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Table 5 Estimated Relative Risk (Hazard Ratio) of Death from CVD Among U.S. Adults Aged ≥20 Years with Both Diagnosed Diabetes and Undiagnosed Diabetes (A1C≥6.5%) According to Serum Non-HDL-C Concentrations, the Third National Health and Nutrition Examination Survey Linked Mortality Study, 1988-2006

From: Serum Non-high-density lipoprotein cholesterol concentration and risk of death from cardiovascular diseases among U.S. adults with diagnosed diabetes: the Third National Health and Nutrition Examination Survey linked mortality study

Cause of death

Serum non-HDL-C concentration (mg/dL)

 
 

35-129

130-189

190-403

P-valuea

Unadjusted risk estimates

    

   Total CVD

1 [Ref]

0.93 (0.63-1.38)

1.55 (1.03-2.34)

0.033

   Ischemic heart disease

1 [Ref]

0.87 (0.5-1.51)

1.44 (0.87-2.38)

0.14

   Stroke

1 [Ref]

3.34 (1.17-9.52)

3.87 (1.54-9.76)

0.0033

   Other CVD

1 [Ref]

0.66 (0.32-1.36)

1.42 (0.74-2.71)

0.28

Adjusted risk estimates

    

   Total CVD

1 [Ref]

0.95 (0.63-1.45)

1.53 (0.95-2.45)

0.072

   Ischemic heart disease

1 [Ref]

0.91 (0.50-1.65)

1.51 (0.88-2.59)

0.13

   Stroke

1 [Ref]

3.44 (1.23-9.63)

4.33 (1.63-11.49)

0.0026

   Other CVD

1 [Ref]

0.58 (0.26-1.31)

1.01 (0.45-2.24)

0.99

  1. Abbreviations: CVD, cardiovascular disease; non-HDL-C, non-high-density lipoprotein cholesterol; Ref, reference value.
  2. a T-tests were used for testing linear trends. Age was the time scale in the Cox proportional hazard regression analyses. Relative risks (hazard ratios) and their 95% CIs were adjusted for sex, race/ethnicity, education attainment, diabetes duration, body mass index, leisure-time physical activity, smoking status, alcohol consumption, systolic blood pressure, serum HDL-C concentration, glomerular filtration rate, C-reactive protein, and self-reported use of prescribed medicine to lower blood cholesterol.
  3. N = 1,647 participants with diagnosed diabetes and undiagnosed diabetes (i.e., glycated hemoglobin A1C ≥ 6.5%).