Table 4.

Association Between Use of Anticholinergic Medications (Categorized According to Clinical Significance) and Cognitive Function (β Weights and SE)

MMSEImmediate RecallDelayed RecallDigit Back
TSDD 1–90
Model 1−0.13 (0.11)−0.01 (0.18)0.03 (0.18)−0.10 (0.16)
Model 2−0.15 (0.11)−0.04 (0.18)0.01 (0.18)−0.09 (0.16)
Model 3−0.18 (0.13)−0.03 (0.21)−0.01 (0.21)−0.05 (0.18)
TSDD 91–365
Model 1−0.03 (0.23)−0.33 (0.37)0.11 (0.38)−0.05 (0.33)
Model 2−0.02 (0.23)−0.32 (0.37)0.12 (0.38)−0.04 (0.33)
Model 3−0.06 (0.26)−0.30 (0.44)0.16 (0.45)0.17 (0.42)
TSDD 366–1,095
Model 10.11 (0.23)−0.42 (0.38)−0.16 (0.37)−0.26 (0.31)
Model 20.09 (0.23)−0.45 (0.38)−0.17 (0.38)−0.25 (0.31)
Model 3−0.23 (0.29)−0.25 (0.49)0.50 (0.48)−0.18 (0.41)
TSDD >1,095
Model 10.03 (0.10)0.04 (0.16)−0.18 (0.16)0.19 (0.14)
Model 20.03 (0.10)0.02 (0.16)−0.20 (0.16)0.20 (0.14)
Model 3−0.04 (0.11)−0.10 (0.18)−0.20 (0.18)0.28 (0.18)
Spot§SDMT||PPEG (DH)PPEG (NDH)#PPEG (BH)††
TSDD 1–90
Model 1−0.22 (0.22)0.44 (0.53)0.01 (0.18)0.03 (0.18)−0.12 (0.16)
Model 2−0.23 (0.22)0.30 (0.53)0.02 (0.19)−0.02 (0.18)−0.08 (0.16)
Model 3−0.19 (0.25)0.27 (0.60)0.01 (0.21)−0.03 (0.21)−0.03 (0.18)
TSDD 91–365
Model 1−0.26 (0.53)−1.11 (1.08)−0.50 (0.37)0.56 (0.37)−0.27 (0.32)
Model 2−0.27 (0.53)−1.13 (1.08)−0.50 (0.37)0.56 (0.37)−0.28 (0.32)
Model 3−0.52 (0.63)−0.52 (1.28)−0.49 (0.44)0.60 (0.44)−0.09 (0.38)
TSDD 366–1,095
Model 1−0.43 (0.45)0.87 (1.04)0.05 (0.34)0.05 (0.33)−0.23 (0.31)
Model 2−0.44 (0.45)0.78 (1.04)0.05 (0.34)0.07 (0.33)−0.20 (0.30)
Model 3−0.27 (0.55)0.01 (1.24)0.14 (0.43)0.09 (0.40)−0.15 (0.38)
TSDD >1,095
Model 1−0.15 (0.21)0.03 (0.46)−0.10 (0.16)0.17 (0.14)−0.25 (0.14)
Model 2−0.15 (0.12)−0.07 (0.47)−0.10 (0.16)0.16 (0.15)−0.22 (0.14)
Model 3−0.37 (0.25)−0.35 (0.56)−0.07 (0.19)0.06 (0.17)−0.31 (0.16)
SRT‡‡CRT§§Trail A||||Trail B¶¶
TSDD 1–90
Model 1−11.53 (6.23)−8.81 (4.03)*−0.15 (1.13)0.12 (2.66)
Model 2−11.34 (6.23)−8.73 (4.05)*0.24 (1.14)−0.35 (2.69)
Model 3−7.67 (7.28)−7.87 (4.77)0.47 (1.31)−0.26 (2.88)
TSDD 91–365
Model 14.55 (13.32)−0.65 (8.69)−0.14 (2.42)7.47 (5.10)
Model 24.77 (13.35)−0.81 (8.73)−0.26 (2.41)7.00 (5.09)
Model 313.41 (15.17)2.56 (10.59)−1.29 (2.88)6.35 (6.16)
TSDD 366–1,095
Model 12.43 (12.86)−7.21 (8.67)2.33 (2.31)−1.27 (4.92)
Model 22.32 (12.93)−7.07 (8.74)2.71 (2.32)−1.27 (4.91)
Model 35.76 (15.77)−4.09 (10.01)3.04 (2.72)−8.62 (5.97)
TSDD >1,095
Model 1−2.93 (5.40)4.03 (3.60)−0.03 (1.04)5.77 (2.27)**
Model 2−2.64 (5.39)4.10 (3.64)0.21 (1.04)5.33 (2.27)**
