Table 3.
Risk Factor | Common Carotid Intima–Media Thickness | Internal Carotid Intima–Media Thickness (Reciprocal) | Combined Intima–Media Thickness | |||
---|---|---|---|---|---|---|
Estimate of β Coefficient ±SE | P Value | Estimate of β Coefficient ±SE | P Value | Estimate of β Coefficient ±SE | P Value | |
mm | ||||||
Treatment group (conventional vs. intensive) | 0.0135±0.0053 | 0.02 | −0.0330±0.0183 | 0.07 | 0.1619±0.0669 | 0.02 |
Body-mass index (per unit) | 0.0016±0.0007 | 0.03 | −0.0032±0.0025 | 0.20 | 0.0136±0.0089 | 0.13 |
Smoking (yes vs. no) | 0.0247±0.0068 | <0.001 | −0.0822±0.0231 | <0.001 | 0.3468±0.0850 | <0.001 |
Systolic blood pressure (per mm Hg) | 0.0008±0.0002 | <0.001 | −0.0023±0.0008 | 0.004 | 0.0088±0.0029 | 0.002 |
Hypertension (yes vs. no)† | 0.0189±0.0074 | 0.01 | −0.1105±0.0258 | <0.001 | 0.3016±0.0939 | 0.001 |
Low-density lipoprotein:high-density lipoprotein ratio | 0.0072±0.0032 | 0.03 | −0.0505±0.0113 | <0.001 | 0.1427±0.0405 | <0.001 |
Log albumin excretion rate | 0.0068±0.0025 | 0.006 | −0.0212±0.0084 | 0.01 | 0.0912±0.0308 | 0.003 |
Glycosylated hemoglobin value during DCCT (per 1 percentage point) | 0.0065±0.0020 | 0.001 | −0.0193±0.0067 | 0.004 | 0.1014±0.0244 | <0.001 |
The multiple regression model used the year 6 intima–media thickness as the outcome and fit the covariates one at a time after adjustment for age, sex, ultrasonography equipment used, and year 1 intima–media thickness. The R2, based on a general linear model (PROC GLM) in which the year 6 intima–media thickness was the outcome, adjusted for age, sex, ultrasonography equipment used, and year 1 intima–media measurement, is 37.76 percent, 39.58 percent, and 50.60 percent for the common carotid, internal carotid, and combined intima–media thickness, respectively. DCCT denotes Diabetes Control and Complications Trial.
Hypertension was defined by a systolic blood pressure of at least 140 mm Hg, a diastolic blood pressure of at least 90 mm Hg, documented hypertension, or the use of antihypertensive agents.