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Table 2 Association of metabolic-obesity phenotypes at < 60, 60 to < 70, and ≥ 70 years with incidence of dementia

From: Is metabolic-healthy obesity associated with risk of dementia? An age-stratified analysis of the Whitehall II cohort study

 

Metabolic-obesity phenotypes

MHNO

MUNO

MHO

MUO

At age < 60 yearsa, median (IQR) follow-up 20.8 (15.5, 26.4) years

N dementia cases/total

217/4301

123/1715

33/503

37/590

 Rate/1000 person-years

2.51

3.64

3.62

3.46

Models, HR (95% CI)

 Model 1d

Ref

1.43 (1.14, 1.79)

1.71 (1.18, 2.49)

1.54 (1.09, 2.20)

 Model 2e

Ref

1.38 (1.10, 1.73)

1.69 (1.16, 2.45)

1.46 (1.02, 2.08)

At ages 60 years to < 70 yearsb, median (IQR) follow-up 10.3 (6.3, 15.4) years

N dementia cases/total

183/3117

127/2067

23/433

46/795

 Rate/1000 person-years

5.20

5.92

5.02

6.11

Models, HR (95% CI)

 Model 1d

Ref

1.28 (1.02, 1.62)

1.06 (0.68, 1.64)

1.54 (1.11, 2.14)

 Model 2e

Ref

1.28 (1.01, 1.61)

1.02 (0.65, 1.58)

1.47 (1.05, 2.04)

At age ≥ 70 yearsc, median (IQR) follow-up 4.2 (3.1, 7.1) years

N dementia cases/total

83/1244

121/1589

14/191

44/540

 Rate/1000 person-years

11.33

13.24

13.18

14.63

Models, HR (95% CI)

 Model 1d

Ref

1.18 (0.89, 1.56)

1.09 (0.61, 1.94)

1.28 (0.88, 1.85)

 Model 2e

Ref

1.16 (0.87, 1.53)

0.99 (0.56, 1.78)

1.20 (0.82, 1.74)

  1. MHNO metabolically healthy non-obesity, MUNO metabolically unhealthy non-obesity, MHO metabolically healthy obesity, MUO metabolically unhealthy obesity, IQR interquartile range, HR hazard ratio, CI confidence interval, NA not applicable
  2. aMean (SD) age at assessment = 55.1 (2.9) years
  3. bMean (SD) age at assessment = 65.0 (1.5) years
  4. cMean (SD) age at assessment = 73.9 (1.9) years
  5. dModel 1: analyses adjusted for age (timescale), sex, education, ethnicity, marital status, and birth cohort (5-year groups)
  6. eModel 2: Model 1 plus adjustment for health-related behaviors (smoking, alcohol consumption, consumption of fruits and vegetables, and physical activity)