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Metabolic syndrome and localization of white matter hyperintensities in the elderly population.

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HAL Id: inserm-00715982

https://www.hal.inserm.fr/inserm-00715982

Submitted on 9 Jul 2012

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Metabolic syndrome and localization of white matter

hyperintensities in the elderly population.

Florence Portet, Adam Brickman, Yaakov Stern, Nikolaos Scarmeas, Jordan

Muraskin, Frank Provenzano, Claudine Berr, Alain Bonafé, Sylvaine Artero,

Karen Ritchie, et al.

To cite this version:

Florence Portet, Adam Brickman, Yaakov Stern, Nikolaos Scarmeas, Jordan Muraskin, et al.. Metabolic syndrome and localization of white matter hyperintensities in the elderly population.. Alzheimer’s and Dementia, Elsevier, 2012, 8 (5 Suppl), pp.S88-95.e1. �10.1016/j.jalz.2011.11.007�. �inserm-00715982�

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APPENDIX

Table A: Factors associated with total WMH volumes categorized in tertiles

MMSE: mini mental state examination; ApoE4: 4 allele of the Apolipoprotein E (having at least one copy), WMH: white mater hyperintensities. M (SD): means (standard deviation)

WMH volumes

Low levels (<0.7 mL) High levels (≥0.7 mL) p-value Median, (25th -50th percentile) 0.30, (0.10-0.40) 1.75, (0.80-1.75)

Women, % 53.7 52.0 0.76

Age, m (SD) 70.2 (3.7) 72.1 (4.1) <10-4

No academic qualification /primary school, % 17.5 19.6 0.85

Current smokers, % 7.5 8.8 0.92

Use of lipid lowering drugs, % 22.5 25.0 0.60

Performances in MMSE, m (SD) 27.8 (1.4) 27.5 (1.6) 0.10

ApoE4 genotype (heterozygote), % 17.5 23.6 0.18

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Table B: Association between each MetS components and total WMH volumes.

WMH: White matter hyperintensities, MetS: Metabolic Syndrome, HDL: high density lipoprotein, FBG : Fasting Blood Glucose

OR (95% CI) : odds ratio accompanied with its 95% confidence interval,

* Odds ratio adjusted for age at baseline (by year), sex, educational attainment, smoking, use of lipids lowering drugs MMSE scores, allele ε4 of apolipoprotein E and total cranial volume - Results of logistic regression models -

Levels of WMH volumes

MetS criteria Total n, % exposed OR (95% CI) of having high levels of WMH volumes (≥0.7mL)* p Central obesity 292, 18.1% 1.57 (0.84;2.94) 0.16 High Triglycerides 308, 14.9% 1.25 (0.65; 2.39) 0.50 Low HDL-cholesterol 308, 8.1% 1.81 (0.77;4.27) 0.17 Hypertension 304, 80.6% 1.87 (1.00; 3.50) 0.05 High FBG 324, 9.4% 1.14 (0.51; 2.56) 0.75 Number of MetS criteria 288 1.31 (1.01-1.71) 0.04

Figure

Table A: Factors associated with total WMH volumes categorized in tertiles
Table B: Association between each MetS components and total WMH volumes.

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