| All N = 5695 | Low n = 1424 | Moderate n = 1424 | High n = 1424 | Very high n = 1423 | P value |
---|---|---|---|---|---|---|
Age, y (mean ± SD) | 62.59 ± 6.50 | 63.37 ± 6.44 | 63.35 ± 6.55 | 62.31 ± 6.64 | 61.35 ± 6.13 | < 0.001 |
Sex, No. (%) | 0.021 | |||||
 Female | 2168 (38.07) | 578 (40.59) | 542 (38.06) | 550 (38.62) | 498 (35.00) |  |
 Male | 3527 (61.93) | 846 (59.41) | 882 (61.94) | 874 (61.38) | 925 (65.00) |  |
Education, No. (%) | ||||||
 Less than high school | 763 (13.40) | 231 (16.22) | 220 (15.45) | 171 (12.01) | 141 (9.91) | < 0.001 |
 High school graduate or GED | 1520 (26.69) | 377 (26.47) | 379 (26.62) | 371 (26.05) | 393 (27.62) | 0.811 |
 Some college | 1872 (32.87) | 421 (29.56) | 454 (31.88) | 493 (34.62) | 504 (35.42) | 0.003 |
 College degree or higher | 1537 (26.99) | 394 (27.67) | 370 (25.98) | 388 (27.25) | 385 (27.06) | 0.773 |
Race, No. (%) | < 0.001 | |||||
 White | 3644 (63.99) | 667 (46.84) | 893 (62.71) | 1003 (79.44) | 1081 (75.97) |  |
 Non-white | 2051 (36.01) | 757 (53.16) | 531 (37.29) | 421 (29.56) | 342 (24.03) |  |
Living alone, No. (%) | 1110 (19.49) | 295 (20.72) | 274 (19.24) | 264 (18.54) | 277 (19.47) | 0.525 |
Depression, No. (%) | 1258 (22.09) | 224 (15.73) | 291 (20.44) | 364 (25.56) | 379 (26.63) | < 0.001 |
Previous cardiovascular event, No. (%) | 1892 (33.22) | 431 (30.27) | 466 (32.72) | 485 (34.06) | 510 (35.84) | 0.014 |
Duration of hypertension, y (mean ± SD) | 10.20 ± 9.61 | 10.18 ± 9.70 | 10.07 ± 9.54 | 10.25 ± 9.55 | 10.28 ± 9.68 | 0.959 |
Duration of diabetes, y (mean ± SD) | 10.65 ± 7.40 | 11.64 ± 7.76 | 11.25 ± 7.61 | 10.48 ± 7.42 | 9.24 ± 6.54 | < 0.001 |
Duration of hyperlipemia, y (mean ± SD) | 5.78 ± 5.57 | 5.16 ± 5.14 | 5.50 ± 5.50 | 5.69 ± 5.41 | 6.68 ± 6.05 | < 0.001 |
Cigarette-smoking, No. (%) | < 0.001 | |||||
 Yes | 3280 (57.59) | 748 (52.53) | 791 (55.55) | 851 (59.76) | 890 (62.54) |  |
 No | 2415 (42.41) | 676 (47.47) | 633 (44.45) | 573 (40.24) | 533 (37.46) |  |
Alcohol, No. (%) | 0.785 | |||||
 Yes | 1419 (24.92) | 349 (24.51) | 356 (25.00) | 368 (24.84) | 346 (24.31) |  |
 No | 4274 (75.05) | 1075 (75.49) | 1066 (74.86) | 1056 (74.16) | 1077 (75.69) |  |
BMI, kg/m2 (mean ± SD) | 32.21 ± 5.32 | 31.26 ± 5.51 | 32.02 ± 5.32 | 32.60 ± 5.25 | 32.97 ± 5.03 | < 0.001 |
Blood pressure, mmHg (mean ± SD) | ||||||
 Systolic | 136.35 ± 16.66 | 136.40 ± 16.62 | 136.42 ± 17.04 | 136.53 ± 16.27 | 136.04 ± 16.71 | 0.876 |
 Diastolic | 75.12 ± 10.45 | 74.25 ± 10.29 | 74.24 ± 10.31 | 75.74 ± 10.65 | 76.24 ± 10.40 | < 0.001 |