Model 3−5.72 (6.30)2.14 (4.26)1.14 (1.24)8.32 (2.67)**
MMSEImmediate RecallDelayed RecallDigit Back
TSDD 1–90
Model 1−0.13 (0.11)−0.01 (0.18)0.03 (0.18)−0.10 (0.16)
Model 2−0.15 (0.11)−0.04 (0.18)0.01 (0.18)−0.09 (0.16)
Model 3−0.18 (0.13)−0.03 (0.21)−0.01 (0.21)−0.05 (0.18)
TSDD 91–365
Model 1−0.03 (0.23)−0.33 (0.37)0.11 (0.38)−0.05 (0.33)
Model 2−0.02 (0.23)−0.32 (0.37)0.12 (0.38)−0.04 (0.33)
Model 3−0.06 (0.26)−0.30 (0.44)0.16 (0.45)0.17 (0.42)
TSDD 366–1,095
Model 10.11 (0.23)−0.42 (0.38)−0.16 (0.37)−0.26 (0.31)
Model 20.09 (0.23)−0.45 (0.38)−0.17 (0.38)−0.25 (0.31)
Model 3−0.23 (0.29)−0.25 (0.49)0.50 (0.48)−0.18 (0.41)
TSDD >1,095
Model 10.03 (0.10)0.04 (0.16)−0.18 (0.16)0.19 (0.14)
Model 20.03 (0.10)0.02 (0.16)−0.20 (0.16)0.20 (0.14)
Model 3−0.04 (0.11)−0.10 (0.18)−0.20 (0.18)0.28 (0.18)
Spot§SDMT||PPEG (DH)PPEG (NDH)#PPEG (BH)††
TSDD 1–90
Model 1−0.22 (0.22)0.44 (0.53)0.01 (0.18)0.03 (0.18)−0.12 (0.16)
Model 2−0.23 (0.22)0.30 (0.53)0.02 (0.19)−0.02 (0.18)−0.08 (0.16)
Model 3−0.19 (0.25)0.27 (0.60)0.01 (0.21)−0.03 (0.21)−0.03 (0.18)
TSDD 91–365
Model 1−0.26 (0.53)−1.11 (1.08)−0.50 (0.37)0.56 (0.37)−0.27 (0.32)
Model 2−0.27 (0.53)−1.13 (1.08)−0.50 (0.37)0.56 (0.37)−0.28 (0.32)
Model 3−0.52 (0.63)−0.52 (1.28)−0.49 (0.44)0.60 (0.44)−0.09 (0.38)
TSDD 366–1,095
Model 1−0.43 (0.45)0.87 (1.04)0.05 (0.34)0.05 (0.33)−0.23 (0.31)
Model 2−0.44 (0.45)0.78 (1.04)0.05 (0.34)0.07 (0.33)−0.20 (0.30)
Model 3−0.27 (0.55)0.01 (1.24)0.14 (0.43)0.09 (0.40)−0.15 (0.38)
TSDD >1,095
Model 1−0.15 (0.21)0.03 (0.46)−0.10 (0.16)0.17 (0.14)−0.25 (0.14)
Model 2−0.15 (0.12)−0.07 (0.47)−0.10 (0.16)0.16 (0.15)−0.22 (0.14)
Model 3−0.37 (0.25)−0.35 (0.56)−0.07 (0.19)0.06 (0.17)−0.31 (0.16)
SRT‡‡CRT§§Trail A||||Trail B¶¶
TSDD 1–90
Model 1−11.53 (6.23)−8.81 (4.03)*−0.15 (1.13)0.12 (2.66)
Model 2−11.34 (6.23)−8.73 (4.05)*0.24 (1.14)−0.35 (2.69)
Model 3−7.67 (7.28)−7.87 (4.77)0.47 (1.31)−0.26 (2.88)
TSDD 91–365
Model 14.55 (13.32)−0.65 (8.69)−0.14 (2.42)7.47 (5.10)
Model 24.77 (13.35)−0.81 (8.73)−0.26 (2.41)7.00 (5.09)
Model 313.41 (15.17)2.56 (10.59)−1.29 (2.88)6.35 (6.16)
TSDD 366–1,095
Model 12.43 (12.86)−7.21 (8.67)2.33 (2.31)−1.27 (4.92)
Model 22.32 (12.93)−7.07 (8.74)2.71 (2.32)−1.27 (4.91)
Model 35.76 (15.77)−4.09 (10.01)3.04 (2.72)−8.62 (5.97)
TSDD >1,095
Model 1−2.93 (5.40)4.03 (3.60)−0.03 (1.04)5.77 (2.27)**
Model 2−2.64 (5.39)4.10 (3.64)0.21 (1.04)5.33 (2.27)**
Model 3−5.72 (6.30)2.14 (4.26)1.14 (1.24)8.32 (2.67)**

