Association of branched-chain amino acids and other circulating metabolites with risk of incident dementia and Alzheimer's disease: A prospective study.

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Association of branched-chain amino acids and other circulating metabolites with risk of incident dementia and Alzheimer's disease: A prospective study in eight cohorts  Juho Tynkkynen, Vincent Chouraki, Sven J. van der Lee, Jussi Hernesniemi, Qiong Yang, Shuo Li, Alexa Beiser, Martin G. Larson, Katri Sääksjärvi, Martin J. Shipley, Archana Singh-Manoux, Robert E. Gerszten, Thomas J. Wang, Aki S. Havulinna, Peter Würtz, Krista Fischer, Ayse Demirkan, M. Arfan Ikram, Najaf Amin, Terho Lehtimäki, Mika Kähönen, Markus Perola, Andres Metspalu, Antti J. Kangas, Pasi Soininen, Mika Ala-Korpela, Ramachandran S. Vasan, Mika Kivimäki, Cornelia M. van Duijn, Sudha Seshadri, Veikko Salomaa  Alzheimer's & Dementia: The Journal of the Alzheimer's Association  Volume 14, Issue 6, Pages 723-733 (June 2018) DOI: 10.1016/j.jalz.2018.01.003 Copyright © 2018 The Authors Terms and Conditions

Fig. 1 A forest plot describing the meta-analysis results of all eight cohorts combined (n = 22,623/995, participants/incident dementia cases). Results are adjusted for model 2. Model 2 includes age, sex, education grade, number of APOE ε4 alleles, systolic blood pressure, hypertension treatment, prevalent diabetes, current smoking, and any prevalent cardiovascular disease (atrial fibrillation, coronary heart disease, heart failure, stroke, or peripheral artery disease) as covariates. HRs and 95% CIs are shown per one SD of rank inverse normal transformed metabolite concentration. Abbreviations: APOE, apolipoprotein E; CIs, confidence intervals; HRs, hazard ratios; SD, standard deviation; AD, Alzheimer's disease; CREA, creatinine; SFA-FA, Ratio of saturated fatty acids to total fatty acids; ILE, isoleucine; LEU, leucine; VAL, valine; L-HDL-CE-%, Cholesterol esters to total lipids ratio in large HDL; L-HDL-PL-%, phospholipids to total lipids ratio in large HDL; S-VLDL-C, Total cholesterol in small VLDL; XL-VLDL-C-%, Total cholesterol to total lipids ratio in very large VLDL; XL-VLDL-TG-%, Triglycerides to total lipids ratio in very large VLDL. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2018 14, 723-733DOI: (10.1016/j.jalz.2018.01.003) Copyright © 2018 The Authors Terms and Conditions