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05 September 2022: Clinical Research

Interaction of High-Sugar Diet and History of Stroke with Risk of Cognitive Decline in Older Adults

Qian Xu 1AEFG , Sicong Zhang 2BCD , Yanqing Gu 1C , Ping Wang 1D , Qian Zhang 1B , Chunlei Shan 234AEG*

DOI: 10.12659/MSM.937572

Med Sci Monit 2022; 28:e937572

Table 1 The characteristics of participants with and without cognitive decline.

CharacteristicsTotal (n=2710)GroupStatisticsP
Non-cognitive decline group (n=1678)Cognitive decline group (n=1032)
Age, Mean (S.E)69.10 (0.20)68.95 (0.22)69.59 (0.33)t=−1.7700.086
Gender, n (%)χ=7.6150.006
 Male1335 (46.34)757 (44.80)578 (51.34)
 Female1375 (53.66)921 (55.20)454 (48.66)
BMI, Mean (S.E)29.18 (0.23)29.07 (0.25)29.52 (0.38)t=−1.1400.263
Race, n (%)χ=162.821
 Mexican American233 (3.23)97 (1.82)136 (7.82)
 Other race505 (8.21)258 (6.35)247 (14.26)
 Non-Hispanic White1330 (80.45)1051 (87.16)279 (58.66)
 Non-Hispanic Black642 (8.10)272 (4.67)370 (19.27)
Marital status, n (%)χ=27.032
 Married1502 (63.10)983 (66.33)519 (52.62)
 Widowed/divorced977 (29.96)563 (27.55)414 (37.78)
 Unmarried154 (4.19)85 (3.64)69 (5.96)
 Cohabitation77 (2.75)47 (2.48)30 (3.64)
Education, n (%)χ=513.353
 Less than high school674 (15.45)182 (8.10)492 (39.31)
 High school639 (22.25)375 (19.96)264 (29.69)
 More than high school1397 (62.30)1121 (71.94)276 (31.00)
Family annual income, n (%)χχ=143.058
737 (17.27)321 (11.69)416 (35.39)
 ≥$20,0001973 (82.73)1357 (88.31)616 (64.61)
Sleep disorder, n (%)333 (12.37)207 (12.58)126 (11.70)χ=0.2780.598
Sleep duration (h), Mean (S.E)7.14 (0.02)7.15 (0.03)7.13 (0.06)t=0.3000.763
Smoker, n (%)1385 (50.48)835 (49.54)550 (53.52)χ=2.4700.116
Drinker, n (%)848 (26.78)479 (23.72)369 (36.74)χ=75.132
 Vigorous work activity, n (%)χ=13.2230.001
 Vigorous-intensity activities299 (13.26)203 (14.61)96 (8.88)
 Moderate-intensity activities546 (22.35)378 (23.60)168 (18.30)
 Others1865 (64.39)1097 (61.80)768 (72.82)
Vigorous recreational activities, n (%)χ=106.335
 Vigorous-intensity activities257 (11.75)209 (14.40)48 (3.15)
 Moderate-intensity activities887 (34.03)608 (36.86)279 (24.81)
 Others1566 (54.22)861 (48.74)705 (72.04)
Depression, n (%)237 (7.07)90 (5.13)147 (13.35)χ=30.445
Hypertension, n (%)1695 (58.74)1016 (56.64)679 (65.55)χ=10.4610.001
Diabetes, n (%)669 (20.51)341 (17.22)328 (31.22)χ=21.835
CHF, n (%)198 (6.89)99 (5.79)99 (10.45)χ=8.2880.004
CHD, n (%)256 (9.80)166 (9.72)90 (10.05)χ=0.0230.880
Heart disease, n (%)240 (8.82)135 (7.91)105 (11.76)χ=6.7880.009
TC, Mean (S.E)194.26 (1.27)196.53 (1.51)186.87 (1.62)t=4.560
HDL, Mean (S.E)56.49 (0.62)57.20 (0.74)54.18 (0.79)t=2.9400.006
GHb, Mean (S.E)5.95 (0.03)5.88 (0.03)6.19 (0.07)t=−3.740
History of stroke, n (%)χ=17.321
 Yes187 (6.29)84 (4.81)103 (11.09)
 No2523 (93.71)1594 (95.19)929 (88.91)
Content of added sugars, n (%)χ=16.491
 Normal level1979 (75.03)1276 (77.41)703 (67.28)
 High level731 (24.97)402 (22.59)329 (32.72)
BMI – body mass index; CHF – congestive heart failure; CHD – coronary heart disease; HDL – high-density lipoprotein; GHb – glycosylated hemoglobin.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750