Review Article

Association between Antihypertensive Drug Use and the Incidence of Cognitive Decline and Dementia: A Meta-Analysis of Prospective Cohort Studies

Table 4

Subgroup analyses for dementia and Alzheimer’s disease.

OutcomesGroupRR and 95% CI valueHeterogeneity (%) value for heterogeneityIntersubgroup heterogeneity

DementiaPublication year
2010 or after0.91 (0.72–1.15)
Before 20100.82 (0.67–1.00)
Country
USA1.03 (0.87–1.23)
Other0.79 (0.71–0.89)<0.001
Sample size
≥10000.88 (0.76–1.03)
<10000.73 (0.45–1.17)
Mean age (years)
≥80.00.93 (0.73–1.18)
<80.00.78 (0.69–0.89)<0.001
Male percentage (%)
≥50.01.05 (0.73–1.51)
<50.00.84 (0.73–0.97)
History of stroke (%)
≥10.00.50 (0.24–1.04)
<10.00.82 (0.72–0.93)
History of DM (%)
≥20.00.78 (0.38–1.59)
<20.00.86 (0.72–1.02)
History of CVD (%)
≥20.00.50 (0.24–1.04)
<20.00.88 (0.77–1.00)
Follow-up duration periods (years)
≥5.00.89 (0.76–1.04)
<5.00.70 (0.60–0.96)
Adjusted SBP and DBP
Yes0.80 (0.70–0.90)<0.001
No0.94 (0.77–1.14)
Adjusted BMI
Yes0.86 (0.72–1.02)
No0.85 (0.63–1.16)

Alzheimer’s diseasePublication year
2010 or after0.52 (0.41–0.66)<0.001<0.001
Before 20100.93 (0.80–1.09)
Country
USA0.81 (0.54–1.21)
Other0.88 (0.71–1.09)
Sample size
≥10000.82 (0.61–1.11)
<10000.88 (0.60–1.30)
Mean age (years)
≥80.00.87 (0.65–1.17)
<80.00.82 (0.57–1.17)<0.001
Male percentage (%)
≥50.00.64 (0.39–1.04)<0.001
<50.00.94 (0.80–1.11)
History of stroke (%)
≥10.0
<10.00.75 (0.55–1.02)
History of DM (%)
≥20.01.05 (0.80–1.37)
<20.00.73 (0.50–1.06)
History of CVD (%)
≥20.01.15 (0.84–1.57)
<20.00.66 (0.40–1.10)
Follow-up duration periods (years)
≥5.00.81 (0.54–1.21)
<5.00.88 (0.71–1.09)
Adjusted SBP and DBP
Yes0.68 (0.40–1.13)
No0.97 (0.80–1.17)
Adjusted BMI
Yes0.68 (0.40–1.13)
No0.97 (0.80–1.17)