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Table 2 Seven-year trajectories of global cognition (0–32) by cognitive reserve in urban residents (N = 2701)

From: Cognitive reserve over life course and 7-year trajectories of cognitive decline: results from China health and retirement longitudinal study

 

Model 1a

Model 2b

Model 3c

Intercept

Slope

Intercept

Slope

Intercept

Slope

b (95% CI)

b (95% CI)

b (95% CI)

b (95% CI)

b (95% CI)

b (95% CI)

Mean

15.362 (14.972, 15.751)

−0.293 (− 0.429, − 0.156)

14.562 (13.858, 15.266)

− 0.233 (− 0.432, − 0.035)

15.140 (14.429, 15.851)

− 0.287 (− 0.489, − 0.085)

Variance

8.462 (7.211, 9.714)

0.136 (0.062, 0.211)

8.269 (7.026, 9.512)

0.131 (0.057, 0.205)

7.912 (6.697, 9.127)

0.131 (0.057, 0.205)

Cognitive reserve

1.742 (1.652, 1.833)*

0.048 (0.026, 0.071)*

1.714 (1.623, 1.805)*

0.047 (0.024, 0.069)*

1.615 (1.521, 1.709)*

0.054 (0.031, 0.077)*

Baseline age, centred

−0.157 (− 0.228, − 0.086)*

−0.021 (− 0.040, − 0.002)*

−0.146 (− 0.217, − 0.074)*

−0.020 (− 0.039, 0.000)

−0.148 (− 0.219, − 0.078)*

−0.019 (− 0.038, 0.000)

Baseline age, squared

− 0.002 (− 0.005, 0.002)

0.000 (− 0.001, 0.001)

−0.001 (− 0.005, 0.002)

0.000 (− 0.001, 0.001)

− 0.001 (− 0.004, 0.002)

0.000 (− 0.001, 0.001)

Gender

 Men

Ref

–

–

–

–

–

 Women

−0.543 (− 0.881, − 0.204)*

0.092 (0.011, 0.172)*

−0.455 (− 0.898, − 0.013)*

0.021 (− 0.086, 0.127)

−0.364 (− 0.804, 0.077)

0.003 (− 0.103, 0.110)

Marital status

 Unmarried

  

Ref

–

–

–

 Married

  

0.352 (−0.092, 0.797)

0.039 (−0.074, 0.151)

0.272 (− 0.167, 0.711)

0.042 (− 0.071, 0.154)

Alcohol drinking

 Never

  

Ref

–

–

–

 1/month

  

1.373 (−0.589, 3.334)

−0.199 (− 0.686, 0.289)

1.125 (− 0.809, 3.060)

−0.177 (− 0.664, 0.310)

 2–3/month

  

0.541 (−0.728, 1.810)

0.051 (− 0.250, 0.353)

0.415 (− 0.837, 1.667)

0.075 (− 0.227, 0.376)

 1–6/week

  

0.112 (− 0.827, 1.051)

−0.163 (− 0.390, 0.064)

0.126 (− 0.801, 1.052)

−0.176 (− 0.403, 0.051)

 ≥1/day

  

0.078 (−0.507, 0.663)

0.027 (−0.110, 0.164)

0.027 (− 0.551, 0.606)

0.029 (− 0.108, 0.166)

Smoking status

 Never

  

Ref

–

–

–

 Former

  

0.427 (−0.124, 0.979)

−0.141 (− 0.276, − 0.007)*

0.505 (− 0.040, 1.050)

−0.150 (− 0.284, − 0.015)*

 Current

  

− 0.069 (− 0.528, 0.391)

− 0.122 (− 0.231, − 0.012)*

−0.035 (− 0.489, 0.418)

−0.123 (− 0.232, − 0.014)*

BMI

 Underweight

  

−0.324 (−1.122, 0.474)

0.034 (− 0.169, 0.238)

−0.266 (− 1.059, 0.526)

0.031 (− 0.173, 0.235)

 Normal

  

Ref

–

–

–

 Overweight

  

0.791 (0.370, 1.212)*

0.017 (−0.082, 0.116)

0.738 (0.314, 1.161)*

0.018 (− 0.082, 0.119)

 Obesity

  

0.553 (−0.007, 1.112)

− 0.057 (− 0.188, 0.075)

0.457 (− 0.116, 1.030)

− 0.059 (− 0.196, 0.077)

Hearing loss

 No

    

Ref

–

 Yes

    

−0.428 (− 0.975, 0.119)

−0.011 (− 0.155, 0.133)

Hypertension

 No

    

Ref

–

 Yes

    

−0.183 (− 0.544, 0.177)

0.006 (−0.082, 0.094)

Diabetes

 No

    

Ref

–

 Yes

    

0.035 (−0.485, 0.556)

− 0.054 (− 0.181, 0.073)

Heart diseases

 No

    

Ref

–

 Yes

    

0.194 (−0.207, 0.595)

−0.004 (− 0.102, 0.095)

Stroke

 No

    

Ref

–

 Yes

    

−0.243 (−1.084, 0.599)

− 0.191 (− 0.428, 0.047)

Dyslipidaemia

 No

    

Ref

–

 Yes

    

0.166 (−0.304, 0.637)

0.088 (− 0.026, 0.202)

Probable depression§

 No

    

Ref

–

 Yes

    

−1.059 (−1.468, − 0.649)*

0.094 (− 0.009, 0.197)

ADLs (0–6)

    

−0.487 (− 0.668, − 0.306)*

0.064 (0.012, 0.117)*

  1. Notes: ADLs activities of daily life, BMI body mass index, Ref reference category. Quadratic slope was not regressed on CR or covariates because the magnitude of the slope is too small (b = 0.012). a Adjusted for age, age squared, gender, and urban/rural residence. b Adjusted for Model 1 covariates plus smoking status, alcohol drinking frequency and BMI. c Adjusted for Model 2 covariates plus number of limitations in ADLs, self-rated hearing, probable depression, and self-reported doctor-diagnosis of cardiovascular disease, hypertension, diabetes, stroke and dyslipidaemia. §Probable depression was defined as having CES-D-10 score ≥ 12. * p < 0.05