Table 4.
Association of Lp(a) with Prevalent Type 2 Diabetes in the Copenhagen City Heart Study (Nonfasting Samples)
| Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | P for Trend | PInteraction for sex | ||
|---|---|---|---|---|---|---|---|---|
| Range, mg/dL | ||||||||
| Women | N=5,441 | <4.4 | 4.4–13.0 | 13.1–25.5 | 25.6–54.0 | >54.0 | ||
| Men | N=4,211 | <3.3 | 3.3–10.5 | 10.6–22.7 | 22.8–46.4 | >46.4 | ||
| All | N=9,652 | <3.9 | 3.9–11.7 | 11.8–24.1 | 24.2–49.8 | >49.8 | ||
| Model 1, OR (95% CI) | ||||||||
| Women | Ref. | 0.69(0.41–1.17) | 0.97(0.61–1.55) | 0.75(0.46–1.23) | 0.94(0.59–1.50) | 0.90 | ||
| Men | Ref. | 0.65(0.44–0.94) | 0.43(0.28–0.66) | 0.65(0.45–0.94) | 0.49(0.33–0.74) | 0.001 | 0.16 | |
| All | Ref. | 0.65(0.48–0.88) | 0.59(0.44–0.81) | 0.68(0.50–0.91) | 0.63(0.46–0.85) | 0.005 | ||
| Model 2, OR (95% CI) | ||||||||
| Women | Ref. | 0.71(0.42–1.20) | 0.89(0.55–1.44) | 0.74(0.45–1.22) | 0.87(0.54–1.40) | 0.64 | ||
| Men | Ref. | 0.67(0.46–0.99) | 0.43(0.28–0.65) | 0.66(0.45–0.97) | 0.53(0.35–0.80) | 0.003 | 0.38 | |
| All | Ref. | 0.66(0.48–0.90) | 0.57(0.42–0.78) | 0.68(0.50–0.92) | 0.63(0.46–0.86) | 0.007 | ||
| Model 3, OR (95% CI) | ||||||||
| Women | Ref. | 0.89(0.51–1.54) | 1.03(0.62–1.71) | 0.94(0.55–1.59) | 0.85(0.51–1.41) | 0.61 | ||
| Men | Ref. | 0.75(0.51–1.12) | 0.48(0.31–0.75) | 0.70(0.47–1.04) | 0.49(0.32–0.74) | 0.001 | 0.28 | |
| All | Ref. | 0.75(0.55–1.03) | 0.64(0.46–0.88) | 0.74(0.54–1.01) | 0.58(0.42–0.79) | 0.002 | ||
Quintiles were defined based on the distribution among women not taking hormone replacement, among men, or among the entire cohort, respectively.
P for trend for odds ratios (OR) were obtained from logistic regression models using quintile number as predictor.
P for interaction with sex was obtained from likelihood ratio tests for interaction with sex and the Lp(a) concentration as a continuous variable, in relation to prevalent type 2 diabetes.
Model 1: Adjusted for age and sex.
Model 2: Adjusted for model 1 variable plus smoking status, menopausal status (women only), postmenopausal hormone use (women only), family history of diabetes, hypertension, and body mass index.
Model 3: Adjusted for model 2 variables plus hsCRP, LDL cholesterol (corrected for the Lp[a] contribution(14)), HDL cholesterol, and triglycerides.