Notes: Measures for Trail A, Trail B, SRT, and CRT represent response time. Thus, positive values for change indicate a cognitive decline. All other measures (MMSE, Immediate Recall, Delayed Recall, Digit Back, Spot, SDMT, and PPEG) represent the number of items completed correctly (negative values for change indicate cognitive decline). Model 1 = unadjusted model. Model 2 = adjusted for age, sex, and education. Model 3 = Model 2 + smoking, alcohol consumption, physical activity, stroke, diabetes, hypertension, BMI, depression, and family history of dementia.

Mini-Mental State Examination. Digit Span Backwards Test. §Spot-the-Word Test. ||Symbol Digit Modalities Test. Purdue Pegboard Test (Dominant Hand). #Purdue Pegboard Test (Nondominant hand). ††Purdue Pegboard Test (Both hands). ‡‡Simple Reaction Time. §§Choice Reaction Time. ||||Trail Making Test Part A.  ¶¶Trail Making Test Part B.

*Significance at p < .05. **Significance at p < .01. ***Significance at p < .001.

Table 4.

Association Between Use of Anticholinergic Medications (Categorized According to Clinical Significance) and Cognitive Function (β Weights and SE)

MMSEImmediate RecallDelayed RecallDigit Back
TSDD 1–90
Model 1−0.13 (0.11)−0.01 (0.18)0.03 (0.18)−0.10 (0.16)
Model 2−0.15 (0.11)−0.04 (0.18)0.01 (0.18)−0.09 (0.16)
Model 3−0.18 (0.13)−0.03 (0.21)−0.01 (0.21)−0.05 (0.18)
TSDD 91–365
Model 1−0.03 (0.23)−0.33 (0.37)0.11 (0.38)−0.05 (0.33)
Model 2−0.02 (0.23)−0.32 (0.37)0.12 (0.38)−0.04 (0.33)
Model 3−0.06 (0.26)−0.30 (0.44)0.16 (0.45)0.17 (0.42)
TSDD 366–1,095
Model 10.11 (0.23)−0.42 (0.38)−0.16 (0.37)−0.26 (0.31)
Model 20.09 (0.23)−0.45 (0.38)−0.17 (0.38)−0.25 (0.31)
Model 3−0.23 (0.29)−0.25 (0.49)0.50 (0.48)−0.18 (0.41)
TSDD >1,095
Model 10.03 (0.10)0.04 (0.16)−0.18 (0.16)0.19 (0.14)
Model 20.03 (0.10)0.02 (0.16)−0.20 (0.16)0.20 (0.14)
Model 3−0.04 (0.11)−0.10 (0.18)−0.20 (0.18)0.28 (0.18)
Spot§SDMT||PPEG (DH)PPEG (NDH)#PPEG (BH)††
TSDD 1–90
Model 1−0.22 (0.22)0.44 (0.53)0.01 (0.18)0.03 (0.18)−0.12 (0.16)
Model 2−0.23 (0.22)0.30 (0.53)0.02 (0.19)−0.02 (0.18)−0.08 (0.16)
Model 3−0.19 (0.25)0.27 (0.60)0.01 (0.21)−0.03 (0.21)−0.03 (0.18)
TSDD 91–365
Model 1−0.26 (0.53)−1.11 (1.08)−0.50 (0.37)0.56 (0.37)−0.27 (0.32)
Model 2−0.27 (0.53)−1.13 (1.08)−0.50 (0.37)0.56 (0.37)−0.28 (0.32)
