Table 4.

Effects of age and sex on multi-state progression associated with metabolic scoring status and CVD.

Transition rates	Age (one additional year of age)	Sex (male vs. female)
	RR (95% CI)	RR (95% CI)
Transition rate from FMD to MMD	1.01 (1.009, 1.017)	1.30 (1.18, 1.44)
Regression rate from MMD to FMD	0.97 (0.964, 0.973)	0.67 (0.61, 0.75)
Transition rate from MMD to MetS	1.03 (1.024, 1.031)	0.98 (0.90, 1.07)
Incidence rate of CVD from FMD	1.06 (1.049, 1.064)	0.50 (0.39, 0.66)
Incidence rate of CVD from MMD	1.04 (1.039, 1.046)	0.88 (0.81, 0.97)
Incidence rate of CVD from MetS	1.01 (1.01, 1.016)	0.86 (0.80, 0.92)
Hazard rate of CVD death, λ45	1.08 (1.05, 1.11)	2.88 (1.70, 4.90)
Hazard rate of OCD from FMD, MMD and MetS	1.10 (1.094, 1.111)	3.63 (2.99, 4.41)