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Table 2 Traditional and disease-related predictors of arterial wall thickening in patients with primary SS

From: Subclinical atherosclerosis and impaired bone health in patients with primary Sjogren’s syndrome: prevalence, clinical and laboratory associations

 

Univariate analysis

  

Multivariate analysis

IMT >0.90 (n = 38)

IMT ≤0.90 (n = 26)

P -value

Odds ratio (95% CI)

P -value

Traditional risk factors

     

Age, years

62.5 ± 9.2

49.8 ± 12.6

<0.001

1.1 (1.1, 1.2)

0.002

Female, %

92.1

96.2

ns

  

Past medical history of CVD, %

7.9

3.8

ns

  

Family history of CVD, %

13.2

15.4

ns

  

Smoking, packs/year

10.5 ± 20.7

3.6 ± 7.4

ns

  

Body mass index

29.0 ± 5.7

25.0 ± 4.4

0.02

  

Diabetes, %

5.3

7.7

ns

  

Hypertension, %

47.4

19.2

0.04

  

Cholesterol levels, mg/dl

202.2 ± 35.2

183.8 ± 30.0

ns

  

High-density lipoprotein, mg/dl

57.0 ± 13.9

53.5 ± 15.5

ns

  

Low-density lipoprotein, mg/dl

126.8 ± 32.2

111.2 ± 25.0

0.03

  

Triglycerides, mg/dl

111.5 ± 44.7

92.5 ± 38.8

ns

  

Homocysteine levels, μmol/l

14.6 ± 4.6

14.2 ± 6.0

ns

  

Uric acid, mg/dl

4.4 ± 1.1

3.6 ± 1.2

0.006

  

Current steroid dose, mg

1.3 ± 2.3

1.1 ± 2.1

ns

  

Total steroid dose, g

7.8 ± 17

6.6 ± 11.3

ns

  

Current TSH levels, μ ΙU/dl

1.5 ± 1.4

1.8 ± 1.3

ns

  

C-reactive protein, mg/l

3.1 ± 3.2

6.7 ± 16.0

ns

  

Fibrinogen, mg/dl

416.6 ± 108.2

395.6 ± 128.1

ns

  

25-hydroxy vitamin D3, ng/ml

22.3 ± 13.4

19.8 ± 7.6

ns

  

Disease-related features

     

Disease duration, years

8.7 ± 7.4

8.0 ± 6.6

ns

  

SS disease activity index

1.8 ± 1.5

1.8 ± 1.7

ns

  

Focus score, number of foci/4 mm2

2.6 ± 2.2

1.6 ± 1.4

ns

  

Whole salivary flow, ml/15 minutes

2.0 ± 2.8

2.6 ± 3.1

ns

  

Peri-epithelial disease, %

31.6

3.8

0.007

  

Arthritis, %

23.6

46.1

ns

  

Arthralgias, %

65.7

76.9

ns

  

Dry mouth, %

84.2

76.9

ns

  

Dry eyes, %

86.8

88.5

ns

  

Salivary gland enlargement, %

21.1

15.3

ns

  

Raynaud’s phenomenon, %

28.9

23.1

ns

  

Lymphadenopathy, %

18.4

19.2

ns

  

Splenomegaly, %

2.6

3.8

ns

  

Palpable purpura, %

10.5

3.8

ns

  

Monoclonal gammopathy (%)

10.5

3.8

ns

  

Cryoglobulins (%)

2.6

0

ns

  

Lymphoma (%)

18.4

7.6

ns

  

Antinuclear antibodies >1/160, %

89.4

96.1

ns

  

Anti-Ro/SSA, %

76.3

73.1

ns

  

Anti-La/SSB, %

42.1

57.7

ns

  

Rheumatoid factor titers, IU/ml

61.0 ± 104

58.3 ± 84.0

ns

  

Complement 3, mg/ml

1.2 ± 0.2

1.1 ± 0.2

0.002

  

Complement 4, mg/ml

0.2 ± 0.1

0.2 ± 0.1

ns

  

Absolute number of WBC/mm3

5,647 ± 1903

5,727 ± 1785

ns

  

Absolute number of lymphocytes/mm3

1,518 ± 463

1,645 ± 756

ns

  

Erythrocyte sedimentation rate

34 ± 21

31 ± 22

ns

  

γ-globulins, %

18.5 ± 5.2

18.6 ± 3.4

ns

  

Urine specific gravity

1,013 ± 6

1,018 ± 8.0

0.007

  

Urine pH

6.1 ± 0.7

6.1 ± 0.6

ns

  
  1. IMT, intima media thickness; SS, Sjogren’s syndrome; IMT, Intima media thickness; CVD, cardiovascular disease; TSH, thyroid stimulating hormone; WBC, white blood cells; ns, not significant.