Heart rate, bpm (mean ± SD) | 72.56 ± 11.68 | 71.69 ± 11.81 | 72.16 ± 11.48 | 72.95 ± 11.85 | 73.43 ± 11.50 | < 0.001 |
Medications, No. (%) | ||||||
 Insulin | 1942 (34.10) | 526 (34.94) | 535 (37.57) | 467 (32.79) | 414 (29.09) | < 0.001 |
 Metformin | 3694 (64.86) | 886 (62.22) | 897 (62.99) | 949 (66.64) | 962 (67.60) | 0.004 |
 ACEI/ARB | 3946 (69.29) | 982 (68.96) | 992 (69.66) | 970 (68.12) | 1002 (70.41) | 0.587 |
 Aspirin | 3131 (54.98) | 790 (55.48) | 821 (57.65) | 759 (53.30) | 761 (53.48) | 0.066 |
 Statin | 3638 (63.88) | 919 (64.54) | 958 (67.28) | 882 (61.94) | 879 (61.77) | 0.006 |
 Cholesterol absorption inhibitors | 86 (1.51) | 11 (0.77) | 22 (1.54) | 29 (2.04) | 24 (1.69) | 0.043 |
 Non-dihydropyridine calcium channel blockers | 464 (8.15) | 125 (8.78) | 123 (8.64) | 105 (7.37) | 111 (7.80) | 0.454 |
 Dihydropyridine calcium channel blockers | 649 (11.40) | 188 (13.20) | 151 (10.60) | 160 (11.24) | 150 (10.54) | 0.089 |
 Thiazolidinediones | 1302 (22.86) | 331 (23.24) | 342 (24.02) | 313 (21.98) | 316 (22.21) | 0.538 |
 Thiazide diuretics | 1575 (27.66) | 423 (29.71) | 383 (26.90) | 400 (28.09) | 369 (25.93) | 0.135 |
Glycated hemoglobin, % (mean ± SD) | 8.25 ± 1.01 | 8.20 ± 0.96 | 8.22 ± 1.00 | 8.25 ± 1.04 | 8.32 ± 1.04 | 0.006 |
ALT, mg/dL (mean ± SD) | 27.71 ± 15.13 | 25.29 ± 12.96 | 26.41 ± 14.12 | 28.63 ± 15.77 | 30.51 ± 16.86 | < 0.001 |
eGFR, mL/min/1.73 m2 (mean ± SD) | 91.26 ± 27.39 | 92.03 ± 23.92 | 89.73 ± 22.99 | 90.16 ± 24.11 | 93.11 ± 36.25 | 0.002 |
Total plasma cholesterol, mg/dL (mean ± SD) | 183.23 ± 41.24 | 173.61 ± 36.10 | 177.49 ± 36.75 | 184.78 ± 38.70 | 197.06 ± 48.32 | < 0.001 |
Plasma LDL-C, mg/dL (mean ± SD) | 104.81 ± 32.94 | 104.57 ± 30.90 | 104.64 ± 31.14 | 106.54 ± 33.55 | 103.50 ± 35.89 | 0.100 |
Plasma HDL, mg/dL (mean ± SD) | 41.59 ± 11.31 | 47.32 ± 12.74 | 42.75 ± 10.62 | 40.00 ± 9.79 | 36.30 ± 8.77 | < 0.001 |
Fasting plasma glucose, mg/dL (mean ± SD) | 175.38 ± 55.21 | 157.22 ± 50.45 | 170.93 ± 52.41 | 180.61 ± 54.71 | 192.76 ± 56.90 | < 0.001 |
Plasma triglycerides, mg/dL (mean ± SD) | 190.88 ± 154.79 | 108.60 ± 55.14 | 151.09 ± 68.68 | 192.96 ± 85.59 | 310.97 ± 240.93 | < 0.001 |
Cumulative TyG | 36.56 ± 2.45 | 33.54 ± 1.05 | 35.71 ± 0.45 | 37.28 ± 0.48 | 39.72 ± 1.43 | < 0.001 |
Incident MACEs, No. (%) | 673 (11.82) | 132 (9.27) | 169 (11.87) | 171 (12.01) | 201 (14.13) | 0.001 |
 CVD death, No. (%) | 256 (4.50) | 51 (3.58) | 70 (4.92) | 56 (3.93) | 79 (5.55) | 0.044 |
 Non-fatal MI | 288 (5.06) | 46 (3.23) | 73 (5.13) | 75 (5.27) | 94 (6.61) | 0.001 |
 Non-fatal stroke | 197 (3.46) | 47 (3.30) | 43 (3.02) | 59 (4.14) | 48 (3.37) | 0.398 |