Table 2.
Urinary cortisol and 6-yr all-cause and cardiovascular mortality (n = 861)
Sex- and age-adjusteda
|
Fully adjustedb
|
|||||
---|---|---|---|---|---|---|
HR | 95% CI | P | HR | 95% CI | P | |
All-cause mortality (no. of deaths = 183) | ||||||
24-h urinary cortisolc | 1.07 | 0.92–1.24 | 0.37 | 1.17 | 1.01–1.36 | 0.03 |
Tertiles of 24-h urinary cortisol | ||||||
First tertile (<78 μg) | REF | REF | ||||
Second tertile (78–111 μg) | 1.02 | 0.70–1.48 | 0.91 | 1.52 | 1.02–2.27 | 0.04 |
Third tertile (>111 μg) | 1.12 | 0.78–1.61 | 0.54 | 1.74 | 1.15–2.62 | 0.009 |
Noncardiovascular mortality (no. of deaths = 142) | ||||||
24-h urinary cortisolc | 0.99 | 0.84–1.19 | 0.95 | 1.10 | 0.93–1.31 | 0.27 |
Tertiles of 24-h urinary cortisol | ||||||
First tertile (<78 μg) | REF | REF | ||||
Second tertile (78–111 μg) | 0.87 | 0.57–1.31 | 0.50 | 1.29 | 0.83–2.02 | 0.26 |
Third tertile (>111 μg) | 0.84 | 0.55–1.27 | 0.41 | 1.28 | 0.80–2.05 | 0.30 |
Cardiovascular mortality (no. of deaths = 41) | ||||||
24-h urinary cortisolc | 1.31 | 1.01–1.72 | 0.05 | 1.42 | 1.06–1.90 | 0.02 |
Tertiles of 24-h urinary cortisol | ||||||
First tertile (<78 μg) | REF | REF | ||||
Second tertile (78–111 μg) | 1.93 | 0.81–4.57 | 0.14 | 2.91 | 1.18–7.19 | 0.02 |
Third tertile (>111 μg) | 2.93 | 1.34–6.44 | 0.007 | 5.00 | 2.02–12.37 | 0.001 |
Based on Cox regression analyses adjusted for sex and age.
Additionally adjusted for education, smoking, alcohol intake, body mass index, waist circumference, systolic blood pressure, diastolic blood pressure, depressive symptoms, cognitive functioning, baseline cardiovascular disease, diabetes, number of other chronic diseases, 24-h urine creatinine, and urine volume.
HR per sd (=48 μg) increase.