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Table 3 Unadjusted and adjusted Odds Ratios (ORs) of BMI categories for cognitive decline overall and stratified by physical activity and chronic disorders

From: Body mass index and cognitive decline among community-living older adults: the modifying effect of physical activity

 

Unadjusted ORs

Model 1 a

Model 2 b

Model 3 c

Overall (n = 85/1028)

 Underweight

2.88 (0.74–11.16)

1.87 (0.47–7.46)

1.85 (0.44–7.85)

1.81 (0.38–8.57)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.56 (0.33–0.96)

0.56 (0.32–0.98)

0.60 (0.34–1.05)

0.63 (0.35–1.13)

 Obesity

0.79 (0.45–1.38)

0.91 (0.51–1.64)

0.95 (0.52–1.73)

0.76 (0.39–1.48)

 

By Physical Activity

Low physical activity (n = 58/762)

 Underweight

3.32 (0.62–17.59)

2.13 (0.38–11.91)

1.96 (0.32–11.96)

1.40 (0.20–9.64)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.71 (0.37–1.35)

0.76 (0.39–1.51)

0.82 (0.41–1.63)

0.85 (0.41–1.75)

 Obesity

1.05 (0.55–2.01)

1.41 (0.70–2.84)

1.53 (0.75–3.11)

1.15 (0.53–2.50)

High physical activity (n = 21/266)

 Underweight

2.29 (0.22–23.53)

1.38 (0.11–17.04)

2.17 (0.17–27.93)

3.19 (0.23–43.88)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.33 (0.12–0.96)

0.26 (0.08–0.77)

0.20 (0.06–0.68)

0.25 (0.07–0.89)

 Obesity

0.16 (0.02–1.25)

0.18 (0.02–1.40)

0.12 (0.01–1.05)

0.11 (0.01–1.08)

 

By type of disorder

Metabolic disorders (n = 67/821)

 Underweight

3.04 (0.76–12.19)

2.04 (0.50–8.36)

2.03 (0.46–8.84)

2.16 (0.44–10.54)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.58 (0.32–1.05)

0.59 (0.32–1.08)

0.59 (0.32–1.10)

0.63 (0.33–1.19)

 Obesity

0.81 (0.45–1.48)

0.98 (0.53–1.84)

0.96 (0.50–1.82)

0.78 (0.39–1.59)

No metabolic disorders (n = 12/207)

 Underweight

NA

NA

NA

NA

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.48 (0.13–1.69)

0.41 (0.10–1.69)

0.61 (0.12–3.13)

0.68 (0.13–3.70)

 Obesity

0.34 (0.04–2.89)

0.27 (0.03–2.58)

0.46 (0.04–4.68)

0.62 (0.05–7.34)

Cardiovascular disorders (n = 39/387)

 Underweight

3.77 (0.64–22.35)

2.78 (0.46–16.95)

2.29 (0.33–15.75)

2.44 (0.33–18.22)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.42 (0.17–1.02)

0.41 (0.16–1.03)

0.47 (0.19–1.20)

0.48 (0.18–1.24)

 Obesity

1.21 (0.56–2.65)

1.49 (0.65–3.43)

1.61 (0.68–3.82)

1.09 (0.43–2.80)

No Cardiovascular disorders (n = 46/641)

 Underweight

1.91 (0.21–17.28)

1.31 (0.13–13.04)

1.73 (0.16–18.15)

2.45 (0.21–28.73)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.68 (0.34–1.34)

0.65 (0.32–1.33)

0.67 (0.32–1.39)

0.68 (0.31–1.45)

 Obesity

0.52 (0.23–1.20)

0.54 (0.22–1.30)

0.54 (0.22–1.32)

0.46 (0.17–1.24)

Anxio-depressive disorders (n = 34/355)

 Underweight

1.17 (0.13–10.42)

0.71 (0.08–6.65)

0.73 (0.07–7.88)

0.59 (0.05–7.47)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.63 (0.27–1.44)

0.59 (0.25–1.39)

0.71 (0.29–1.74)

0.76 (0.30–1.94)

 Obesity

0.60 (0.24–1.49)

0.67 (0.26–1.75)

0.72 (0.27–1.94)

0.73 (0.26–2.06)

No anxio-depressive disorders (n = 51/673)

 Underweight

6.56 (1.03–41.75)

5.35 (0.78–36.56)

5.18 (0.74–36.42)

8.06 (1.04–62.26)

 Normal weight

1.00

1.00

1.00

1.00

 Overweight

0.54 (0.27–1.08)

0.59 (0.28–1.23)

0.60 (0.29–1.26)

0.57 (0.26–1.25)

 Obesity

0.94 (0.46–1.91)

1.20 (0.56–2.55)

1.25 (0.57–2.72)

0.75 (0.30–1.88)

  1. n/N number of cases of cognitive decline in each strata
  2. Abbreviations: BMI Body Mass Index (in kg/m2), NA Not applicable due to small cell effectives
  3. a. Model 1 was adjusted for sociodemographic characteristics; b. Model 2 is Model 1 further adjusted for lifestyle factors; c. Model 3 is Model 2 further adjusted for physical and mental health factors; Bold: p-value < 0.05