Table 4. Crude and adjusted geometric mean ratio (95% confidence interval) of plaque score by arsenic levels and traditional vascular risk factors (N=2,402).
Model 1 | Model 2 | Model 3 | Model 4 | |
---|---|---|---|---|
Arsenic, p80 vs p20 | 1.05 (1.00, 1.10) | 1.07 (1.03, 1.12) | 1.06 (1.01, 1.10) | 1.05 (1.01, 1.09) |
Arsenic quartiles | ||||
< 5.64 μg/g | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
5.65-9.24 | 1.05 (0.98, 1.13) | 1.08 (1.01, 1.16) | 1.08 (1.01, 1.15) | 1.08 (1.01, 1.15) |
9.25-14.75 | 1.05 (0.98, 1.13) | 1.07 (1.00, 1.14) | 1.06 (0.99, 1.13) | 1.07 (1.00, 1.14) |
14.76-123.61 | 1.06 (0.98, 1.13) | 1.09 (1.02, 1.17) | 1.07 (1.00, 1.15) | 1.05 (0.98, 1.13) |
iAs, p80 vs. p20 | 1.04 (1.00, 1.08) | 1.06 (1.02, 1.10) | 1.03 (0.99, 1.08) | 1.04 (0.99, 1.08) |
MMA, p80 vs. p20 | 1.08 (1.04, 1.13) | 1.08 (1.04, 1.13) | 1.06 (1.02, 1.10) | 1.05 (1.01, 1.09) |
DMA, p80 vs. p20 | 1.04 (0.99, 1.08) | 1.07 (1.02, 1.11) | 1.05 (1.01, 1.10) | 1.05 (1.00, 1.09) |
iAs%, 5% increase | 1.01 (0.98, 1.04) | 1.01 (0.99, 1.04) | 1.00 (0.97, 1.02) | 1.01 (0.98, 1.03) |
MMA%, 5% increase | 1.05 (1.03, 1.08) | 1.03 (1.01, 1.06) | 1.02 (0.99, 1.04) | 1.01 (0.99, 1.03) |
DMA%, 5% increase | 0.98 (0.96, 0.99) | 0.98 (0.97, 1.00) | 0.99 (0.98, 1.01) | 0.99 (0.98, 1.01) |
Age, per 10 years | 1.30 (1.26, 1.34) | 1.30 (1.26, 1.34) | 1.32 (1.28, 1.36) | 1.26 (1.22, 1.30) |
Female vs. male | 0.87 (0.83, 0.92) | 0.86 (0.82, 0.91) | 0.89 (0.85, 0.94) | 0.91 (0.86, 0.95) |
Education | ||||
Some vs. no HS | 0.95 (0.88, 1.03) | 0.98 (0.91, 1.05) | 0.98 (0.91, 1.05) | 0.97 (0.91, 1.04) |
HS vs. no HS | 0.85 (0.80, 0.91) | 0.94 (0.88, 1.00) | 0.94 (0.88, 1.00) | 0.93 (0.87, 0.98) |
Smoking | ||||
Former vs. never | 1.06 (1.00, 1.13) | 1.06 (1.00, 1.12) | 1.07 (1.01, 1.13) | 1.07 (1.01, 1.13) |
Current vs. never | 1.21 (1.14, 1.29) | 1.27 (1.20, 1.35) | 1.27 (1.20, 1.35) | 1.28 (1.20, 1.35) |
Body mass index | ||||
25-29 vs. <25 kg/m2 | 0.99 (0.91, 1.07) | 0.99 (0.92, 1.07) | 1.03 (0.95, 1.10) | 0.98 (0.91, 1.05) |
≥30 vs. <25 kg/m2 | 0.82 (0.76, 0.88) | 0.86 (0.80, 0.92) | 0.90 (0.84, 0.97) | 0.84 (0.79, 0.90) |
Hypertension (yes vs. no) | 1.18 (1.12, 1.24) | 1.09 (1.03, 1.14) | 1.11 (1.06, 1.17) | 1.10 (1.04, 1.15) |
Diabetes (yes vs. no) | 1.19 (1.14, 1.25) | 1.18 (1.13, 1.24) | 1.21 (1.16, 1.27) | 1.27 (1.21, 1.33) |
LDL cholesterol, p80 vs. p20 | 1.18 (1.14, 1.23) | 1.17 (1.13, 1.22) | 1.17 (1.13, 1.22) | 1.18 (1.14, 1.23) |
eGFR ≤60 vs. > 60 mL/min/1.73m2 | 1.59 (1.35, 1.88) | 1.41 (1.20, 1.64) | 1.41 (1.21, 1.64) | 1.30 (1.12, 1.51) |
eGFR: estimated glomerular filtration rate, HS: high school, LDL: low density lipoprotein
Arsenic is measured as the sum of inorganic and methylated arsenic species in urine and it was log-transformed for the analyses. The 20th and 80th percentiles (p20, p80) of arsenic were 5.00 and 17.06 μg/g creatinine, respectively
20th and 80th percentiles (p20, p80) of iAs were 0.28 and 1.59 μg/g creatinine, respectively.
20th and 80th percentiles (p20, p80) of MMA were 0.64 and 2.38 μg/g creatinine, respectively.
20th and 80th percentiles (p20, p80) of DMA were 3.83 and 12.80 μg/g creatinine, respectively.
The 20th and 80th percentiles of LDL cholesterol were 90 and 143 mg/dL, respectively.
Model 1: Crude. Model 2: Adjusted for age (years) and sex. Model 3: Further adjusted for education (no high school/some high school/high school graduate) and smoking (never/former/current). Model 4: Further adjusted for body mass index (<25, 25 -29, ≥30 kg/m2), hypertension, diabetes, LDL cholesterol (mg/dL) and eGFR (mL/min/1.73m2).