Table 4.
Cross-sectional and longitudinal relationships between CRP (quartile) and HOMA-IR (continuous)
| Insulin resistance: beta-coefficienta per quartile of year 15 CRP
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Cross-sectional associationb
|
Longitudinal associationc
|
|||||||||
| Adjustments | 1st | 2nd | 3rd | 4th | p value for trend | 1st | 2nd | 3rd | 4th | p value for trend |
| Model 1d | Ref. | 0.1234 | 0.2193 | 0.3514 | <0.0001 | Ref. | 0.0330 | 0.0767 | 0.1140 | <0.0001 |
| Model 2e | Ref. | 0.1227 | 0.2167 | 0.3423 | <0.0001 | Ref. | 0.0353 | 0.0792 | 0.1186 | <0.0001 |
| Model 3f | ||||||||||
| BMI (kg/m2) | Ref. | 0.0470 | 0.0833 | 0.0937 | <0.0001 | Ref. | 0.0225 | 0.0515 | 0.0657 | 0.001 |
| WC (cm) | Ref. | 0.0283 | 0.0454 | 0.0575 | 0.001 | Ref. | 0.0167 | 0.0388 | 0.0516 | 0.01 |
| Estimated % fat | Ref. | 0.0247 | 0.0488 | 0.0783 | <0.0001 | Ref. | 0.0152 | 0.0404 | 0.0594 | 0.002 |
| Model 4g | Ref. | 0.0230 | 0.0274 | 0.0557 | 0.004 | Ref. | 0.0181 | 0.0308 | 0.0499 | 0.02 |
The beta coefficient is approximately the proportion increase in the geometric mean HOMA-IR compared with the lowest quartile of CRP
In cross-sectional analyses, CRP and HOMA-IR were measured at year 15
In longitudinal analyses, CRP was measured at year 15 and HOMA-IR was measured at year 20
Model 1: adjusting for age, sex, race and study centre. Year 15 HOMA-IR was additionally included in longitudinal analysis
Model 2: model 1 plus year 15 smoking status, physical activity, alcohol consumption and education
Model 3: model 2 plus body fat measurements (BMI, WC or estimated %fat in three separate models)
Model 4: model 2 plus WC, F2-isoprostanes and oxidised LDL
Ref. Reference