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Table 3 Estimates of the direct and indirect effects of covariates on ADRD biomarkers and cognitive performances 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

Women

SVD

0.016

(− 0.068; 0.100)

0.715

AD pathology

 − 0.129

(− 0.266; 0.008)

0.067

Neurodegeneration

 − 0.603

(− 0.677; − 0.529)

0.000

Cognition

 − 0.193

(− 0.296; − 0.091)

0.000

Age

SVD

0.053

(0.049; 0.057)

0.000

AD pathology

0.048

(0.041; 0.055)

0.000

Neurodegeneration

0.075

(0.072; 0.078)

0.000

Cognition

0.015

(0.007; 0.024)

0.001

APOE e4 carrier

SVD

0.085

(− 0.004; 0.009)

0.063

AD pathology

0.835

(0.703; 0.967)

0.000

Neurodegeneration

0.199

(0.117; 0.280)

0.000

Cognition

0.023

(− 0.097; 0.143)

0.709

Indirect effects

Women

Cognition through AD pathology

0.034

(− 0.004; 0.07)

0.085

Cognition through SVD

 − 0.001

( − 0.004; 0.003)

0.724

Cognition through neurodegeneration

0.346

(0.274; 0.418)

0.000

Age

Cognition through AD pathology

 − 0.013

( − 0.018; − 0.007)

0.000

Cognition through SVD

 − 0.002

 (− 0.005; 0.001)

0.150

Cognition through neurodegeneration

 − 0.043

 (− 0.050; − 0.036)

0.000

APOE e4 carrier

Cognition through AD pathology

 − 0.220

 (− 0.312; − 0.129)

0.000

Cognition through SVD

 − 0.003

 (− 0.009; 0.002)

0.255

Cognition through neurodegeneration

 − 0.114

 (− 0.165; − 0.064)

0.000

  1. Latent variable composition: early to midlife CR: education, occupational complexity, and salary; latelife CR: 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. RI resilience indicator, SVD small vessel disease, AD Alzheimer’s disease, CI confidence interval