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 3

Odds ratios (95% CI) of individual MetS traits and the number of MetS for cognitive decline.

Model 1Model 2Model 3
OR(95% CI) valueOR(95% CI) valueOR(95% CI) value

Individual MetS traits
 Large WC versus small1.54(1.23–1.93)<0.0011.52(1.22–1.90)<0.0011.52(1.18–1.95)0.001
 High BP versus low1.47(1.14–1.90)0.0031.49(1.15–1.92)0.0031.42(1.05–1.92)0.024
 Decreased HDL-C versus high1.27(0.91–1.77)0.1541.27(0.90–1.77)0.1701.23(0.88–1.73)0.233
 Elevated TG versus low1.24(0.94–1.64)0.1251.25(0.96–1.64)0.1041.23(0.94–1.61)0.134
 Elevated glucose versus low1.94(1.40–2.68)<0.0011.87(1.36–2.57)<0.0011.76(1.23–2.52)0.002
MetS: Yes versus No1.41(1.03–1.92)0.0321.40(1.03–1.90)0.0341.68(1.25–2.24)0.001
No. of MetS traits
 1 versus 01.29(0.78–2.13)0.3281.32(0.79–2.22)0.2941.24(0.60–2.55)0.568
 2 versus 01.35(0.84–2.17)0.2191.35(0.83–2.19)0.2261.38(0.71–2.67)0.339
 3 versus 01.72(1.04–2.85)0.0361.72(1.05–2.81)0.0312.02(1.09–3.75)0.026
 ≥4 versus 01.88(1.17–3.02)0.0091.90(1.18–3.06)0.0082.25(1.22–4.16)0.010
 Test for trend1.16(1.04–1.29)0.0051.16(1.04–1.28)0.0061.24(1.12–1.38)<0.001

MetS: metabolic syndrome; WC: waist circumference; BP: blood pressure; HDL-C: high density lipoprotein cholesterol; TG: triglyceride.
Model 1: adjusted for age, sex, and race.
Model 2: adjusted for covariates in Model 1 plus marital status and smoking status.
Model 3: adjusted for covariates in Model 2 plus log-CRP.