Research Article

Association of Metabolic Syndrome and Inflammation with Cognitive Decline in Adults Aged 60 Years and Older: Findings from a National Health Survey in the United States

Table 2

Adjusted means of individual MetS components and inflammatory markers across quintiles of DSST scores.

DSST score by quintiles ( : range of DSS score)
Q1Q2Q3Q4Q5 Trend test, adjusted value
(575 : 58–117)(600 : 46–57)(641 : 35–45)(556 : 25–34)(603 : 0–24)
Mean(SE)Mean(SE)Mean(SE)Mean(SE)Mean(SE)

MetS components
 WC (mm) 97.57(0.60)100.43(0.56)100.09(0.54)99.97(0.61)101.04(0.62)<0.001
 SBP (mmHg)137.09(1.00)138.82(0.93)138.56(0.91)142.60(1.01)143.02(1.02)0.003
 DBP (mmHg)71.34(0.57)70.74(0.53)69.11(0.52)70.23(0.58)70.64(0.59)0.158
 HDL-C (mg/dL)54.47(0.72)52.32(0.67)52.40(0.65)51.19(0.72)51.61(0.75)0.002
 Log-TG (mg/dL)4.87(0.02)4.88(0.02)4.91(0.02)4.86(0.02)4.88(0.02)0.144
 Log-glucose (md/dL)4.58(0.01)4.60(0.01)4.63(0.01)4.66(0.01)4.65(0.01)<0.001
Inflammatory markers
 Log-CRP (mg/L)0.32(0.02)0.35(0.02)0.35(0.01)0.39(0.02)0.41(0.02)0.001

MetS: metabolic syndrome; DSST: digit symbol substitution test. Q1 to Q5: the first to fifth quintiles of DSS scores.
WC: waist circumference; SBP: systolic BP; DBP: diastolic BP; HDL: high density lipoprotein cholesterol; TG: triglycerides.
Trend test for age, sex, and race/ethnicity-adjusted.