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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 4 Interaction between a history of stroke and high-sugar diet on cognitive decline.

Content of added sugarHistory of strokeModel 1Model 2Model 3
OR (95% CI)POR (95% CI)POR (95% CI)P
NormalNoRefRefRef
NormalYes2.260 (1.375–3.714)1.749 (1.217–2.516)0.0021.598 (1.010–2.529)0.037
HighNo1.626 (1.256–2.104)1.691 (1.264–2.264)1.399 (1.005–1.946)0.038
HighYes5.110 (2.255–11.578)5.326 (2.236–12.685)3.254 (1.098–9.641)0.027
RERI2.224 (−0.065–4.512)2.885 (−1.306–7.076)1.257 (0.188–2.326)
API0.435 (0.146–0.724)0.542 (0.156–0.928)0.386 (0.135–0.638)
SI2.179 (1.087–4.370)3.003 (1.001–9.006)2.261 (1.063–4.809)
Unadjusted univariate logistic analysis; Multivariable logistic analysis adjusted for age, gender, diabetes and GHb; Multivariable logistic analysis adjusted for age, gender, diabetes, GHb, BMI, race, marital status, education, family income, drinking, vigorous work activity, vigorous recreational activities, depression disorder, hypertension, congestive heart failure, heart disease, TC and HDL. OR – odds ratio; CI – confidence interval; RERI – relative excess risk of interaction; SI – synergy index; API – attributable proportion of interaction.

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