Table 2.
Measures of cardiac structure and function according to diabetes or prediabetes status. Results presented as mean(SE) or odds ratio(95%CI) as appropriate. From echocardiographic ancillary study of The Hispanic Community Health Study/Study of Latinos (ECHO-SOL).
| Cardiac Structure | Systolic Function | Diastolic Function | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nondiabetic n=545(30%) |
Prediabetic n=743(42%) |
Diabetic n=518(28%) |
P-Value | Nondiabetic n=545(30%) |
Prediabetic n=743(42%) |
Diabetic n=518(28%) |
P-Value | Nondiabetic n=545(30%) |
Prediabetic n=743(42%) |
Diabetic n=518(28%) |
P-Value | |||
| Left Ventricular Mass Index(2.7) | Ejection Fraction (MOD- biplane)% | E/e' Lateral Ratio | ||||||||||||
| M1 | 38.15±0.51 | 41.73±0.541 | 44.75±0.72 1 | <0.0001 | 60.10±0.28 | 60.20±0.25 | 58.87±0.361,2 | 0.003 | 7.99±0.12 | 9.06±0.23 1 | 9.77±0.21 1,2 | <0.0001 | ||
| M2 | 40.88±0.58 | 41.58±0.57 | 42.87±0.68 | 0.08 | 60.09±0.34 | 60.19±0.27 | 58.84±0.421,2 | 0.009 | 8.69±0.15 | 9.09±0.17 1 | 9.34±0.19 1 | 0.003 | ||
| M3 | 39.41±0.69 | 40.00±0.64 | 41.36±0.90 | 0.21 | 60.56±0.40 | 60.66±0.31 | 59.17±0.501,2 | 0.02 | 8.46±0.16 | 8.89±0.181 | 9.16±0.281 | 0.02 | ||
| LV mass (grams/m2) | Fractional Shortening (%) | E/e' Septal Ratio | ||||||||||||
| M1 | 78.11±0.87 | 82.67±1.24 1 | 87.72±1.38 1,2 | <0.0001 | 30.03±0.44 | 29.94±0.24 | 29.64±0.39 | 0.74 | 10.52±0.18 | 11.50±0.20 1 | 13.02±0.23 1,2 | <0.0001 | ||
| M2 | 82.38±1.25 | 83.21±1.12 | 86.25±1.38 | 0.11 | 29.84±0.44 | 30.08±0.27 | 29.92±0.39 | 0.84 | 11.22±0.19 | 11.49±0.17 | 12.57±0.21 1,2 | <0.0001 | ||
| M3 | 80.19±0.57 | 80.51±0.53 | 82.86±0.911,2 | 0.003 | 30.01±0.55 | 30.20±0.36 | 29.97±0.56 | 0.91 | 10.85±0.21 | 11.17±0.19 | 12.11±0.29 1,2 | 0.003 | ||
| Left Ventricular Posterior Wall(diastole) Thickness (cm) | Lateral Peak S Vel cm/sec | Left Atrial Volume Index | ||||||||||||
| M1 | 0.84±0.01 | 0.88±0.01 1 | 0.93±0.01 1,2 | <0.0001 | 8.41±0.12 | 8.31±0.13 | 8.17±0.14 | 0.44 | 23.54±0.34 | 22.93±0.32 | 22.61±0.44 | 0.16 | ||
| M2 | 0.86±0.01 | 0.87±0.01 | 0.91±0.01 1 | 0.03 | 8.49±0.14 | 8.49±0.15 | 8.39±0.15 | 0.81 | 24.86±0.39 | 23.88±0.34 | 23.27±0.44 1 | 0.02 | ||
| M3 | 0.84±0.02 | 0.86±0.01 | 0.89±0.02 | 0.21 | 8.51±0.15 | 8.63±0.20 | 8.33±0.18 | 0.49 | 24.47±0.24 | 23.39±0.21 1 | 21.75±0.44 1,2 | <0.0001 | ||
