Table 2.
Association between visit-to-visit FG variability and cardiac structure and function at year 25 (the CARDIA Study).
| SD FG (per 1 SD increased) | CV FG (per 1 SD increased) | ARV FG (per 1 SD increased) | ||||
|---|---|---|---|---|---|---|
| Unadjusted β (SE) | Adjusted β (SE) | Unadjusted β (SE) | Adjusted β (SE) | Unadjusted β (SE) | Adjusted β (SE) | |
| Cardiac structure | ||||||
| LVMI | 2.982 (0.410) | 0.911 (0.689) | 2.754 (0.411) | 0.445 (0.570) | 3.070 (0.410) | 1.240 (0.618)* |
| RWT | 0.005 (0.002) | −0.002 (0.003) | 0.005 (0.002) | −0.002 (0.002) | 0.005 (0.002) | −0.002 (0.003) |
| Systolic function | ||||||
| LVEF | −0.318 (0.154) | −0.353 (0.283) | −0.262 (0.154) | −0.156 (0.234) | −0.288 (0.154) | −0.276 (0.253) |
| GLS | 0.449(0.047) | 0.104 (0.080) | 0.430 (0.047) | 0.038 (0.066) | 0.415 (0.047) | 0.083 (0.072) |
| Diastolic function | ||||||
| e' | −0.402 (0.046) | −0.214 (0.080)† | −0.401 (0.046) | −0.141 (0.066)* | −0.365 (0.046) | −0.127 (0.072) |
| E/e' | 0.430 (0.054) | 0.307 (0.094)† | 0.432 (0.054) | 0.204 (0.078)† | 0.395 (0.054) | 0.178 (0.085)* |
FG, fasting glucose; SD, standard deviation; CV, coefficient of variation; ARV, average real variability of mean FG; LVMI, LV mass index; RWT, Relative wall thickness; LVEF, left-ventricular ejection fraction; GLS, global longitudinal strain; e', early peak diastolic mitral annular velocity; E/e', mitral inflow velocity to early diastolic mitral annular velocity.
Models were adjusted for year 25 covariates: age, sex, race, level of education, body mass index, smoking status, drinking status, systolic blood pressure, diastolic blood pressure, total cholesterol level, high-density lipoprotein cholesterol level, antihypertensive, antidiabetic and lipid-lowing medication use (year 0–25), and weighted mean fasting glucose.
P < 0.05.
P < 0.01.