Table 3 Risk of Alzheimer’s disease by prescribed amount of strong anticholinergic agents.

From: Association of Anticholinergic Use with Incidence of Alzheimer’s Disease: Population-based Cohort Study

Subjects

Prescribed amount (doses/year)

No. of AD events (%)

Incidence rate per 100,000 person-years

Crude model

Covariates model

Model I

Model II

Hazard ratio (95% Confidence interval)

All subjects (n = 191,805)

overall

13,133 (6.9)

2.17 (2.13–2.21)

   

0–9

5,863 (6.1)

1.94 (1.90–1.99)

Reference

Reference

Reference

10–49

4,714 (6.6)

2.08 (2.02–2.14)

1.03 (0.99–1.07)

1.02 (0.98–1.06)

0.99 (0.95–1.03)

50–119

1,503 (9.5)

3.01 (2.86–3.16)

1.53 (1.44–1.61)

1.28 (1.21–1.36)

1.19 (1.12–1.26)

≥120

1,053 (12.1)

3.87 (3.63–4.10)

1.98 (1.86–2.12)

1.57 (1.47–1.68)

1.39 (1.30–1.50)

Young-old subgroup (n = 84,566)

overall

2,542 (3.0)

0.94 (0.90–0.98)

   

0–9

1,032 (1.2)

0.73 (0.69–0.78)

Reference

Reference

Reference

10–49

981 (3.1)

0.97 (0.90–1.03)

1.27 (1.17–1.39)

1.18 (1.08–1.29)

1.11 (1.04–1.22)

50–119

295 (5.0)

1.56 (1.39–1.74)

2.09 (1.83–2.37)

1.70 (1.49–1.94)

1.43 (1.25–1.65)

≥120

234 (7.6)

2.39 (2.09–2.70)

3.23 (2.81–3.73)

2.47 (2.14–2.87)

1.83 (1.56–2.14)

  1. Model I: Adjusted for age, sex and level of income.
  2. Model II: Adjusted for Model I + diabetes mellitus, hypertension, myocardial infarction, cardiovascular diseases, dizziness, genitourinary diseases, epilepsy, Parkinson’s disease, neuralgia, skin disease, sleep disorder, prescribed doses of weak anticholinergics, and cumulative prescribed days of other non-anticholinergic agents that can impair cognitive function (all psychotic diseases including depression, psychosis, anxiety were excluded in the step of participant selection in advance).