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Microalbuminuria and dementia: The HUNT-HMS Study

No dementia

n= 8,981

Logistic regression models with outcome variable dementia=1 no dementia=0.

Supplementary analyses

  • Diabetes mellitus-- Yes/No
  • BP treatment-- ever/never

Logistic regression

References

Citatioons here

Results

Other interventions

Assessment findings

Statistical analyses

Background

Microvascular abnormalities are seen in Alzheimer disease and vascular dementia brains

Dementia and microalbuminuria

  • What has been published?
  • Albuminuria nad Dementia in the Elderly: A Community study

Dementia is associated with microvascular disease of the retina

Methods

Selection criteria

HUNT 2 Microalbuminuria

Substudy

Hx HTN and Yes DM

n=605

Hypertension--BP tablet usage never/ever

Dementia

n=26

(AD=10

VaD=9

Mixed=3)

No dementia

n=579

Dementia

n=339

MCI 12

AD 162

VaD 74

Mixed AD/VaD 39

LBD 7

FTD 18

Other 27

Diabetes mellitus--Self report yes/no

Randomized sample

Hx HTN and No DM

n=3,911

Dementia

n=229

(AD=109

VaD=50

Mixed=25)

No dementia 3,682

Microalbuminuria study

Covariates/Confounders

Aims

Invited: 11,515

Did not participate: 1,763

ALL (n=9320)

mean ACR >=30 N=180

<60

>=60

n=146

n=34

9,752

Generally: To study the association between microalbuminuria and incident dementia in a large population based study.

mean ACR <30

>=60 n=5,563

Did not deliver 3 urine samples

n=54

9,698

age (Cont)

sex

education (Cat)

Clinical cov

GFR

Cholesterol

Non fasting glucose

Waist hip ratio

Pregnant, menstruating, hematuria, UVI n=378

More specifically: To study the association between microalbuminuria, chronic kidney disease and incident dementia in a large sample based population.

<60

>=60

n=9,320

ALL

n=3,611

n=5,709

No dementia=8,981

Dementia=339

No dementia

n=3,596

Self report cov

Hx HTN

Hx DM

Hx Stroke, MI, Angina

Hx Smoking

No dementia

n=5,385

Examine an at-risk-population : To study the association between microalbuminuria, chronic kidney disease and incident dementia in a treated hypertensive, non-diabetic vs diabetic subgroup.

Dementia n=15

(AD=6 VaD=4)

Dementia n=324

AD=155 VaD=70 Mixed=39

Phases of Renal Failure

Recovery

Macroalbuminuria

Microalbuminuria

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