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Supplementary TABLE 2 Adjusted hazards ratios (includes APOE*4) for anticholinergic drug use on developing dementia#

Model S4 Model S5 Model S6

Variable HR (95% CI) P value HR (95% CI) P value HR (95% CI) P value Age 1.1 (1.1, 1.2) <0.001 1.1 (1.1, 1.2) <0.001 1.1 (1.1, 1.2) <0.001 Female 1.1 (0.7, 1.6) 0.678 1.1 (0.7, 1.6) 0.689 1.1 (0.7, 1.6) 0.681 Education

< high school Reference Reference Reference

= high school 0.7 (0.4, 1.1) 0.108 0.7 (0.4, 1.1) 0.111 0.7 (0.4, 1.1) 0.111

> high school 0.6 (0.4, 1.0) 0.037 0.6 (0.4, 1.0) 0.038 0.6 (0.4, 1.0) 0.039 Total number of

prescription medications

<3 Reference Reference Reference

3-6 1.0 (0.6, 1.6) 0.968 1.0 (0.6, 1.6) 0.979 1.0 (0.6, 1.6) 0.981 >6 1.1 (0.6, 2.0) 0.735 1.1 (0.6, 2.0) 0.783 1.1 (0.6, 2.0) 0.799 APOE*4 3.2 (1.6, 6.4) 0.001 3.2 (1.6, 6.4) 0.001 3.2 (1.6, 6.4) 0.001 any anticholinergic

drug use

1.1 (0.6, 2.0) 0.722 Interaction term:

APOE*4 and any anticholinergic drug use

0.7 (0.3, 1.6) 0.394

Total ACR score

0 Reference

1-3 1.1 (0.6, 2.0) 0.760

>3 1.2 (0.6, 2.4) 0.683

Interaction term:

APOE*4 and

total ACR score 1-3 0.7 (0.3, 1.7) 0.439

APOE*4 and

total ACR score >3 0.7 (0.2, 2.0) 0.483

Total number of anticholinergic drugs

0 Reference

1-2 1.1 (0.6, 2.0) 0.743

>2 1.1 (0.5, 2.4) 0.714

Interaction term:

APOE*4 and total number of anticholinergic drugs 1-2

0.7 (0.3, 1.7) 0.431

APOE*4 and total number of anticholinergic drugs >2

0.7 (0.2, 2.0) 0.499

Abbreviations: HR, hazard ratio; CI, confidence interval.

#Dementia was defined as clinical dementia rating (CDR) score 1.

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Models S4, S5, S6 used any anticholinergic drug use, total ACR score, total number of anticholinergic drugs as the main predictor, respectively. Interaction term between APOE*4 and any anticholinergic drug use, total ACR score, total number of anticholinergic drugs was included in each model, respectively.

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