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Table 2 Estimates of the direct and indirect effects of social and lifestyle indicators on ADRD biomarkers and cognitive performance using structural equation models

From: Explaining the association between social and lifestyle factors and cognitive functions: a pathway analysis in the Memento cohort

From

To

β

(95% CI)

P value

Direct effects

Early to midlife SI

SVD

 − 0.001

(− 0.042; 0.041)

0.968

AD pathology

 − 0.034

(− 0.104; 0.036)

0.339

Neurodegeneration

 − 0.030

(− 0.068; 0.008)

0.121

Cognition

0.364

(0.322; 0.405)

0.000

Latelife LI

SVD

 − 0.031

(− 0.072; 0.009)

0.129

AD pathology

 − 0.036

(− 0.105; 0.032)

0.297

Neurodegeneration

 − 0.116

(− 0.153; − 0.079)

0.000

Cognition

0.076

(0.033; 0.118)

0.000

AD pathology

Cognition

 − 0.264

(− 0.362; − 0.165)

0.000

SVD

Cognition

 − 0.039

(− 0.093; 0.014)

0.149

Neurodegeneration

Cognition

 − 0.574

(− 0.665; − 0.483)

0.000

Indirect effects

Early to midlife SI

Cognition through AD pathology

0.009

(− 0.010; 0.028)

0.344

Cognition through SVD

0.000

(− 0.002; 0.002)

0.968

Cognition through neurodegeneration

0.017

(− 0.005; 0.039)

0.124

Latelife LI

Cognition through AD pathology

0.010

(− 0.009; 0.028)

0.308

Cognition through SVD

0.001

(− 0.001; 0.004)

0.296

Cognition through neurodegeneration

0.066

(0.042; 0.090)

0.000

Correlations

AD pathology

Neurodegeneration

0.249

(0.143; 0.355)

0.000

AD pathology

SVD

0.139

(0.052; 0.227)

0.002

SVD

Neurodegeneration

0.225

(0.167; 0.283)

0.000

  1. Latent variables composition: early to midlife SI: education, occupational complexity, and salary; latelife LI: physical activity, leisure activities, and social network; SVD: white matter hyperintensity volume, paraventricular white matter lesions, and deep white matter lesions; AD pathology: CSF Aβ42/Aβ40 ratio, CSF phosphorylated Tau, and SUVr amyloid-PET; neurodegeneration: hippocampal volume, cortical thickness, SUVr FDG-PET, and brain parenchymal fraction; cognition: Verbal Fluency, Free and Cued Selective Reminding test, Trail making test B, and Rey figure test
  2. SI social indicator, LI lifestyle indicator, SVD small vessel disease, AD Alzheimer’s disease, CI confidence interval