Table 3.
Adjusted Odds Ratiosa for Prevalent Frailty States by CMV IgG Antibody Concentration, Effect-Modified by IL-6 Concentration, Women's Health and Aging Studies I and II, Baltimore, Maryland, 1992–2002
| Tertile of Plasma IL-6 Concentrationb | Frailty Status | CMV IgG Antibody Concentration, IU/mLc |
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| ≤1.20 (n = 92) |
1.21–10.16 (n = 140) |
10.17–14.55 (n = 128) |
14.56–18.16 (n = 129) |
18.17–150 (n = 143) |
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| OR | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | ||
| First | Prefrail | 1.00 | 1.20 | 0.50, 2.86 | 1.47 | 0.61, 3.51 | 0.79 | 0.31, 2.01 | 1.10 | 0.47, 2.55 |
| Frail | 1.00 | 1.44 | 0.29, 7.11 | 2.24 | 0.46, 10.86 | 0.62 | 0.12, 3.16 | 1.77 | 0.38, 8.32 | |
| Second | Prefrail | 1.00 | 1.30 | 0.66, 2.54 | 1.39 | 0.72, 2.67 | 1.21 | 0.62, 2.38 | 1.84 | 0.94, 3.57 |
| Frail | 1.00 | 0.59 | 0.15, 2.34 | 1.72 | 0.52, 5.69 | 1.09 | 0.33, 3.56 | 2.92 | 0.95, 9.04 | |
| Third | Prefrail | 1.00 | 1.42 | 0.59, 3.41 | 1.31 | 0.57, 2.97 | 1.96 | 0.86, 4.44 | 3.30 | 1.41, 7.70 |
| Frail | 1.00 | 0.21 | 0.02, 1.87 | 1.28 | 0.22, 7.46 | 2.06 | 0.38, 11.17 | 5.18 | 0.99, 27.05 | |
Abbreviations: CI, confidence interval; CMV, cytomegalovirus; IgG, immunoglobulin G; IL-6, interleukin-6; OR, odds ratio.
Odds ratios were derived from a multinomial logistic regression model, adjusting for age, race, high school education, coverage by private medical insurance, pack-years of smoking, cardiovascular disease (angina, myocardial infarction, congestive heart failure, peripheral artery disease, or stroke), and diabetes mellitus, and modeling for effect modification by plasma IL-6 concentration. Comparisons were made with participants whose CMV IgG antibody concentration was ≤1.20 IU/mL. The reference category was “nonfrail.”
Plasma IL-6 concentration was modeled as a continuous variable. Odds ratios were derived by setting IL-6 to the midpoints (medians) of each indicated tertile, the respective values of which were 1.62, 2.69, and 4.81 pg/mL.
A baseline CMV IgG antibody concentration of >1.20 IU/mL was considered seropositive, reflecting prior CMV infection.