Table 2.
Mean absolute difference (95% CI) in levels of proximal biomarkers of CVD injury by smoking intensity, measured as cigarettes per day or urinary cotinine levels.
Cigarettes per day | Urinary Cotinine‡ | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Unadjusted | p-value | Model 1 | p-value | Model 2 | p-value | Unadjusted | p-value | Model 1** | p-value | Model 2** | p-value | |
Inflammation | ||||||||||||
hsCRP‡ | 0.012 (0.004,0.020) | 0.002 | 0.017 (0.009,0.025) | <0.001 | 0.013 (0.005,0.021) | 0.002 | 0.10 (0.04,0.16) | 0.002 | 0.09 (0.03,0.16) | 0.003 | 0.12(0.06,0.18) | <0.001 |
IL-6‡ | 0.012(0.008,0.168) | <0.001 | 0.014(0.009,0.018) | <0.001 | 0.011(0.006,0.015) | <0.001 | 0.037(0.002,0.073) | 0.04 | 0.03(−0.01,0.07) | 0.11 | 0.04(0.01,0.08) | 0.01 |
IL-2, pg/mL | 4.1(−0.4,8.5) | 0.07 | 3.2(−1.4,7.8) | 0.17 | 2.1(−2.6,6.7) | 0.38 | 28.6(−2.8,60.1) | 0.07 | 30.9(−0.5,62.3) | 0.054 | 28.6(−3.4,60.6) | 0.08 |
TNF-α, pg/mL | 4.0(−0.9,8.9) | 0.11 | 2.9(−2.0,7.9) | 0.25 | 2.2(−2.6,7.0) | 0.37 | 25.9(−9.4,61.2) | 0.15 | 23.3(−8.0,54.7) | 0.14 | 24.1(−5.9,54.0) | 0.12 |
Thrombosis | ||||||||||||
Fibrinogen, mg/dL | 0.58 (0.05,1.10) | 0.03 | 0.96 (0.42,1.50) | <0.001 | 0.60 (0.05,1.14) | 0.032 | 5.8(1.8,9.8) | 0.005 | 5.1(1.1,9.1) | 0.01 | 5.3 (1.2,9.3) | 0.01 |
D-dimert‡ | 0.005(−0.001,0.012) | 0.12 | 0.0062 (−0.0003,0.0128) | 0.06 | 0.004(−0.003,0.011) | 0.22 | 0.06 (0.01,0.11) | 0.02 | 0.03(−0.02,0.08) | 0.21 | 0.03(−0.02,0.08) | 0.28 |
Homocysteine/μmol/L | 0.04 (0.01,0.06) | 0.003 | 0.022 (−0.004,0.049) | 0.10 | 0.02(−0.01,0.05) | 0.215 | 0.04(−0.13,0.22) | 0.62 | 0.02(−0.14,0.18) | 0.82 | 0.02(−0.14,0.19) | 0.78 |
Endothelial injury | ||||||||||||
Urinary albumin: Cr‡ | 0.004 (−0.003,0.012) | 0.30 | 0.010(0.002,0.018) | 0.02 | 0.005(−0.003,0.013) | 0.20 | 0.02(−0.04,0.08) | 0.49 | 0.03 (−0.03,0.09) | 0.38 | 0.04(−0.02,0.10) | 0.18 |
Vascular function | ||||||||||||
Aortic distensibility, mm/Hg × 10−3 | −0.002(−0.012,0.008) | 0.64 | −0.004 (−0.014,0.006) | 0.44 | −0.001 (−0.011,0.009) | 0.78 | −0.14(−0.25,−0.02) | 0.02 | −0.112 (−0.221,−0.003) | 0.04 | −0.13(−0.25,−0.02) | 0.02 |
Carotid distensibility coefficient, mm/Hg × 10−3 | −0.002(−0.010,0.006) | 0.65 | −0.008 (−0.016,0.001) | 0.04 | −0.003 (−0.010,0.004) | 0.41 | 0.03(−0.03,0.10) | 0.29 | 0.05 (−0.01,0.11) | 0.099 | 0.02(−0.03,0.08) | 0.41 |
Flow mediated dilation, % ×10−3 | −5.8(−34.0,22.4) | 0.69 | 8.4(−21.3,38.2) | 0.58 | 9.0(−21.4,39.5) | 0.56 | −27.9(−196.0,140.2) | 0.74 | 69.9 (−101.9,241.8) | 0.42 | 67.3(−111.5,246.1) | 0.46 |
Subclinical myocardial injury | ||||||||||||
Troponin T‡* | −0.0003 (−0.0011−0.00005) | 0.43 | −0.0004 (−0.0012,0.0004) | 0.29 | −0.0003 (−0.0012,0.0005) | 0.40 | −0.0006 (−0.0059,0.0047) | 0.83 | −0.001 (−0.006,0.005) | 0.75 | −0.002 (−0.007,0.004) | 0.59 |
Beta coefficients are interpreted as the mean absolute change in levels of proximal biomarkers of CVD injury per 1 cigarette/day or 1 unit of In-transformed cotinine.
Variables are log-transformed
Model 1 is adjusted for age, sex, race, education.
Model 2 is adjusted for Model 1 plus body mass index, systolic blood pressure, anti-hypertensive medication use, statin use, diabetes mellitus, heart rate, physical activity, alcohol use, duration of smoking.
Model 2 further adjusted for eGFR.
Models 1 and 2 further adjusted for eGFR in all cotinine analyses.
Bolded items are significant.