Table 2.
Association of obesity and insulin resistance with small vessel disease
WMH progression (Q5 v. Q1–4) | Incident lacunes 3–20mm | |||
---|---|---|---|---|
Odds ratio, 95% Confidence Interval | ||||
Insulin* | 0.95 | 0.79, 1.14 | 1.11 | 0.91, 1.35 |
HOMA-IR* | 1.00 | 0.84, 1.19 | 1.15 | 0.96, 1.38 |
Body mass index* | 1.01 | 0.84, 1.21 | 1.04 | 0.83, 1.30 |
Waist circumference* | 1.05 | 0.89, 1.25 | 1.12 | 0.91, 1.40 |
Waist-to-hip ratio* | 1.08 | 0.90, 1.30 | 1.30 | 1.03, 1.65 |
Triglycerides* | 0.93 | 0.76, 1.13 | 1.24 | 1.04, 1.47 |
High density lipoprotein* | 1.12 | 0.93, 1.36 | 0.77 | 0.59, 0.99 |
Systolic blood pressure* ț | 1.33 | 1.12, 1.58 | 1.20 | 0.97, 1.48 |
MetS ț | 1.12 | 0.79, 1.59 | 1.98 | 1.28, 3.05 |
IR score*ț | 1.11 | 0.92, 1.33 | 1.33 | 1.05, 1.68 |
Q= quintile; HOMA-IR = Homeostatic model assessment, insulin resistance;
1-standard deviation increase; Adjustments for age, sex, education, race, history of coronary artery disease, history of alcohol use, tobacco use and hypertension;
No adjustments for hypertension