Table 3.
Odds ratios and 95% confidence intervals: highest versus lowest quintile of 6-year changes in common and internal carotid IMT according to quartiles of homocysteine (tHcy)
6-year Changes in Common CIMT (odds of highest versus lowest quintile of change)* |
6-year Changes in Internal CIMT (odds of highest versus lowest quintile of change)** |
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Homocysteine† | Odds Ratio | 95% CI | p-value | Odds Ratio | 95% CI | p-value | ||
Model A | P=0.74 (overall) |
P=0.11 (overall) |
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Lowest Quartile | 1 (reference) |
1 (reference) |
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Quartile 2 | 1.01 | 0.46 | 2.20 | 0.99 | 1.73 | 0.80 | 3.76 | 0.16 |
Quartile 3 | 1.42 | 0.65 | 3.12 | 0.38 | 1.53 | 0.71 | 3.30 | 0.28 |
Quartile 4 | 1.33 | 0.64 | 2.76 | 0.45 | 2.59 | 1.20 | 5.56 | 0.015 |
Model B | P=0.98 (overall) |
P=0.59 (overall) |
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Lowest Quartile | 1 (reference) |
1 (reference) |
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Quartile 2 | 0.93 | 0.36 | 2.41 | 0.88 | 1.43 | 0.59 | 3.47 | 0.43 |
Quartile 3 | 1.11 | 0.42 | 2.92 | 0.83 | 0.88 | 0.35 | 2.22 | 0.78 |
Quartile 4 | 0.92 | 0.37 | 2.27 | 0.86 | 1.39 | 0.55 | 3.53 | 0.48 |
Model C | P=0.96 (overall) |
P=0.54 (overall) |
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Lowest Quartile | 1 (reference) |
1 (reference) |
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Quartile 2 | 1.11 | 0.41 | 3.02 | 0.83 | 1.39 | 0.56 | 3.48 | 0.48 |
Quartile 3 | 1.32 | 0.47 | 3.73 | 0.60 | 0.75 | 0.29 | 1.97 | 0.56 |
Quartile 4 | 1.08 | 0.41 | 2.81 | 0.88 | 1.19 | 0.45 | 3.15 | 0.73 |
Model D | P=0.73 (overall) |
P=0.63 (overall) |
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Lowest Quartile | 1 (reference) |
1 (reference) |
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Quartile 2 | 1.60 | 0.54 | 4.77 | 0.40 | 1.46 | 0.56 | 3.80 | 0.44 |
Quartile 3 | 1.42 | 0.48 | 4.24 | 0.53 | 0.79 | 0.30 | 2.14 | 0.65 |
Quartile 4 | 1.79 | 0.62 | 5.13 | 0.28 | 1.03 | 0.37 | 2.85 | 0.95 |
All models were adjusted for EDIC year 6 common or internal CIMT and all covariates were assessed at EDIC year 6 unless otherwise indicated. Model A: unadjusted; Model B: adjusted for age, gender, randomized therapy, obesity, IMT reader, diabetes duration, HbA1c (EDIC year 6 time-weighted average), LDL-, HDL-cholesterol, triglycerides, smoking status, alcohol consumption and multivitamin use (EDIC year 6); Model C: all factors in Model B + eGFR, AER, hypertension and ACE/ARB use (number of years of use for EDIC years 1-6); Model D: all factors in Model C + secondary intervention group (at randomization) and ETDRS scores.
The numerical cut points for quartiles of homocysteine were 2.7 – 5.05 μmol/L (n=149), 5.06 – 6.15 μmol/L (n=150), 6.16 – 7.46 μmol/L (n=147), and ≥ 7.47 μmol/L (n=153).
The numerical cut point values for the highest and lowest quintiles of common carotid IMT is 1.04 to 0.113 mm (n=120) and −0.412 to −0.0205mm (n=119).
The numerical cut point values for the highest and lowest quintiles of internal carotid IMT is 2.27 to 0.24mm (n=118) and −1.199 to −0.0467mm (n=116). Significant p values (<0.05) have been indicated in boldface.