Table 3.
Baseline serum homocysteine as a predictor of selected biochemical and hematological parameters at baseline and their change over time: mixed-effects linear regression models; HANDLS 2004–2018 1.
Outcome | Intercept | Time | Hcy | Hcy × Time | (n) k | ||||
---|---|---|---|---|---|---|---|---|---|
γ00 ± SE | p | γ10 ± SE | p | γ0a ± SE | p | γ1a ± SE | p | ||
Serum folate, nmol/L | |||||||||
Model 1: Age-adjusted | +33.6 ± 1.2 | <0.001 | +0.11 ± 0.16 | 0.47 | −0.21 ± 0.32 | 0.51 | −0.05 ± 0.05 | 0.36 | (243) k = 2.4 |
Model 2: Socio-demographic adjusted | +29.8 ± 6.0 | <0.001 | +2.07 ± 0.83 | 0.012 | −0.25 ± 0.34 | 0.45 | −0.05 ± 0.05 | 0.37 | (243) k = 2.4 |
Model 3: Multivariable-adjusted | +35.1 ± 6.2 | <0.001 | +1.39 ± 0.87 | 0.11 | −1.41 ± 0.43 | 0.001 | +0.03 ± 0.07 | 0.69 | (227) k = 2.4 |
Serum creatinine, µmol/L | |||||||||
Model 1: Age-adjusted | +107.9 ± 7.1 | <0.001 | −1.18 ± 0.30 | <0.001 | +18.3 ± 1.89 | <0.001 | +0.11 ± 0.10 | 0.24 | (243) k = 2.4 |
Model 2: Socio-demographic adjusted | +100.1 ± 37.1 | 0.007 | −3.40 ± 1.50 | 0.024 | +18.3 ± 2.00 | <0.001 | +0.14 ± 0.10 | 0.16 | (243) k = 2.4 |
Model 3: Multivariable-adjusted | +117.7 ± 35.1 | 0.001 | −3.93 ± 1.60 | 0.014 | +19.8 ± 2.01 | <0.001 | +0.24 ± 0.12 | 0.045 | (227) k = 2.4 |
Serum vitamin B-12, µmol/L | |||||||||
Model 1: Age-adjusted | +472 ± 13 | <0.001 | −11.2 ± 1.6 | <0.001 | −4.64 ± 3.69 | 0.20 | +0.85 ± 0.53 | 0.11 | (243) k = 2.4 |
Model 2: Socio-demographic adjusted | +334 ± 68 | <0.001 | +6.1 ± 8.6 | 0.48 | −5.19 ± 3.80 | 0.17 | +0.87 ± 0.55 | 0.11 | (243) k = 2.4 |
Model 3: Multivariable-adjusted | +307 ± 69 | <0.001 | −8.0 ± 8.9 | 0.37 | −11.0 ± 4.9 | 0.023 | +1.66 ± 0.69 | 0.015 | (227) k = 2.4 |
Mean cell hemoglobin, pg | |||||||||
Model 1: Age-adjusted | +29.6 ± 0.2 | <0.001 | −0.003 ± 0.002 | 0.56 | +0.03 ± 0.05 | 0.53 | −0.003 ± 0.005 | 0.56 | (244) k = 2.4 |
Model 2: Socio-demographic adjusted | +30.9 ± 0.9 | <0.001 | −0.04 ± 0.10 | 0.67 | +0.02 ± 0.05 | 0.72 | −0.004 ± 0.005 | 0.49 | (244) k = 2.4 |
Model 3: Multivariable-adjusted | +29.2 ± 0.97 | <0.001 | +0.03 ± 0.10 | 0.78 | +0.04 ± 0.06 | 0.50 | +0.01 ± 0.01 | 0.42 | (227) k = 2.4 |
Red cell distribution width, % | |||||||||
Model 1: Age-adjusted | +13.8 ± 0.11 | <0.001 | +0.12 ± 0.01 | <0.001 | +0.05 ± 0.03 | 0.079 | +0.007 ± 0.003 | 0.035 | (244) k = 2.4 |
Model 2: Socio-demographic adjusted | +12.7 ± 0.57 | <0.001 | +0.18 ± 0.06 | 0.002 | +0.04 ± 0.03 | 0.16 | +0.008 ± 0.004 | 0.021 | (244) k = 2.4 |
Model 3: Multivariable-adjusted | +12.7 ± 0.5 | <0.001 | +0.19 ± 0.06 | 0.002 | −0.04 ± 0.04 | 0.20 | +0.009 ± 0.005 | 0.056 | (227) k = 2.4 |
Serum uric acid, µmol/L | |||||||||
Model 1: Age-adjusted | +314.8 ± 5.3 | <0.001 | +3.79 ± 0.7 | <0.001 | +7.48 ± 1.45 | <0.001 | −0.20 ± 0.22 | 0.36 | (243) k = 2.4 |
Model 2: Socio-demographic adjusted | +226.8 ± 26.7 | <0.001 | +2.80 ± 3.51 | 0.42 | +5.30 ± 1.48 | <0.001 | −0.12 ± 0.23 | 0.62 | (243) k = 2.4 |
Model 3: Multivariable-adjusted | +228.6 ± 27.0 | <0.001 | +2.01 ± 3.61 | 0.58 | +8.11 ± 1.88 | <0.001 | −0.01 ± 0.29 | 0.97 | (227) k = 2.4 |
Serum alkaline phosphatase, U/L | |||||||||
Model 1: Age-adjusted | +90.8 ± 2.1 | <0.001 | −0.88 ± 0.22 | <0.001 | +2.66 ± 0.56 | <0.001 | −0.03 ± 0.07 | 0.70 | (243) k = 2.4 |
Model 2: Socio-demographic adjusted | +70.7 ± 10.5 | <0.001 | −0.39 ± 1.19 | 0.74 | +2.54 ± 0.58 | <0.001 | −0.002 ± 0.08 | 0.98 | (243) k = 2.4 |
Model 3: Multivariable-adjusted | +75.2 ± 10.7 | <0.001 | −0.27 ± 1.23 | 0.83 | +2.72 ± 0.74 | <0.001 | +0.16 ± 0.10 | 0.095 | (227) k = 2.4 |
Abbreviations: HANDLS = Healthy Aging in Neighborhoods of Diversity Across the Life Span; Hcy = Homocysteine; k = mean number of observations/participant; n = Number of participants. 1 All selected biochemical and hematological markers were measured in SI units. Measures were not Loge transformed. Model 1 was adjusted for age, centered at 48.8 years. Model 2 was additionally adjusted for sex, race (African Americans vs. Whites), and poverty status (above vs. below poverty). Model 3 was additionally adjusted for all remaining biochemical and hematological measures that were selected. In Model 3, Folate was centered at 32.4, creatinine at 105.8, vitamin B-12 at 494.76, Mean cell hemoglobin at 29.46, red cell distribution width at 13.64, serum uric acid at 306.2, and alkaline phosphatase at 82.