TABLE 1.
Variable2 | Quintiles of trans fat intake | P value3 | ||||
1 (n = 3422) | 2 (n = 3421) | 3 (n = 3422) | 4 (n = 3421) | 5 (n = 3421) | ||
trans Fat (% of energy) | 1.60 ± 0.394 | 2.29 ± 0.31 | 2.84 ± 0.36 | 3.45 ± 0.42 | 4.68 ± 0.92 | — |
Age (y) | 64.6 ± 9.0 | 64.5 ± 9.1 | 64.6 ± 9.4 | 64.3 ± 9.2 | 65.5 ± 9.5 | <0.001 |
Sex (% female) | 73 | 64 | 58 | 49 | 36 | <0.001 |
Race (% white) | 66 | 65 | 67 | 69 | 69 | 0.002 |
Region (%) | <0.001 | |||||
Buckle | 21 | 21 | 22 | 23 | 21 | |
Belt | 30 | 32 | 34 | 35 | 40 | |
Other | 49 | 47 | 44 | 42 | 39 | |
Education (%) | <0.001 | |||||
Less than high school | 7 | 8 | 8 | 9 | 12 | |
High school | 22 | 24 | 25 | 27 | 29 | |
Some college | 27 | 27 | 29 | 28 | 27 | |
College graduate | 44 | 41 | 38 | 36 | 32 | |
Smoking status (%) | 0.001 | |||||
Never smoker | 48 | 46 | 46 | 46 | 43 | |
Past smoker | 39 | 41 | 41 | 39 | 43 | |
Current smoker | 13 | 13 | 13 | 15 | 14 | |
Alcohol (%) | <0.001 | |||||
Never drinker | 26 | 26 | 28 | 29 | 32 | |
Past drinker | 12 | 13 | 15 | 18 | 21 | |
Current drinker | 62 | 61 | 57 | 53 | 47 | |
Physical activity (%) | <0.001 | |||||
None | 27 | 30 | 33 | 34 | 35 | |
1–3 times/wk | 37 | 40 | 37 | 38 | 35 | |
≥4 times/wk | 36 | 30 | 30 | 28 | 30 | |
BMI (kg/m2) | 28.4 ± 6.0 | 29.0 ± 6.0 | 29.2 ± 6.1 | 29.4 ± 6.2 | 29.0 ± 5.9 | <0.001 |
Waist circumference (cm) | 91.7 ± 14.8 | 93.9 ± 15.5 | 95.2 ± 14.7 | 96.7 ± 15.4 | 97.4 ± 14.7 | <0.001 |
IHD (%) | 14 | 14 | 15 | 18 | 19 | <0.001 |
Hypertension (%) | 54 | 55 | 56 | 56 | 56 | 0.53 |
Diabetes (%) | 17 | 17 | 18 | 18 | 19 | 0.17 |
Heart failure (%) | 10 | 10 | 10 | 12 | 13 | <0.001 |
Kidney failure (%) | 1 | 1 | 1 | 1 | 2 | 0.001 |
Statin users (%) | 28 | 30 | 32 | 33 | 32 | <0.001 |
Regular aspirin use (%) | 42 | 42 | 42 | 43 | 45 | 0.06 |
HDL cholesterol (mg/dL) | 57 ± 18 | 54 ± 16 | 53 ± 16 | 50 ± 15 | 49 ± 15 | <0.001 |
LDL cholesterol (mg/dL) | 115 ± 35 | 115 ± 34 | 114 ± 35 | 113 ± 34 | 113 ± 34 | 0.04 |
WBC (×109 cells/L) | 5.50 (4.53, 6.70)5 | 5.57 (4.63, 6.82) | 5.61 (4.61, 6.82) | 5.69 (4.70, 6.79) | 5.82 (4.75, 7.01) | <0.001 |
Triglycerides (mg/dL) | 104 (77, 146) | 108 (80, 153) | 111 (82, 157) | 113 (83, 162) | 115 (84, 163) | <0.001 |
hsCRP (mg/L) | 2.02 (0.88, 4.52) | 2.06 (0.91, 4.86) | 2.09 (0.93, 4.86) | 2.14 (0.95, 4.82) | 2.06 (0.91, 4.62) | 0.15 |
SBP (mm Hg) | 125.8 ± 16.0 | 125.8 ± 16.4 | 126.7 ± 16.3 | 126.6 ± 15.5 | 127.6 ± 16.2 | <0.001 |
DBP (mm Hg) | 75.7 ± 9.6 | 75.8 ± 9.3 | 76.1 ± 9.4 | 76.4 ± 9.4 | 76.6 ± 9.3 | <0.001 |
Total energy (kcal/d) | 1658 ± 624 | 1621 ± 654 | 1676 ± 686 | 1744 ± 742 | 1832 ± 785 | <0.001 |
Protein (g/d)6 | 58.8 ± 14.8 | 59.3 ± 13.9 | 58.2 ± 13.2 | 57.5 ± 12.6 | 55.2 ± 12.1 | <0.001 |
Carbohydrates (g/d)6 | 187 ± 47.2 | 187 ± 39.3 | 190 ± 37 | 191 ± 34.7 | 197 ± 33.3 | <0.001 |
Total fat (g/d)6 | 59.1 ± 17.1 | 63.6 ± 14.5 | 65.7 ± 13.5 | 68.8 ± 12.9 | 72.0 ± 12.9 | <0.001 |
MUFAs (g/d)6 | 22.8 ± 8.0 | 24.0 ± 6.4 | 24.7 ± 5.9 | 26.0 ± 5.5 | 27.6 ± 5.5 | <0.001 |
PUFAs (g/d)6 | 15.1 ± 5.7 | 16.5 ± 5.2 | 17.1 ± 5.2 | 17.9 ± 4.9 | 18.6 ± 5.1 | <0.001 |
Saturated fat (g/d)6 | 16.6 ± 5.4 | 18.3 ± 5.0 | 19.0 ± 4.6 | 19.9 ± 4.5 | 20.7 ± 4.3 | <0.001 |
trans Fat (g/d)6 | 2.8 ± 0.6 | 4.0 ± 0.3 | 5.0 ± 0.3 | 6.2 ± 0.4 | 8.6 ± 1.6 | <0.001 |
The REGARDS study recruited 30,239 participants; 8447 participants were excluded for missing food-frequency questionnaire data, 214 for missing data on mortality, 919 for history of stroke at baseline, and 3552 for missing data on covariates, which left 17,107 participants for the current analysis. DBP, diastolic blood pressure; hsCRP, high-sensitivity C-reactive protein; IHD, ischemic heart disease; REGARDS, REasons for Geographic And Racial Differences in Stroke; SBP, systolic blood pressure; WBC, white blood cell count.
The number of participants missing values was 5442 for WBC, 7 for SBP, and 8 for DBP.
Differences between values in different quintiles were tested by using chi-square tests for categorical variables and 1-factor ANOVA or Kruskal-Wallis tests for continuous variables.
Mean ± SD (all such values).
Median; 25th and 75th percentiles in parentheses (all such values).
Adjusted for total energy intake.