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Table 3 Subgroup analysis on the relationship between the combined effects of high-sensitivity C-reactive protein (hs-CRP) and glycated hemoglobin (HbA1c) with the risk of dementia, Alzheimer’s disease, and vascular dementia

From: High sensitivity C-reactive protein and glycated hemoglobin levels as dominant predictors of all-cause dementia: a nationwide population-based cohort study

Combined effect of hs-CRP and HbA1c

Numbers

Incidence rate per 10,000 PYs

Adjusted model †

 

HR (95% CI)

P-value *

Primary endpoints of dementia among those without diabetes mellitus (n = 3838)

 High levels of both hs-CRP and HbA1c

741

42.87

2.17 (0.98 ~ 4.77)

0.055

 High level of only hs-CRP

569

33.26

2.89 (1.27 ~ 6.56)

0.011

 High level of only HbA1c

898

50.12

2.27 (1.11 ~ 4.67)

0.026

 Non-high levels in both

1630

7.48

1.00

 

Primary endpoints of dementia among those aged less than 65 years # (n = 3481)

 High levels of both hs-CRP and HbA1c

667

3.70

5.75 (0.39 ~ 85.70)

0.205

 High level of only hs-CRP

531

6.97

11.33 (1.05 ~ 122.39)

0.046

 High level of only HbA1c

772

6.34

5.03 (0.50 ~ 51.09)

0.172

 Non-high levels in both

1511

0.80

1.00

 

Primary endpoints of dementia among those aged 65 years and older & (n = 632)

 High levels of both hs-CRP and HbA1c

105

172.71

1.21 (0.59 ~ 2.50)

0.599

 High level of only hs-CRP

113

274.49

1.33 (0.77 ~ 2.31)

0.307

 High level of only HbA1c

120

257.37

1.75 (0.97 ~ 3.16)

0.064

 Non-high levels in both

294

194.98

1.00

 

Secondary endpoints of Alzheimer’s disease among the total sample ‡ (n = 4113)

 High levels of both hs-CRP and HbA1c

756

11.83

5.3 (0.94 ~ 29.85)

0.059

 High level of only hs-CRP

682

0.00

–

–

 High level of only HbA1c

772

9.68

3.24 (0.58 ~ 18.03)

0.179

 Non-high levels in both

1903

1.28

1.00

 

Secondary endpoints of vascular dementia among the total sample ‡ (n = 4113)

 High levels of both hs-CRP and HbA1c

756

15.22

4.92 (0.97 ~ 24.87)

0.054

 High level of only hs-CRP

682

5.49

2.89 (0.47 ~ 17.85)

0.254

 High level of only HbA1c

772

14.55

4.17 (0.87 ~ 19.94)

0.074

 Non-high levels in both

1903

1.28

1.00

 
  1. PYs person-years, HR hazard ratio, CI confidence interval
  2. *Analyzed using Cox proportional hazards regression
  3. †Adjusted for age, sex, systolic blood pressure, diastolic blood pressure, glucose, total cholesterol, triglycerides, body mass index, exercise status, smoking status, alcohol consumption, heart diseases, stroke, and chronic infection or inflammation
  4. ¶Cutoff points for high levels of hs-CRP and HbA1c were based on the 66th percentiles: hs-CRP ≥0.15 mg/dL and Hba1c ≥5.50%
  5. #Cutoff points for high levels of hs-CRP and HbA1c were based on the 66th percentiles: hs-CRP ≥0.14 mg/dL and Hba1c ≥5.50%
  6. &Cutoff points for high levels of hs-CRP and HbA1c were based on the 66th percentiles: hs-CRP ≥0.23 mg/dL and Hba1c ≥6.00%
  7. ‡Cutoff points for a high level of hs-CRP and HbA1c were based on the 66th percentiles: hs-CRP ≥0.15 mg/dL and Hba1c ≥5.60%