: | |||
High | 5.37 (4.97, 5.77) | 6.35 (5.93, 6.77) | – |
Middle | 5.98 (5.43, 6.52) | 7.30 (6.68, 7.92) | 0.34 (− 0.65, 1.32) |
Low | 8.69 (7.85, 9.53) | 9.60 (8.70, 10.51) | − 0.07 (− 1.42, 1.29) |
Lipids: | |||
Normal cholesterol | 6.04 (5.66, 6.42) | 7.33 (6.95, 7.70) | – |
Elevated cholesterol | 6.58 (6.08, 7.08) | 7.91 (7.22, 8.59) | 0.04 (− 0.98, 1.06) |