Table 3.
Associations between urinary arsenic metabolite indices and CVD risk.
Urinary arsenic metabolicindex | Meana | Subcohort (n) | CVD | Heart disease | Stroke | |||
---|---|---|---|---|---|---|---|---|
Cases (n) | aHR (95%CI)b | Cases (n) | aHR (95%CI)b | Cases (n) | aHR (95%CI)b | |||
iAs%c | ||||||||
0.3–12.4 | 9.3 | 363 | 157 | 1.00 | 92 | 1.00 | 63 | 1.00 |
12.5–17.3 | 14.8 | 367 | 118 | 1.28 (0.90, 1.81) | 60 | 1.12 (0.74, 1.68) | 53 | 1.39 (0.84, 2.29) |
17.4–69.3 | 23.2 | 363 | 91 | 1.05 (0.71, 1.56) | 56 | 1.17 (0.76, 1.80) | 32 | 0.87 (0.49, 1.57) |
MMA%c | ||||||||
0.2–10.3 | 7.7 | 366 | 74 | 1.00 | 40 | 1.00 | 32 | 1.00 |
10.4–14.3 | 12.3 | 363 | 131 | 1.27 (0.85, 1.90) | 81 | 1.65 (1.05, 2.60) | 49 | 0.91 (0.51, 1.61) |
14.4–33.8 | 18.6 | 364 | 161 | 1.55 (1.08, 2.23) | 87 | 1.61 (1.04, 2.49) | 67 | 1.35 (0.81, 2.27) |
DMA%c | ||||||||
27.9–68.6 | 61.6 | 363 | 117 | 1.00 | 74 | 1.00 | 39 | 1.00 |
68.7–75.5 | 72.1 | 367 | 133 | 0.98 (0.69, 1.39) | 65 | 0.65 (0.43, 0.98) | 64 | 1.53 (0.91, 2.55) |
75.6–99.2 | 80.2 | 363 | 116 | 0.75 (0.49, 1.14) | 69 | 0.68 (0.44, 1.05) | 45 | 0.90 (0.48, 1.67) |
PMIc | ||||||||
0.01–0.66 | 0.48 | 362 | 83 | 1.00 | 48 | 1.00 | 34 | 1.00 |
0.67–1.05 | 0.85 | 365 | 98 | 0.93 (0.65, 1.34) | 56 | 0.91 (0.59, 1.39) | 37 | 0.88 (0.52, 1.51) |
1.06–19.57 | 1.61 | 363 | 185 | 0.88 (0.61, 1.26) | 104 | 0.91 (0.59, 1.40) | 77 | 0.81 (0.49, 1.34) |
SMIc | ||||||||
1.4–4.8 | 3.6 | 361 | 152 | 1.00 | 88 | 1.00 | 59 | 1.00 |
4.9–7.1 | 5.9 | 363 | 136 | 1.00 (0.72, 1.38) | 77 | 1.02 (0.70, 1.48) | 56 | 1.00 (0.61, 1.64) |
7.2–32.3 | 10.5 | 363 | 77 | 0.54 (0.34, 0.85) | 43 | 0.54 (0.33, 0.88) | 32 | 0.58 (0.31, 1.08) |
Abbreviations: PMI, primary methylation index; SMI, secondary methylation index.aCategory-specific mean values of urinary arsenic metabolites in the subcohort. bAdjusted for sex, baseline age (years), BMI, smoking status (never and ever), educational attainment, hypertension, and diabetes status. cCut points were determined by tertiles in the subcohort. |