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Supplemental Digital Content 1 for Psychosomatic Medicine

Rosano et al., Long-term Survival in Adults Aged 65 and Older With White Matter Hyperintensity:

Association With Performance on the Digit Symbol Substitution Test

Supplemental Table 1. Characteristics of participants with WMH> 3, stratified By DSST > 38 in 1992-1994. Mean (SD) or N (%).

Group 1 DSST>38 (n=685)

Group 2 DSST<38

(n=532)

Age-adjusted comparisons*

Biolo gicalmake -up

Age, years 77.62 (5.67) 74.76 (4.49)

Race, white 523 (76.91) 498 (94.14) <.0001

Sex , female 394 (57.52) 337 (63.35) .07

APOe4 allele 163 (26.21) 129 (25.65) .34

Ventricular grade>4 483 (70.51) 303 (57.06) .001

MRI markers Brain infarcts, presence 340 (49.64) 227 (42.67) .06 White matter hyperintensity

0-9, points 3.97 3.69 <.001

Presence of cardio- metabolicdiseases

Cardiovascular diseases 256 (37.37) 130 (24.44) <.001

Stroke 53 (9.25) 23 (4.36) .001

Myocardial infarction 70 (12.22) 48 (9.09) .05

Diabetes 115 (16.95) 65 (12.22) .006

Congestive heart failure 44 (7.68) 18 (3.41) .005

Hypertension

354 (52.76) 211 (40.11) <.0001

Subclinical/ physiological markers Subclinical vascular

conditions 529 (80.52) 353 (69.08) .001

HDL2, dl/L 53.51 (14.6) 53.43 (13.68) .76

Glucose1,4, dl/l 109.07 (33.88) 105.61 (28.74) .01 Pulse pressure3, mmHg 69.22 (18.29) 64.56 (18.12) .004 LV heart mass1, cm3 154.03 (32.58) 149.76 (30.07) .005

Cystatin C1, mg/dl 1.17 (0.3) 1.10 (0.28) .02

IL-61, mg/dl 2.47 (2.52) 1.93 (1.37) <.001

C-Reactive protein 1, mg/dl 5.54 (7.65) 4.81 (9.77) <.001

Psycho- Physical activity, Kcal1 1176.39 (1513.54) 1486.36 (1894.54)

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Supplemental Digital Content 1 for Psychosomatic Medicine

Rosano et al., Long-term Survival in Adults Aged 65 and Older With White Matter Hyperintensity:

Association With Performance on the Digit Symbol Substitution Test

Group 1 DSST>38 (n=685)

Group 2 DSST<38

(n=532)

Age-adjusted comparisons*

social/Lifestyle Income < $25,000 455 (71.99) 266 (53.09) <.001

Education>HS 247 (36.22) 304 (57.14) <.001

Smoking , current 61 (9.13) 39 (7.54) .02

Alcohol consumption 1.63 (4.94) 2.78 (6.38) <.001

3MS, points 85.63 (10.87) 94.35 (4.97) <.001

CES-D, points 6.21 (5.19) 4.67 (4.70) <.001

* ANOVA for continuous variables, chi-square for ordinal variables; age comparisons were not age-adjusted. 1Comparisons based on log-transformed values; 2comparisons adjusted for lipid medication use; 3 comparisons for glucose adjusted for insulin use; 4 comparisons adjusted for antihypertensive medications. Apoe4 = Apolipoprotein E4; CRP = C-reactive protein; DSST = Digit Symbol Substitution Test; HDL = high-density lipoprotein cholesterol; HS = high school;

IL-6 = interleukin-6; LV = left ventricular; 3MS = Mini-Mental Status Examination; MRI = magnetic resonance imaging; SD = standard deviation; WMH = white matter hyperintensities.

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