correct for whole brain volume.



BELOW: SUMMARY OF DATA BETWEEN DIABETIC AND NON-DIABETIC PTS.

10% OF NON-DIABETIC PATIENTS CONVERTED TO DEMENTIA, WHILE NEARLY 3X AS MANY (29%) DIABETIC PATIENTS CONVERTED TO DEMENTIA. CONVERSION IS A SIGNFICANT FACTOR (P = 0.027).

SUMMARY OF PT DATA BY DIABETES STATUS
Characteristic No DM2, N = 1501 Yes DM2, N = 211 p-value2
convert 15 (10%) 6 (29%) 0.027
APOE4 0.6
0 78 (58%) 15 (71%)
1 44 (33%) 5 (24%)
2 13 (9.6%) 1 (4.8%)
Unknown 15 0
MMSE 28.0 (26.0, 30.0) 29.0 (27.0, 30.0) 0.088
Unknown 24 0

1 Statistics presented: n (%); median (IQR)

2 Statistical tests performed: Fisher's exact test; Wilcoxon rank-sum test



BELOW: SUMMARY OF DATA BETWEEN DEMENTIA-CONVERTED (1; right column) AND NON-CONVERTED (0; left column) PTS.

CONVERTED PATIENTS HAD A SIGNIFICANTLY LOWER MMSE (24.0 vs 29.0). CONVERTED PATIENTS WERE PROPORTIONALLY HIGHER DIABETIC (29% CONVERTED vs 10% UNCONVERTED).

SUMMARY OF PT DATA BY DEMENTIA CONVERSION
Characteristic 0, N = 1501 1, N = 211 p-value2
APOE4 0.9
0 80 (59%) 13 (62%)
1 42 (31%) 7 (33%)
2 13 (9.6%) 1 (4.8%)
Unknown 15 0
MMSE 29.0 (27.0, 30.0) 24.0 (19.0, 27.0) <0.001
Unknown 24 0
dm2 0.027
No DM2 135 (90%) 15 (71%)
Yes DM2 15 (10%) 6 (29%)

1 Statistics presented: n (%); median (IQR)

2 Statistical tests performed: Fisher's exact test; Wilcoxon rank-sum test



BELOW: LOG MODEL PREDICTS DEMENTIA CONVERSION (1 CONVERTED / 0 NOT ) BY APOE4, GENDER, AGE, MMSE, AND DM2 STATUS.

GENDER, MMSE, AND DIABETES STATUS ARE SIGNFNICANT FACTORS. DIABETES STATUS APPEARS TO HAVE THE STRONGEST RELATIONSHIP WITH CONVERSION.

Observations 132 (39 missing obs. deleted)
Dependent variable convert
Type Generalized linear model
Family binomial
Link logit
𝛘²(5) 42.44
Pseudo-R² (Cragg-Uhler) 0.47
Pseudo-R² (McFadden) 0.37
AIC 85.23
BIC 102.53
Est. S.E. z val. p
(Intercept) 7.41 4.82 1.54 0.12
APOE4 0.13 0.48 0.27 0.79
PTGENDERMale 1.71 0.78 2.20 0.03
AGE 0.03 0.05 0.70 0.49
MMSE -0.52 0.11 -4.48 0.00
dm2_bin 2.78 0.87 3.19 0.00
Standard errors: MLE
## 
## Call:
## glm(formula = convert ~ APOE4 + PTGENDER + AGE + MMSE + dm2_bin, 
##     family = binomial, data = dfx)
## 
## Deviance Residuals: 
##      Min        1Q    Median        3Q       Max  
## -2.09461  -0.49563  -0.23252  -0.09763   2.85383  
## 
## Coefficients:
##              Estimate Std. Error z value Pr(>|z|)    
## (Intercept)   7.41262    4.82104   1.538  0.12416    
## APOE4         0.12973    0.47590   0.273  0.78516    
## PTGENDERMale  1.71165    0.77879   2.198  0.02796 *  
## AGE           0.03385    0.04869   0.695  0.48693    
## MMSE         -0.51536    0.11491  -4.485 7.29e-06 ***
## dm2_bin       2.78361    0.87262   3.190  0.00142 ** 
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 115.674  on 131  degrees of freedom
## Residual deviance:  73.232  on 126  degrees of freedom
##   (39 observations deleted due to missingness)
## AIC: 85.232
## 
## Number of Fisher Scoring iterations: 6


BELOW: LOG MODEL PREDICTS DIABETES STATUS (1 DIABETIC / 0 NOT ) BY APOE4, GENDER, AGE, MMSE, DEMENTIA CONVERSION AND DM2 STATUS.

AGE, MMSE, AND DEMENTIA CONVERSION ARE SIGNFNICANT FACTORS. DEMENTIA CONVERSION APPEARS TO HAVE THE STRONGEST RELATIONSHIP WITH DIABETES STATUS.

Observations 132 (39 missing obs. deleted)
Dependent variable dm2_bin
Type Generalized linear model
Family binomial
Link logit
𝛘²(5) 19.99
Pseudo-R² (Cragg-Uhler) 0.24
Pseudo-R² (McFadden) 0.17
AIC 107.68
BIC 124.98
Est. S.E. z val. p
(Intercept) -4.19 4.92 -0.85 0.39
APOE4 -0.43 0.43 -1.01 0.31
PTGENDERMale -0.27 0.58 -0.47 0.64
AGE -0.08 0.04 -1.85 0.06
MMSE 0.28 0.12 2.29 0.02
convert 2.26 0.81 2.77 0.01
Standard errors: MLE




BELOW: LIST OF BRAIN REGIONS (FDR CORRECTED) SIGNFICANTLY DIFFERENT IN DIABETES PATIENTS

Code Region FDR_corrected FDR_sig metric
11 ST105SA Surface Area (aparc.stats) of RightPericalcarine 0.0315366 YES Surface Area
21 ST111SA Surface Area (aparc.stats) of RightRostralMiddleFrontal 0.0330164 YES Surface Area
23 ST113SA Surface Area (aparc.stats) of RightSuperiorFrontal 0.0394345 YES Surface Area
27 ST115SA Surface Area (aparc.stats) of RightSuperiorTemporal 0.0330164 YES Surface Area
39 ST14SA Surface Area (aparc.stats) of LeftCuneus 0.0330164 YES Surface Area
47 ST25SA Surface Area (aparc.stats) of LeftHemisphereWM 0.0330164 YES Surface Area
84 ST52SA Surface Area (aparc.stats) of LeftRostralMiddleFrontal 0.0330164 YES Surface Area
90 ST56SA Surface Area (aparc.stats) of LeftSuperiorTemporal 0.0056462 YES Surface Area
94 ST58SA Surface Area (aparc.stats) of LeftTransverseTemporal 0.0213410 YES Surface Area
127 ST98SA Subcortical Volume (aseg.stats) of CorticalWM 0.0208046 YES Cortical
128 ST98TA Subcortical Volume (aseg.stats) of TotalGM 0.0208046 YES Cortical


BELOW: PLOTS DISPLAYING BRAIN REGIONS WITH SIG DIFFERENCES BETWEEN DIABETIC AND NON-DIABETIC PTS