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.
| Outcomes | Group | RR and 95% CI | value | Heterogeneity (%) | value for heterogeneity | Intersubgroup heterogeneity |
| Dementia | Publication year | | 2010 or after | 0.91 (0.72–1.15) | | | | | Before 2010 | 0.82 (0.67–1.00) | | | | Country | | USA | 1.03 (0.87–1.23) | | | | | Other | 0.79 (0.71–0.89) | <0.001 | | | Sample size | | ≥1000 | 0.88 (0.76–1.03) | | | | | <1000 | 0.73 (0.45–1.17) | | | | Mean age (years) | | ≥80.0 | 0.93 (0.73–1.18) | | | | | <80.0 | 0.78 (0.69–0.89) | <0.001 | | | Male percentage (%) | | ≥50.0 | 1.05 (0.73–1.51) | | — | — | | <50.0 | 0.84 (0.73–0.97) | | | | History of stroke (%) | | ≥10.0 | 0.50 (0.24–1.04) | | — | — | | <10.0 | 0.82 (0.72–0.93) | | | | History of DM (%) | | ≥20.0 | 0.78 (0.38–1.59) | | | | | <20.0 | 0.86 (0.72–1.02) | | | | History of CVD (%) | | ≥20.0 | 0.50 (0.24–1.04) | | — | — | | <20.0 | 0.88 (0.77–1.00) | | | | Follow-up duration periods (years) | | ≥5.0 | 0.89 (0.76–1.04) | | | | | <5.0 | 0.70 (0.60–0.96) | | — | — | Adjusted SBP and DBP | | Yes | 0.80 (0.70–0.90) | <0.001 | | | | No | 0.94 (0.77–1.14) | | | | Adjusted BMI | | Yes | 0.86 (0.72–1.02) | | | | | No | 0.85 (0.63–1.16) | | | |
| Alzheimer’s disease | Publication year | | 2010 or after | 0.52 (0.41–0.66) | <0.001 | — | — | <0.001 | Before 2010 | 0.93 (0.80–1.09) | | | | Country | | USA | 0.81 (0.54–1.21) | | | | | Other | 0.88 (0.71–1.09) | | | | Sample size | | ≥1000 | 0.82 (0.61–1.11) | | | | | <1000 | 0.88 (0.60–1.30) | | — | — | Mean age (years) | | ≥80.0 | 0.87 (0.65–1.17) | | | | | <80.0 | 0.82 (0.57–1.17) | | | <0.001 | Male percentage (%) | | ≥50.0 | 0.64 (0.39–1.04) | | | | <0.001 | <50.0 | 0.94 (0.80–1.11) | | | | History of stroke (%) | | ≥10.0 | — | — | — | — | — | <10.0 | 0.75 (0.55–1.02) | | | | History of DM (%) | | ≥20.0 | 1.05 (0.80–1.37) | | | | | <20.0 | 0.73 (0.50–1.06) | | | | History of CVD (%) | | ≥20.0 | 1.15 (0.84–1.57) | | — | — | | <20.0 | 0.66 (0.40–1.10) | | | | Follow-up duration periods (years) | | ≥5.0 | 0.81 (0.54–1.21) | | | | | <5.0 | 0.88 (0.71–1.09) | | | | Adjusted SBP and DBP | | Yes | 0.68 (0.40–1.13) | | | | | No | 0.97 (0.80–1.17) | | | | Adjusted BMI | | Yes | 0.68 (0.40–1.13) | | | | | No | 0.97 (0.80–1.17) | | | |
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