Table 3.
CKD Stage 3 | CKD Stages 4 and 5 | CKD Stage 5D | ||||
---|---|---|---|---|---|---|
OR (95% CI) | P Value | OR (95 %CI) | P Value | OR (95% CI) | P Value | |
Age, decades | 1.65 (1.24 to 2.25)a | <0.001a | 1.95 (1.43 to 2.75)a | <0.001a | 1.48 (1.07 to 2.06)a | 0.02a |
Smoking, current and former versus no | 1.77 (1.24 to 2.55)a | <0.001a | 3.95 (1.91 to 8.50)a | <0.001a | 1.32 (0.64 to 2.74) | 0.45 |
Diabetes, yes versus no | 1.59 (1.06 to 2.41)a | 0.03a | 1.45 (0.92 to 2.31) | 0.11 | 2.37 (0.66 to 10.74) | 0.22 |
Systolic BP ≥150 mmHg | 1.46 (1.01 to 2.12)a | 0.04a | 2.84 (1.86 to 4.39)a | <0.001a | 0.64 (0.29 to 1.40) | 0.26 |
Phosphate >3.6 mg/dl | 1.62 (1.09 to 2.43)a | 0.02a | 0.84 (0.54 to 1.30) | 0.44 | 0.80 (0.28 to 2.17) | 0.66 |
Phosphate binders use, yes versus no | 0.42 (0.19 to 0.88)a | 0.02a | 0.78 (0.51 to 1.19) | 0.25 | 1.38 (0.56 to 3.34) | 0.48 |
25-hydroxy vitamin D, pg/ml | 0.62 (0.43 to 0.89)a | 0.01a | 1.34 (0.82 to 2.20) | 0.24 | 0.08 (0.01 to 0.47)a | 0.01a |
Plaque at baseline, yes versus no | 1.33 (0.85 to 2.06) | 0.21 | 3.16 (1.68 to 6.02)a | <0.001a | 1.20 (0.50 to 2.82) | 0.67 |
Age × phosphate | 1.70 (1.16 to 2.54)a | 0.01a | 0.95 (0.63 to 1.42) | 0.22 | 1.02 (0.44 to 2.09) | 0.95 |
Age × plaque at baseline | 0.66 (0.45 to 0.96)a | 0.03a | 0.62 (0.41 to 0.93)a | 0.02a | 0.58 (0.29 to 1.11) | 0.11 |
Ferritin >220 ng/ml | 1.33 (0.82 to 2.18) | 0.25 | 1.37 (0.89 to 2.14) | 0.16 | 2.54 (1.20 to 5.52)a | 0.02a |
Age × ferritin >220 ng/ml | 0.91 (0.58 to 1.49) | 0.69 | 0.66 (0.45 to 0.97)a | 0.04a | 1.22 (0.70 to 2.11) | 0.95 |
Smoking × plaque at baseline | 0.45 (0.19 to 1.02) | 0.06 | 0.32 (0.13 to 0.78)a | 0.01a | 2.75 (0.60 to 13.12) | 0.20 |
BMI, kg/m2 | 0.99 (0.96 to 1.03) | 0.76 | 1.01 (0.97 to 1.05) | 0.67 | 0.79 (0.66 to 0.93)a | 0.01a |
Dyslipidemia, yes versus no | 1.27 (0.86 to 1.85) | 0.23 | 1.39 (0.89 to 2.15) | 0.14 | 5.14 (2.34 to 12.01)a | <0.001a |
Cholesterol >180 mg/dl | 1.15 (0.81 to 1.63) | 0.45 | 1.06 (0.71 to 1.6) | 0.77 | 0.31 (0.13 to 0.70)a | 0.01a |
Uric acid, mg/dl | 1.08 (0.96 to 1.21) | 0.22 | 1.02 (0.91 to 1.16) | 0.72 | 1.38 (1.06 to 1.84)a | 0.02a |
cIMT, mm | 1.07 (0.93 to 1.23) | 0.37 | 1.12 (0.95 to 1.33) | 0.18 | 1.66 (1.22 to 2.32)a | <0.001a |
Ln 25-hydroxy vitamin D × BMI | 1.01 (0.94 to 1.09) | 0.82 | 0.95 (0.87 to 1.03) | 0.22 | 1.16 (1.02 to 1.33)a | 0.02a |
Results are expressed as odds ratios (ORs; exponential-β for independent variables with interactions) and 95% confidence intervals (95% CIs). The following variables were introduced to build multivariate models by CKD stages, because they were significant on bivariate testing or potential confounders: sex, CKD stage, age (decades), diabetes, smoking, dyslipidemia, systolic BP ≥150 mmHg (highest tertile in CKD stage 3), pulse pressure, body mass index (BMI), basal plaque, common carotid artery intima media thickness (cIMT), ferritin >220 mg/dl (highest tertile in CKD stages 4 and 5), uric acid, C-reactive protein, total cholesterol >180 mg/dl (the level of 180 was selected on the basis of clinical criteria), LDL-cholesterol, hematocrit, statins, antiplatelet drugs, triglycerides, 25-hydroxy vitamin D (ln 25-hydroxy vitamin D for interactions and CKD stages 4–5 and 5D and 25-hydroxy vitamin D ≥18.1; vitamin D highest tertile in CKD stage 3), phosphate (highest tertile in CKD stage 3 >3.6 mg/dl), and parathyroid hormone. Only significant variables in multivariate analysis in each group of CKD were included in the final model. The exponential-β and P values of the rest of the variables are the values obtained if added to the final model. CKD stage 3: Hosmer Lemeshow = 0.46; AUC=0.72; CKD stages 4 and 5: Hosmer Lemeshow = 0.82; AUC=0.74; and CKD stage 5D: Hosmer Lemeshow = 0.16; AUC=0.83. AUC, area under the curve.
Significant variables included in each model.