Table 4.
Overall Odds Ratio of Visit 3 Kidney Disease | Sex-Specific Odds Ratios of Visit 3 Kidney Disease | |||||
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Odds Ratio (95% CI) | p-value | Male Odds Ratio (95% CI) | p-value | Female Odds Ratio (95% CI) | p-value | |
Outcome: Incident CKD at Visit 3 | ||||||
Model with Visit 1 MetS Severity (Quartiles) | ||||||
25–50th | 1.58 (0.90, 2.79) | 0.1124 | 2.01 (0.85, 4.77) | 0.1134 | 1.31 (0.61, 2.78) | 0.4903 |
50–75th | 1.88 (1.09, 3.25) | 0.0231 | 1.98 (0.85, 4.61) | 0.1126 | 1.81 (0.89, 3.72) | 0.1036 |
> 75th | 1.07 (0.99, 3.50) | 0.0556 | 0.63 (0.17, 2.34) | 0.4876 | 2.47 (1.13, 5.37) | 0.0229 |
Linear trend p-value | 0.1227 | 0.4933 | 0.0128 | |||
Interaction p-value = 0.0645 | ||||||
Model with ATP-III MetS | Odds Ratio (95% CI) | p-value | ||||
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Visit 1 ATP-III MetS | 1.30 (0.93, 1.84) | 0.1289 | 1.07 (0.60, 1.92) | 0.8111 | 1.45 (0.95, 2.22) | 0.0878 |
Interaction p-value = 0.4153 | ||||||
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Outcome: Rapid Decline of eGFR (Visit 1 to Visit 3 > −16.8% of Visit 1) | ||||||
Model with Visit 1 MetS Severity (Quartiles) | ||||||
25–50th | 0.97 (0.75, 1.26) | 0.8072 | 0.87 (0.57, 1.32) | 0.5047 | 1.03 (0.74, 1.43) | 0.8795 |
50–75th | 0.96 (0.74, 1.24) | 0.7354 | 0.64 (0.42, 0.99) | 0.0444 | 1.20 (0.86, 1.67) | 0.2768 |
> 75th | 1.03 (0.76, 1.41) | 0.8310 | 0.75 (0.43, 1.30) | 0.2999 | 1.22 (0.84, 1.79) | 0.2947 |
Linear trend p-value | 0.8568 | 0.6939 | 0.2023 | |||
Interaction p-value = 0.0862 | ||||||
Model with ATP-III MetS | Odds Ratio (95% CI) | p-value | ||||
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Visit 1 ATP-III MetS | 1.06 (0.86, 1.29) | 0.5919 | 0.97 (0.68, 1.39) | 0.8846 | 1.10 (0.86, 1.40) | 0.4521 |
Interaction p-value = 0.5853 |
Two outcomes were utilized: CKD at Visit 3, and Rapid Decline of eGFR (Visit 1 to Visit 3 > −16.8 percent of Visit 1).
For each of the two outcomes, four models were fit. Two models across all subjects were fit, one with Visit 1 MetS severity and one with ATP-III MetS (first set of columns, divided between incident CKD as an outcome in the upper half of table and rapid eGFR decline in the bottom half of table). These models then were re-fit to include an interaction with sex to allow for sex-specific examination of the association between MetS and Low Visit 1 GFR. For all eight models, the following covariates were included: Visit 1 age, Visit 1 eGFR, sex, physical activity, nutrition, and current smoking status. Differences in income were observed between males and females, but income was not found to be a confounder (i.e., did not change above estimates) and was thus removed from the models given large amounts of missing data on this variable.
Reference category: < 25th percentile.