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.