Table 3.
Linear and Logistic Regression Analysis of Insulin Resistance Outcomes Associated With Urinary Phthalate Metabolites
| Model A (n = 356) | Model B (n = 350) | Model C (n = 350) | Model D (n = 350) | |
|---|---|---|---|---|
| Increment, HOMA-IR | ||||
| Log-transformed LMW Metabolite | +0.03 (−0.04, +0.10) | +0.02 (−0.04, +0.08) | +0.009 (−0.06, +0.07) | +0.01 (−0.05, +0.08) |
| Log-transformed HMW Metabolite | +0.09 (+0.01, +0.16)a | +0.07 (+0.007, +0.13)a | +0.07 (+0.009, +0.14)a | +0.07 (+0.009, +0.14)a |
| Log-transformed DEHP Metabolite | +0.07 (−0.003, +0.14) | +0.06 (+0.004, +0.12)a | +0.06 (+0.002, +0.12)a | +0.06 (−0.001, +0.12) |
| Log-transformed DIDP Metabolite | +0.06 (−0.01, +0.14) | +0.03 (−0.03, +0.01) | +0.04 (+0.03, +0.10) | +0.03 (−0.03, +0.01) |
| Log-transformed DINP Metabolite | +0.08 (+0.02, +0.13)b | +0.07 (+0.02, +0.12)b | +0.08 (+0.03, +1.12)b | +0.08 (+0.03, +0.13)b |
| OR, Insulin Resistance | ||||
| Log-transformed LMW Metabolite | 1.18 (0.93, 1.50) | 1.30 (0.96, 1.76) | 1.28 (0.92, 1.78) | 1.28 (0.92, 1.79) |
| Log-transformed HMW Metabolite | 1.47 (1.14, 1.89)b | 1.67 (1.23, 2.27)b | 1.72 (1.25, 2.36)b | 1.71 (1.24, 2.37)b |
| Log-transformed DEHP Metabolite | 1.42 (1.12, 1.80)b | 1.68 (1.26, 2.24)c | 1.73 (1.28, 2.34)c | 1.72 (1.27, 2.34)c |
| Log-transformed DIDP Metabolite | 1.17 (0.91, 1.50) | 1.14 (0.84, 1.56)b | 1.16 (0.85, 1.60)b | 1.16 (0.84, 1.60) |
| Log-transformed DINP Metabolite | 1.24 (1.03, 1.50)a | 1.35 (1.08, 1.70)b | 1.38 (1.09, 1.75)b | 1.39 (1.09, 1.76)b |
Ten participants with missing poverty-income data are insulin resistant and these are included in the analysis.
HOMA-IR categorized using cutpoint of 4.39.
Model A controls for urinary creatinine. Model B adds age and BMI category to Model A. Model C adds sex, PIR, serum cotinine, and race/ethnicity to Model B. Model D adds caloric intake and and PA to Model C.
Results using unweighted modeling are presented. See Supplemental Appendix for testing of alternative weighting.
P < .05.
P < .01.
P < .001.