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Table 2 Longitudinal association of subjective cognitive complaints and APOE ε4 genotype with risk of all-cause dementia over 17-year follow-up (ESTHER cohort)

From: Subjective cognitive complaints and blood biomarkers of neurodegenerative diseases: a longitudinal cohort study

 

Incident dementia (n = 451), N (%)

No incident dementia (n = 5475), N (%)

Model 1a odds ratio (95%CI), p-valuec

Model 2b odds ratio (95%CI), p-valuec

Subjective cognitive complaints

 No

81 (17.9)

1607 (29.4)

Reference

Reference

 Occasional

270 (59.9)

3231 (59.0)

1.33 (1.02–1.74), 0.0373

1.32 (1.00–1.76), 0.0546

 Persistent

100 (22.2)

637 (11.6)

2.18 (1.58–3.02), < 0.0001

2.15 (1.52–3.06), < 0.0001

APOE ε4

APOE ε4 − d

254 (56.3)

3894 (71.1)

Reference

Reference

APOE ε4 + e

170 (37.7)

1296 (23.7)

2.21 (1.78–2.74), < 0.0001

2.06 (1.65–2.57), < 0.0001

Subjective cognitive complaints and APOEε4

 No and APOE ε4 − 

46 (10.2)

1136 (20.7)

Reference

Reference

 No and APOE ε4 + 

32 (7.1)

388 (7.1)

2.34 (1.43–3.83), 0.0007

2.46 (1.49–4.08), 0.0005

 Occasional and APOE ε4 − 

158 (35.0)

2290 (41.8)

1.41 (0.99–2.00), 0.0598

1.49 (1.03–2.14), 0.0340

 Occasional and APOE ε4 + 

93 (20.6)

760 (13.9)

2.71 (1.85–3.99), < 0.0001

2.69 (1.80–4.01), < 0.0001

 Persistent and APOE ε4 − 

50 (11.8)

468 (8.5)

1.90 (1.22–2.95), 0.0043

2.14 (1.36–3.37), 0.0010

 Persistent and APOE ε4 + 

45 (11.1)

148 (2.7)

5.60 (3.47–9.03), < 0.0001

5.35 (3.25–8.81), < 0.0001

  1. Percentages might not sum up to 100 because of rounding and missing values
  2. CI confidence interval
  3. aLogistic regression model adjusted for age (continuous), sex, and educational level
  4. bLogistic regression model additionally adjusted for lifetime history of stroke, myocardial infarction, diabetes, lifetime history of depression, and APOE ε4 genotype (exception: subgroup analyses including APOE ε4 genotype)
  5. cp-value derived from the logistic regression models
  6. dAPOE ε4 + ; participants carrying the APOE ε4 allele (ε2ε4, ε3ε4, ε4ε4)
  7. eAPOE ε4 − ; participants not carrying the APOE ε4 allele (ε2ε2, ε3ε2, ε3ε3)