Table 5.
Cross-sectional and longitudinal relationships between inflammation markers (CRP [continuous, loge scale] and fibrinogen [continuous, original scale]) and HOMA-IR (continuous, loge scale)
| Independent variable | Dependent variable | Adjustments | Estimate | SE | p value |
|---|---|---|---|---|---|
| Cross-sectionala | |||||
| Year 7 CRP | Year 7 HOMA-IR | Confounders onlyb | 0.1872 | 0.0106 | <0.0001 |
| BMI (kg/m2)c | 0.0496 | 0.0106 | <0.0001 | ||
| WC (cm)d | 0.0346 | 0.0102 | 0.0007 | ||
| Estimated %fate | 0.0476 | 0.0104 | <0.0001 | ||
| Year 15 CRP | Year 15 HOMA-IR | Confounders onlyb | 0.2128 | 0.0117 | <0.0001 |
| BMI (kg/m2)c | 0.0552 | 0.0115 | <0.0001 | ||
| WC (cm)d | 0.0355 | 0.0111 | 0.001 | ||
| Estimated %fate | 0.0504 | 0.0113 | <0.0001 | ||
| Year 20 CRP | Year 20 HOMA-IR | Confounders onlyb | 0.2367 | 0.0119 | <0.0001 |
| BMI (kg/m2)c | 0.1028 | 0.0123 | <0.0001 | ||
| WC (cm)d | 0.0610 | 0.0120 | <0.0001 | ||
| Estimated %fate | 0.0842 | 0.0122 | <0.0001 | ||
| Year 7 fibrinogen | Year 7 HOMA-IR | Confounders onlyb | 0.0551 | 0.0029 | <0.0001 |
| BMI (kg/m2)c | 0.0162 | 0.0029 | <0.0001 | ||
| WC (cm)d | 0.0139 | 0.0028 | <0.0001 | ||
| Estimated %fate | 0.0161 | 0.0028 | <0.0001 | ||
| Year 20 fibrinogen | Year 20 HOMA-IR | Confounders onlyb | 0.0412 | 0.0029 | <0.0001 |
| BMI (kg/m2)c | 0.0109 | 0.0028 | <0.0001 | ||
| WC (cm)d | 0.0048 | 0.0027 | 0.07 | ||
| Estimated %fate | 0.0081 | 0.0028 | 0.003 | ||
| Longitudinala | |||||
| Year 7 CRP | Year 15 HOMA-IR | Confounders onlyb | 0.1162 | 0.0132 | <0.0001 |
| BMI(kg/m2)c | 0.0549 | 0.0138 | <0.0001 | ||
| WC (cm)d | 0.0442 | 0.0137 | 0.001 | ||
| Estimated %fate | 0.0474 | 0.0137 | 0.0005 | ||
| Year 7 CRP | Year 20 HOMA-IR | Confounders onlyb | 0.0861 | 0.0145 | <0.0001 |
| BMI (kg/m2)c | 0.0410 | 0.0156 | 0.009 | ||
| WC (cm)d | 0.0273 | 0.0155 | 0.08 | ||
| Estimated %fate | 0.0276 | 0.0155 | 0.07 | ||
| Year 15 CRP | Year 20 HOMA-IR | Confounders onlyb | 0.0728 | 0.0114 | <0.0001 |
| BMI (kg/m2)c | 0.0398 | 0.0121 | 0.001 | ||
| WC (cm)d | 0.0312 | 0.0120 | 0.01 | ||
| Estimated %fate | 0.0370 | 0.0120 | 0.002 | ||
| Year 7 fibrinogen | Year 15 HOMA-IR | Confounders onlyb | 0.0248 | 0.0036 | <0.0001 |
| BMI (kg/m2)c | 0.0090 | 0.0038 | 0.02 | ||
| WC (cm)d | 0.0084 | 0.0037 | 0.02 | ||
| Estimated %fate | 0.0070 | 0.0037 | 0.06 | ||
| Year 7 fibrinogen | Year 20 HOMA-IR | Confounders onlyb | 0.0170 | 0.0041 | <0.0001 |
| BMI (kg/m2)c | 0.0073 | 0.0043 | 0.1 | ||
| WC (cm)d | 0.0052 | 0.0043 | 0.2 | ||
| Estimated %fate | 0.0042 | 0.0043 | 0.3 | ||
The estimate is the increase in the mean loge(HOMA-IR) per unit of the given inflammation marker. All covariates were measured in the same year as CRP or fibrinogen. HOMA-IR and CRP were logarithmically transformed for the purposes of analysis. Patients diagnosed with diabetes at or before the examination at which CRP/ fibrinogen was measured were excluded from the analyses
Model 1: adjusting for age, sex, race, study centre, smoking status, physical activity, alcohol consumption and education. HOMA-IR measured in the same year with inflammation markers was additionally included in longitudinal analyses
Model 2: model 1 plus BMI
Model 3: model 1 plus WC
Model 4: model 1 plus estimated %fat