Model 3−0.52 (0.63)−0.52 (1.28)−0.49 (0.44)0.60 (0.44)−0.09 (0.38)
TSDD 366–1,095
Model 1−0.43 (0.45)0.87 (1.04)0.05 (0.34)0.05 (0.33)−0.23 (0.31)
Model 2−0.44 (0.45)0.78 (1.04)0.05 (0.34)0.07 (0.33)−0.20 (0.30)
Model 3−0.27 (0.55)0.01 (1.24)0.14 (0.43)0.09 (0.40)−0.15 (0.38)
TSDD >1,095
Model 1−0.15 (0.21)0.03 (0.46)−0.10 (0.16)0.17 (0.14)−0.25 (0.14)
Model 2−0.15 (0.12)−0.07 (0.47)−0.10 (0.16)0.16 (0.15)−0.22 (0.14)
Model 3−0.37 (0.25)−0.35 (0.56)−0.07 (0.19)0.06 (0.17)−0.31 (0.16)
SRT‡‡CRT§§Trail A||||Trail B¶¶
TSDD 1–90
Model 1−11.53 (6.23)−8.81 (4.03)*−0.15 (1.13)0.12 (2.66)
Model 2−11.34 (6.23)−8.73 (4.05)*0.24 (1.14)−0.35 (2.69)
Model 3−7.67 (7.28)−7.87 (4.77)0.47 (1.31)−0.26 (2.88)
TSDD 91–365
Model 14.55 (13.32)−0.65 (8.69)−0.14 (2.42)7.47 (5.10)
Model 24.77 (13.35)−0.81 (8.73)−0.26 (2.41)7.00 (5.09)
Model 313.41 (15.17)2.56 (10.59)−1.29 (2.88)6.35 (6.16)
TSDD 366–1,095
Model 12.43 (12.86)−7.21 (8.67)2.33 (2.31)−1.27 (4.92)
Model 22.32 (12.93)−7.07 (8.74)2.71 (2.32)−1.27 (4.91)
Model 35.76 (15.77)−4.09 (10.01)3.04 (2.72)−8.62 (5.97)
TSDD >1,095
Model 1−2.93 (5.40)4.03 (3.60)−0.03 (1.04)5.77 (2.27)**
Model 2−2.64 (5.39)4.10 (3.64)0.21 (1.04)5.33 (2.27)**
Model 3−5.72 (6.30)2.14 (4.26)1.14 (1.24)8.32 (2.67)**
MMSEImmediate RecallDelayed RecallDigit Back
TSDD 1–90
Model 1−0.13 (0.11)−0.01 (0.18)0.03 (0.18)−0.10 (0.16)
Model 2−0.15 (0.11)−0.04 (0.18)0.01 (0.18)−0.09 (0.16)
Model 3−0.18 (0.13)−0.03 (0.21)−0.01 (0.21)−0.05 (0.18)
TSDD 91–365
Model 1−0.03 (0.23)−0.33 (0.37)0.11 (0.38)−0.05 (0.33)
Model 2−0.02 (0.23)−0.32 (0.37)0.12 (0.38)−0.04 (0.33)
Model 3−0.06 (0.26)−0.30 (0.44)0.16 (0.45)0.17 (0.42)
TSDD 366–1,095
Model 10.11 (0.23)−0.42 (0.38)−0.16 (0.37)−0.26 (0.31)
Model 20.09 (0.23)−0.45 (0.38)−0.17 (0.38)−0.25 (0.31)
Model 3−0.23 (0.29)−0.25 (0.49)0.50 (0.48)−0.18 (0.41)
TSDD >1,095
Model 10.03 (0.10)0.04 (0.16)−0.18 (0.16)0.19 (0.14)
Model 20.03 (0.10)0.02 (0.16)−0.20 (0.16)0.20 (0.14)
Model 3−0.04 (0.11)−0.10 (0.18)−0.20 (0.18)0.28 (0.18)
Spot§SDMT||PPEG (DH)PPEG (NDH)#PPEG (BH)††
TSDD 1–90
Model 1−0.22 (0.22)0.44 (0.53)0.01 (0.18)0.03 (0.18)−0.12 (0.16)
Model 2−0.23 (0.22)0.30 (0.53)0.02 (0.19)−0.02 (0.18)−0.08 (0.16)
Model 3−0.19 (0.25)0.27 (0.60)0.01 (0.21)−0.03 (0.21)−0.03 (0.18)
TSDD 91–365
Model 1−0.26 (0.53)−1.11 (1.08)−0.50 (0.37)0.56 (0.37)−0.27 (0.32)
