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J Neurol Neurosurg Psychiatry 76:1624-1629 doi:10.1136/jnnp.2005.063388
  • Paper

Lipid lowering agents are associated with a slower cognitive decline in Alzheimer’s disease

Table 2

 Characteristics of patients according to the rate of cognitive decline on the mini-mental state examination and effect of lipid lowering agents on the progression of cognitive decline

Variable Frequency (%) Odds ratio 95% CI p Value
Slow cognitive progression (<1.8 point/year) (n = 172) Fast cognitive progression (>1.8 point/year) (n = 170)
AChEI, acetyl choline esterase inhibitor; DRS, dementia rating scale26; LLA, lipid lowering agent; NA, not available; NSAID, non-steroidal anti-inflammatory drug; SSRI, selective serotonin reuptake inhibitor.
Qualitative
Men 51 (29.7) 59 (34.7) 1.26 0.80 to 1.99 0.317
Arterial hypertension 97 (56.4) 100 (58.8) 1.10 0.72 to 1.70 0.650
Diabetes mellitus 34 (19.8) 22 (12.9) 0.60 0.34 to 1.08 0.088
Antidepressant (SSRI) 73 (42.4) 85 (50) 1.36 0.88 to 2.08 0.161
AChEI at entry 138 (80.2) 141 (82.9) 1.20 0.69 to 2.08 0.518
Treatment with AChEI at the end of follow up 120 (69.8), NA = 12 111 (65.3) NA = 11 0.77 0.47 to 1.26 0.094
NSAIDs 81 (47.1) 80 (47.1) 1.00 0.65 to 1.53 0.995
Vascular lesion on imaging 45 (26.2) 40 (23.5) 0.87 0.53 to 1.42 0.573
Education <8 years 139 (80.8) 129 (76.3) NA = 1 0.77 0.45 to 1.29 0.488
Education 8–12 years 19 (11) 26 (15.4) NA = 1 1.46 0.77 to 2.77
Education >12 years 14 (8.1) 14 (8.3) NA = 1 1.02 0.47 to 2.21
Lipid lowering agents 79 (45.9) 50 (29.4) 0.49 0.31 to 0.77 0.002
    Fibrates 39 (22.7) 24 (14.1) 0.56 0.32 to 0.98 0.041
    Statins 37 (21.5) 24 (14.1) 0.60 0.34 to 1.06 0.074
    Others hypolipaemic agents 18 (10.5) 14 (8.2) 0.77 0.37 to 1.60 0.479
Hypercholesterolaemia 114 (66.3) 99 (58.2) 1.41 0.91 to 2.19 0.125
Quantitative (mean (SD))
Total duration of LLAs (months) 49.9 (50), NA = 6 32.3 (29.2), NA = 4 0.033

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