Table 7.
Lipid Target Groups | hsCRP | ASCVD events, n/Individuals, n | Model 1 HR (95% CI) | Model 2 HR (95% CI) | Model 3 HR (95% CI) | Model 4 HR (95% CI) |
---|---|---|---|---|---|---|
Triple lipids < cut point | <2 mg/L | 252/2208 | REF | REF | REF | REF |
(n=4709) | ≥2 mg/L | 398/2501 | 1.60 (1.36–1.89) | 1.45 (1.21–1.73) | 1.41 (1.18–1.68) | 1.40 (1.17–1.68) |
Triple lipids ≥ cut point | <2 mg/L | 215/1294 | REF | REF | REF | REF |
(n=3140) | ≥2 mg/L | 392/1846 | 1.46 (1.24–1.73) | 1.27 (1.06–1.54) | 1.27 (1.05–1.53) | 1.26 (1.04–1.52) |
Quadruple lipids < cut point | <2 mg/L | 189/1797 | REF | REF | REF | N/A |
(n=3765) | ≥2 mg/L | 279/1968 | 1.52 (1.25–1.84) | 1.43 (1.15–1.76) | 1.39 (1.12–1.72) | N/A |
Quadruple lipids ≥ cut point | <2 mg/L | 172/1956 | REF | REF | REF | N/A |
(n=3371) | ≥2 mg/L | 322/1415 | 1.45 (1.20–1.75) | 1.28 (1.04–1.58) | 1.28 (1.04–1.57) | N/A |
hsCRP <2 mg/L groups are reference. Triple lipids: LDL‐C + non–HDL‐C + apolipoprotein B. Quadruple lipids: LDL‐C + non–HDL‐C + apolipoprotein B + TC/HDL‐C. Cut points: LDL‐C: 130 mg/dL (percentile 57), non–HDL‐C: 160 mg/dL, apolipoprotein B: 102 mg/dL, TC/HDL: 4.4, HDL‐C: 50 mg/dL, hsCRP: 2 mg/L. Model 1: adjusted for age, sex, race/center. Model 2: Model 1 + physical activity + smoking status + body mass index + systolic blood pressure + treatment for hypertension + diabetes mellitus + lipid‐lowering medication use. Model 3: Model 2 + log‐triglycerides. Model 4: Model 3 + log‐HDL‐C. International System of Units conversion factors: To convert total, LDL‐C, and HDL‐C to mmol/L, multiply by 0.0249. To convert triglycerides to mmol/L, multiply by 0.0113. ARIC indicates Atherosclerosis Risk in Communities; ASCVD, atherosclerotic cardiovascular disease; HDL‐C, high‐density lipoprotein cholesterol; HR, hazard ratio; hsCRP, high‐sensitivity C‐reactive protein; JUPITER, Justification for the Use of Statins in Prevention: An Intervention Trial Evaluating Rosuvastatin; LDL‐C, low‐density lipoprotein cholesterol; N/A indicates not applicable; TC, total cholesterol.