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Télécharger le texte intégral - ISPED-Enseignement à distance

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Annexes 206Explanatory variab<strong>le</strong>sIn addition to age and age squared, the model included educational <strong>le</strong>vel (graduated fromprimary school versus did not graduated) and gender which were included as covariates bothin the linear mixed model for the latent cognitive <strong>le</strong>vel and in the models for eachpsychometric test. Thus, we were ab<strong>le</strong> to estimate association of covariates with theunderlying global cognitive <strong>le</strong>vel, on one hand, and on each test score adjusting on the latent<strong>le</strong>vel, on the other hand. Moreover, summing these two estimates, we may also compute theglobal association of the covariate with each psychometric test without adjustment on thelatent cognitive <strong>le</strong>vel. We examined both the impact of covariates on the mean latentcognitive <strong>le</strong>vel and on its evolution (by including interaction between covariates and age orage squared). We also adjusted the latent cognitive <strong>le</strong>vel model on vascular factors col<strong>le</strong>ctedat the initial visit V0, that is history of stroke, high blood pressure (HBP) (self-reported usualsystolic and diastolic blood pressures respectively higher than 140 and 90 mm Hg or use ofdrug for HBP), diabetes (self-reported history of diabetes, diabetes diet or diabetes drug),hypercho<strong>le</strong>stero<strong>le</strong>mia (diet or drug against hypercho<strong>le</strong>stero<strong>le</strong>mia) and smoking status at V0(current or past smoker versus no-smoker), the frequency of some of these factor beingmarkedly different between men and women. Only significant factors (simp<strong>le</strong> effects orinteractions) were kept in the final model except that non significant effects of gender oreducation were maintained in the latent process model when the corresponding differentialassociations in the test-specific models were significant.Samp<strong>le</strong> se<strong>le</strong>ctionCognitive measurements at the initial visit (V0) were excluded from the analysis because of afirst passing effect previously described [12]. Indeed a test-retest improvement was observed8

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