Model 2−0.27 (0.53)−1.13 (1.08)−0.50 (0.37)0.56 (0.37)−0.28 (0.32)
Model 3−0.52 (0.63)−0.52 (1.28)−0.49 (0.44)0.60 (0.44)−0.09 (0.38)
TSDD 366–1,095
Model 1−0.43 (0.45)0.87 (1.04)0.05 (0.34)0.05 (0.33)−0.23 (0.31)
Model 2−0.44 (0.45)0.78 (1.04)0.05 (0.34)0.07 (0.33)−0.20 (0.30)
Model 3−0.27 (0.55)0.01 (1.24)0.14 (0.43)0.09 (0.40)−0.15 (0.38)
TSDD >1,095
Model 1−0.15 (0.21)0.03 (0.46)−0.10 (0.16)0.17 (0.14)−0.25 (0.14)
Model 2−0.15 (0.12)−0.07 (0.47)−0.10 (0.16)0.16 (0.15)−0.22 (0.14)
Model 3−0.37 (0.25)−0.35 (0.56)−0.07 (0.19)0.06 (0.17)−0.31 (0.16)
SRT‡‡CRT§§Trail A||||Trail B¶¶
TSDD 1–90
Model 1−11.53 (6.23)−8.81 (4.03)*−0.15 (1.13)0.12 (2.66)
Model 2−11.34 (6.23)−8.73 (4.05)*0.24 (1.14)−0.35 (2.69)
Model 3−7.67 (7.28)−7.87 (4.77)0.47 (1.31)−0.26 (2.88)
TSDD 91–365
Model 14.55 (13.32)−0.65 (8.69)−0.14 (2.42)7.47 (5.10)
Model 24.77 (13.35)−0.81 (8.73)−0.26 (2.41)7.00 (5.09)
Model 313.41 (15.17)2.56 (10.59)−1.29 (2.88)6.35 (6.16)
TSDD 366–1,095
Model 12.43 (12.86)−7.21 (8.67)2.33 (2.31)−1.27 (4.92)
Model 22.32 (12.93)−7.07 (8.74)2.71 (2.32)−1.27 (4.91)
Model 35.76 (15.77)−4.09 (10.01)3.04 (2.72)−8.62 (5.97)
TSDD >1,095
Model 1−2.93 (5.40)4.03 (3.60)−0.03 (1.04)5.77 (2.27)**
Model 2−2.64 (5.39)4.10 (3.64)0.21 (1.04)5.33 (2.27)**
Model 3−5.72 (6.30)2.14 (4.26)1.14 (1.24)8.32 (2.67)**

Notes: Measures for Trail A, Trail B, SRT, and CRT represent response time. Thus, positive values for change indicate a cognitive decline. All other measures (MMSE, Immediate Recall, Delayed Recall, Digit Back, Spot, SDMT, and PPEG) represent the number of items completed correctly (negative values for change indicate cognitive decline). Model 1 = unadjusted model. Model 2 = adjusted for age, sex, and education. Model 3 = Model 2 + smoking, alcohol consumption, physical activity, stroke, diabetes, hypertension, BMI, depression, and family history of dementia.

Mini-Mental State Examination. Digit Span Backwards Test. §Spot-the-Word Test. ||Symbol Digit Modalities Test. Purdue Pegboard Test (Dominant Hand). #Purdue Pegboard Test (Nondominant hand). ††Purdue Pegboard Test (Both hands). ‡‡Simple Reaction Time. §§Choice Reaction Time. ||||Trail Making Test Part A.  ¶¶Trail Making Test Part B.

*Significance at p < .05. **Significance at p < .01. ***Significance at p < .001.

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