Table 3.
Characteristics | Any Retinopathy | Microaneurysms Only | Retinal Hemorrhages Only | Severe Retinopathy | ||||
---|---|---|---|---|---|---|---|---|
HR | 95% CI | HR | 95% CI | HR | 95% CI | HR | 95% CI | |
Hypertension | ||||||||
Treated, controlled vs normal | 0.93 | 0.64–1.34 | 0.92 | 0.56–1.51 | 0.97 | 0.52–1.80 | 1.11 | 0.34–3.58 |
Untreated, uncontrolled vs normal | 1.27 | 0.96–1.69 | 1.45 | 1.02–2.08† | 0.77 | 0.43–1.39 | 2.12 | 0.86–5.22 |
Treated, uncontrolled vs normal | 1.92 | 1.40–2.64† | 1.75 | 1.13–2.71† | 2.47 | 1.50–4.07† | 1.00 | 0.27–3.73 |
Systolic BP (per 10 mmHg) | 1.10 | 1.04–1.17† | 1.12 | 1.04–1.21† | 1.04 | 0.93–1.15 | 1.26 | 1.05–1.51† |
Diastolic BP (per 10 mmHg) | 1.09 | 0.98–1.21 | 1.11 | 0.96–1.28 | 1.07 | 0.88–1.29 | 1.15 | 0.79–1.68 |
Pulse pressure (per 10 mmHg) | 1.13 | 1.05–1.22† | 1.15 | 1.04–1.27† | 1.03 | 0.89–1.18 | 1.35 | 1.07–1.69† |
Pack years smoked (in smokers, per 10 packyears) | 0.94 | 0.88–1.01 | 0.96 | 0.88–1.04 | 0.93 | 0.82–1.04 | 0.99 | 0.75–1.31 |
Serum total cholesterol (per 10 mg/dL) | 1.00 | 0.98–1.03 | 1.01 | 0.98–1.05 | 0.99 | 0.95–1.04 | 1.01 | 0.92–1.10 |
Serum HDL cholesterol (per 10 mg/dL) | 0.98 | 0.92–1.04 | 0.95 | 0.88–1.04 | 0.98 | 0.88–1.10 | 1.18 | 0.98–1.43 |
Body mass index (per 5 kg/m2) | 1.10 | 0.99–1.22 | 1.06 | 0.92–1.21 | 1.24 | 1.05–1.47† | 0.99 | 0.66–1.46 |
Chronic kidney disease (present vs absent) | 1.49 | 1.10–2.02† | 1.48 | 0.98–2.23† | 1.37 | 0.81–2.34 | 1.40 | 0.53–3.70 |
White blood cell count (per k/μL)‡ | 1.02 | 0.91–1.14 | 1.00 | 0.86–1.15 | 1.01 | 0.83–1.22 | 0.96 | 0.65–1.42 |
Hematocrit (per 1%) | 1.02 | 0.99–1.05 | 1.03 | 0.99–1.07 | 1.01 | 0.96–1.06 | 1.05 | 0.94–1.17 |
Serum C-reactive protein (per mg/L)‡ | 0.99 | 0.89–1.11 | 0.94 | 0.81–1.09 | 0.99 | 0.81–1.21 | 1.52 | 1.04–2.21† |
Serum isoprostane (per pg/mL)‡ | 1.02 | 0.86–1.19 | 0.94 | 0.75–1.18 | 1.08 | 0.83–1.41 | 0.92 | 0.49–1.71 |
Serum cystatin C (per mg/L) ‡ | 1.22 | 1.06–1.40† | 1.16 | 0.96–1.39 | 1.27 | 0.99–1.62 | 1.61 | 1.02–2.53† |
History of cardiovascular disease (present vs absent) | 0.70 | 0.45–1.08 | 0.69 | 0.38–1.26 | 0.79 | 0.39–1.60 | 0.53 | 0.12–2.28 |
Sex (male) | 1.00 | 0.80–1.24 | 1.19 | 0.90–1.58 | 0.80 | 0.54–1.18 | 0.67 | 0.29–1.55 |
CRAE (per 10 μm) | 1.11 | 1.02–1.20† | 1.13 | 1.02–1.26† | 1.03 | 0.90–1.19 | 1.16 | 0.88–1.55 |
CRVE (per 10 μm) | 1.01 | 0.96–1.07 | 1.02 | 0.95–1.09 | 0.95 | 0.86–1.04 | 1.11 | 0.93–1.33 |
Glycosylated hemoglobin (per %) | 0.97 | 0.81–1.16 | 0.93 | 0.73–1.17 | 0.92 | 0.67–1.26 | 1.04 | 0.55–1.96 |
Abbreviations: HR = hazard ratio; CI = confidence interval; BP = blood pressure; HDL = high density lipoprotein; CRAE = central retinal arteriole equivalent; CRVE = central retinal venule equivalent.
Severe retinopathy defined as a Diabetic Retinopathy Study severity Level 31 or greater.
P-value significant at 0.05 level
Variable entered per SD on the log scale