Table 3.
Hazard ratios of stroke by different levels of high-density lipoprotein cholesterol at baseline among subpopulation of patients with type 2 diabetes
High-density lipoprotein cholesterol (mg/dL) | P for trend | |||||||
---|---|---|---|---|---|---|---|---|
<30 | 30-39.9 | 40-49.9 | 50-59.9 | 60-69.9 | 70-79.9 | ≥80 | ||
Age | ||||||||
<60 years | 1.00 | 0.84 (0.71-1.01) | 0.68 (0.56-0.83) | 0.66 (0.52-0.84) | 0.74 (0.54-1.01) | 0.44 (0.25-0.78) | 0.48 (0.27-0.88) | <0.001 |
≥60 years | 1.00 | 0.88 (0.81-0.94) | 0.80 (0.74-0.87) | 0.72 (0.65-0.79) | 0.71 (0.63-0.80) | 0.81 (0.69-0.96) | 0.70 (0.56-0.88) | <0.001 |
Race | ||||||||
African American | 1.00 | 0.87 (0.77-0.99) | 0.84 (0.74-0.95) | 0.77 (0.67-0.89) | 0.82 (0.69-0.97) | 0.83 (0.66-1.04) | 0.72 (0.55-0.95) | 0.026 |
White | 1.00 | 0.90 (0.82-0.97) | 0.79 (0.72-0.87) | 0.73 (0.65-0.81) | 0.70 (0.60-0.82) | 0.76 (0.60-0.96) | 0.67 (0.48-0.94) | <0.001 |
Body mass index | ||||||||
<30 kg/m2 | 1.00 | 0.83 (0.74-0.93) | 0.79 (0.70-0.89) | 0.72 (0.63-0.82) | 0.71 (0.60-0.84) | 0.80 (0.64-1.00) | 0.74 (0.57-0.96) | <0.001 |
≥30 kg/m2 | 1.00 | 0.93 (0.85-1.01) | 0.82 (0.74-0.90) | 0.76 (0.68-0.86) | 0.82 (0.70-0.96) | 0.82 (0.64-1.04) | 0.64 (0.44-0.94) | <0.001 |
HbA1c | ||||||||
<7% | 1.00 | 0.81 (0.73-0.90) | 0.75 (0.67-0.83) | 0.69 (0.61-0.78) | 0.73 (0.62-0.85) | 0.79 (0.64-0.98) | 0.70 (0.53-0.91) | <0.001 |
≥7% | 1.00 | 0.96 (0.87-1.05) | 0.87 (0.78-0.96) | 0.80 (0.71-0.90) | 0.77 (0.65-0.91) | 0.75 (0.58-0.97) | 0.66 (0.47-0.92) | <0.001 |
Smoking status | ||||||||
Never smoking | 1.00 | 0.84 (0.77-0.91) | 0.75 (0.69-0.82) | 0.69 (0.62-0.76) | 0.69 (0.60-0.78) | 0.68 (0.56-0.83) | 0.53 (0.40-0.71) | <0.001 |
Current and past smoking | 1.00 | 0.88 (0.78-1.01) | 0.79 (0.68-0.91) | 0.68 (0.57-0.81) | 0.70 (0.56-0.87) | 0.95 (0.71-1.28) | 0.95 (0.69-1.31) | <0.001 |
Anti-diabetic medications | ||||||||
No use | 1.00 | 0.74 (0.64-0.85) | 0.72 (0.62-0.83) | 0.66 (0.56-0.78) | 0.61 (0.50-0.75) | 0.61 (0.45-0.82) | 0.62 (0.44-0.88) | <0.001 |
Oral agents | 1.00 | 0.90 (0.79-1.04) | 0.78 (0.67-0.90) | 0.72 (0.61-0.85) | 0.84 (0.69-1.04) | 0.95 (0.72-1.26) | 0.56 (0.36-0.90) | <0.001 |
Insulin | 1.00 | 1.02 (0.93-1.12) | 0.94 (0.84-1.05) | 0.85 (0.75-0.98) | 0.81 (0.68-0.97) | 0.81 (0.61-1.06) | 0.79 (0.58-1.09) | 0.009 |
Lipid-lowering medications | ||||||||
No use | 1.00 | 0.86 (0.76-0.97) | 0.79 (0.69-0.90) | 0.67 (0.57-0.79) | 0.72 (0.59-0.88) | 0.68 (0.51-0.91) | 0.75 (0.55-1.02) | <0.001 |
Use | 1.00 | 0.91 (0.84-0.99) | 0.83 (0.76-0.91) | 0.78 (0.70-0.87) | 0.79 (0.69-0.91) | 0.87 (0.72-1.06) | 0.67 (0.51-0.90) | <0.001 |
Anti-hypertensive medications | ||||||||
No use | 1.00 | 0.79 (0.65-0.96) | 0.77 (0.63-0.95) | 0.69 (0.54-0.88) | 0.69 (0.51-0.94) | 0.70 (0.46-1.08) | 0.84 (0.52-1.33) | 0.095 |
Use | 1.00 | 0.90 (0.84-0.97) | 0.82 (0.75-0.88) | 0.75 (0.69-0.83) | 0.77 (0.68-0.87) | 0.82 (0.69-0.97) | 0.67 (0.53-0.85) | <0.001 |
Data are hazard ratios (95% confidence intervals) unless otherwise indicated. Adjusted for age, race, sex, body mass index, systolic blood pressure, HbA1c, low-density lipoprotein cholesterol, triglycerides, estimated GFR, smoking, use of antihypertensive drugs, use of diabetes medications, and use of lipid-lowering agents, other than the variables for stratification.
All P for interaction >0.25.