| Inter-ventricular Septum (diastole) Thickness (cm) | Stroke Volume (LVOT)ml | Lateral Peak e' Vel cm/sec | ||||||||||||
| M1 | 1.01±0.01 | 1.09±0.01 1 | 1.14±0.01 1,2 | <0.0001 | 69.51±1.13 | 71.48±0.94 | 69.56±1.06 | 0.26 | 10.34±0.18 | 9.01±0.18 1 | 8.35±0.16 1,2 | <0.0001 | ||
| M2 | 1.06±0.01 | 1.09±0.01 | 1.11±0.01 1 | 0.02 | 75.16±1.24 | 73.63±1.12 | 69.98±1.14 1,2 | 0.005 | 9.69±0.15 | 9.21±0.13 1 | 8.92±0.14 1 | 0.0004 | ||
| M3 | 1.04±0.02 | 1.05±0.01 | 1.07±0.02 | 0.54 | 74.13±1.48 | 72.33±1.23 | 68.50±1.49 1,2 | 0.02 | 9.77±0.17 | 9.28±0.15 1 | 8.89±0.20 1 | 0.003 | ||
| Relative Wall Thickness | End Diastolic Volume(MOD-biplane) ml | Medial Peak e' Vel cm/sec | ||||||||||||
| M1 | 0.38±0.004 | 0.40±0.01 1 | 0.42±0.01 1,2 | <0.0001 | 84.11±1.46 | 84.23±0.96 | 81.92±1.40 | 0.40 | 7.73±0.11 | 6.89±0.10 1 | 6.12±0.11 1,2 | <0.0001 | ||
| M2 | 0.38±0.01 | 0.39±0.01 | 0.41±0.01 1 | 0.002 | 89.86±1.45 | 86.68±0.94 | 83.31±1.52 1 | 0.009 | 7.30±0.11 | 7.02±0.08 | 6.48±0.10 1,2 | <0.0001 | ||
| M3 | 0.37±0.01 | 0.38±0.01 | 0.40±0.01 1 | 0.08 | 88.91±1.66 | 84.68±1.21 1 | 81.15±1.82 1 | 0.01 | 7.44±0.14 | 7.15±0.09 1 | 6.61±0.12 1,2 | <0.001 | ||
|
LV Geometry
(Odds Ratios for abnormal vs. normal) |
End Systolic Volume(MOD-biplane) ml |
Diastolic Dysfunction
(Odds Ratios for grade I-III vs. normal) |
||||||||||||
| M1 | 1.00 | 1.93 (1.4-2.7) | 2.79 (2.0-3.9) | <0.0001 | 33.74±0.70 | 33.75±0.43 | 33.96±0.81 | 0.97 | 1.00 | 2.34 (1.7-3.3) | 4.35 (3.1-6.2) | <0.0001 | ||
| M2 | 1.00 | 1.49 (1.1-2.1) | 1.81 (1.2-2.8) | 0.01 | 36.15±0.72 | 34.82±0.45 | 34.64±0.94 | 0.17 | 1.00 | 1.36 (0.96-1.9) | 1.90 (1.3-2.8) | 0.006 | ||
| M3 | 1.00 | 1.53 (1.0-2.4) | 1.79 (1.0-3.1) | 0.06 | 35.35±0.82 | 33.62±0.52 | 33.28±0.91 | 0.12 | 1.00 | 1.48 (1.0-2.2) | 2.13 (1.3-3.5) | 0.01 | ||
Model 1: crude
Model 2: adjusted for age, sex, site, smoking status, alcohol use, physical activity level, body mass index, hypertension and chronic kidney disease
Model 3: sensitivity analyses excluding participants with cardiovascular disease and kidney disease adjusted for age, sex, site, smoking status, alcohol use, physical activity level, body mass index and hypertension
: p<0.017 for comparison with diabetes-free
: p<0.017 for comparison between diabetes and prediabetes