Table 2:
Association of diabetes status with left atrial function, Atherosclerosis Risk in Communities Study, 2011-13 (n=5075, 1196 normal fasting glucose, 2239 prediabetes, 1640 diabetes)*
| LA strain | Diabetes status | Model 1† | Model 2‡ | Model 3§ | |||
|---|---|---|---|---|---|---|---|
| Beta (95% CI)* | P-value | Beta (95% CI)* | P-value | Beta (95% CI)* | P-value | ||
| LA reservoir strain, % | Normal | Reference | |||||
| Prediabetes | −0.59 (−1.19, 0.01) | 0.053 | −0.17 (−0.74, 0.40) | 0.558 | −0.33 (−0.86, 0.20) | 0.217 | |
| Diabetes | −2.29 (−2.93, −1.64) | <0.001 | −0.41 (−1.05, 0.24) | 0.215 | −0.43 (−1.03, 0.16) | 0.156 | |
| LA conduit strain, % | Normal | Reference | |||||
| Prediabetes | −0.76 (−1.14, −0.38) | <0.001 | −0.48 (−0.87, −0.09) | 0.015 | −0.47 (−0.85, −0.09) | 0.016 | |
| Diabetes | −1.81 (−2.21, −1.40) | <0.001 | −0.89 (−1.33, −0.45) | <0.001 | −0.68 (−1.11, −0.25) | 0.002 | |
| LA contractile strain, % | Normal | Reference | |||||
| Prediabetes | 0.19 (−0.26, 0.64) | 0.404 | 0.33 (−0.11, 0.77) | 0.139 | 0.17 (−0.25, 0.58) | 0.429 | |
| Diabetes | −0.42 (−0.91, 0.06) | 0.087 | 0.52 (0.02, 1.01) | 0.041 | 0.30 (−0.16, 0.76) | 0.201 | |
Beta-coefficient represents difference in LA strain (%) for diabetes and prediabetes groups compared to no diabetes group (referent)
Model 1: Age, Sex, Race by Clinic site, and Educational attainment
Model 2: Model 1 + Systolic blood pressure, Body mass index, Smoking, Heart failure, Coronary heart disease, Atrial fibrillation, Estimated glomerular filtration rate cystatin C, high-sensitivity C-reactive protein, and anti-hypertensive use
Model 3: Model 2 + Left atrial volume index, Left ventricular mass index, Left ventricular filling pressures (E/e’)