J Alzheimers Dis 2025 (Jun 24): 13872877251351329

Table 1.

Patient characteristics of the semaglutide group and the insulin group before and after propensity-score matching.

Before Propensity-Score Matching
After Propensity-Score Matching
Semaglutide Insulin SMD Semaglutide Insulin SMD
Total number 64,267 1,156,564 64,115 64,115
Age at index event (y, mean ± SD) 57.7 ± 12.2 64.9 ± 14.1 0.47* 57.7 ± 12.2 57.4 ± 14.0  0.03
Sex (%)
 Female 51.9 45.3 0.13* 51.9 52.5  0.01
 Male 41.9 51.2 0.19* 41.9 41.6  0.007
 Unknown 6.2 3.5 0.13* 6.2 5.9  0.01
Ethnicity (%)
 Hispanic/Latinx 7.4 9.7 0.08 7.5 7.7  0.01
 Not Hispanic/Latinx 66.6 62.3 0.09 66.6 66.8  0.004
 Unknown 26.0 28.1 0.05 26.0 25.5  0.01
Race (%)
 Asian 4.1 4.0 0.007 4.1 3.8  0.01
 Black 14.5 18.6 0.11* 14.5 14.7  0.006
 White 60.9 59.0 0.04 60.9 61.2  0.007
 Unknown 15.9 13.5 0.07 15.9 15.6  0.007
Adverse socioeconomic determinants of health (%) 4.0 2.8 0.06 4.0 4.0 <0.001
Problems related to lifestyle (%) 8.0 5.7 0.09 8.0 8.1  0.003
T2DM complications (%)
 Renal 19.7 19.7 <0.001 19.7 19.5  0.005
 Ophthalmic 11.4 8.4 0.10* 11.4 11.4 <0.001
 Neurological 22.6 17.7 0.12* 22.6 23.3  0.02
 Circulatory 9.4 7.7 0.06 9.4 9.3  0.004
 Other specified 58.6 36.1 0.46* 58.6 59.2  0.01
 Unspecified 18.5 10.4 0.23* 18.5 18.8  0.008
Pre-existing medical conditions (%)
 Overweight and obesity 62.9 31.9 0.65* 62.8 63.5  0.02
 Alcohol-related disorders 2.7 4.0 0.08 2.7 2.6  0.006
 Tobacco use disorder 13.9 14.9 0.03 13.9 14.0  0.001
 Depression 26.7 16.8 0.24* 26.7 27.1  0.009
 Conductive and sensorineural hearing loss 6.0 3.8 0.11* 6.0 6.2  0.007
 Other and unspecified hearing loss 6.7 4.5 0.10* 6.7 6.8  0.006
 Visual disturbances and blindness 11.1 8.1 0.10* 11.1 11.3  0.006
 Traumatic brain injury 2.0 2.2 0.01 2.0 2.1  0.004
 Hypertension 81.2 70.4 0.26* 81.2 82.0  0.02
 Stroke 4.5 7.0 0.11* 4.5 4.3  0.006
 Cerebrovascular diseases 10.2 14.6 0.14* 10.2 10.0  0.005
 Metabolic disorders 84.8 65.4 0.46* 84.7 85.6  0.02
 Disorders of lipoprotein metabolism and other lipidemia 81.1 57.4 0.53* 81.0 82.3  0.03
 Mild cognitive impairment 0.8 0.8 0.006 0.8 0.8  0.001
 Other symptoms and signs involving cognitive functions and awareness 7.1 8.2 0.04 7.1 7.1 <0.001
 COVID-19 4.1 2.5 0.09 4.1 3.6  0.02
 Other viral diseases 5.1 2.7 0.13* 5.0 5.1 <0.001
Prior antidiabetic medications (%)
 Insulin 51.6 31.4 0.42* 51.5 52.6  0.02
 Metformin 76.2 36.4 0.88* 76.1 78.7  0.06
 Dipeptidyl peptidase 4 (DPP-4) inhibitors 25.4 10.6 0.39* 25.4 25.9  0.01
 Sodium-glucose co-transporter 2 (SGLT2) inhibitors 28.0 4.4 0.68* 27.8 25.8  0.05
 Sulfonylureas 35.3 19.6 0.36* 35.3 36.5  0.03
 Thiazolidinediones 9.5 4.5 0.20* 9.5 10.0  0.02
 Other GLP-1Ras 33.0 5.6 0.74* 32.8 31.0  0.04
 Dulaglutide 15.3 2.3 0.47* 15.2 14.0  0.03
 Liraglutide 18.5 2.8 0.53* 18.4 16.8  0.04
 Exenatide 6.7 1.4 0.27* 6.7 6.6  0.004
Prior medical encounters (%)
 Overall medical visits 99.4 90.1 0.43* 99.4 99.5  0.01
 Outpatient medical visits 91.8 74.8 0.47* 91.8 92.7  0.03
 Inpatient medical visits 34.8 45.9 0.23* 34.8 34.3  0.01
 Emergency visits 42.5 41.0 0.03 42.5 42.2  0.006

Shown are groups before and after propensity-score matching for the listed variables. The status of variables was based on the presence of related clinical codes anytime up to 1 day before the index event (first prescription of semaglutide or insulin during 12/2017–5/2021). SMD: standardized mean differences.

* SMD greater than 0.1, a threshold indicating cohort imbalance.

SD: standard deviation. Adverse socioeconomic determinants of health included housing and economic circumstances, upbringing, education, physical environment, and social environment. Problems with lifestyle included tobacco use, lack of physical exercise, inappropriate diet and eating habits, and others.