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Table 4 Relation of angiopoietin-like protein 4, apolipoprotein C3, and lipoprotein lipase axis to subclinical atherosclerosis in RA patients

From: The angiopoietin-like protein 4, apolipoprotein C3, and lipoprotein lipase axis is disrupted in patients with rheumatoid arthritis

 

Carotid plaque

cIMT, microns

Univariable

 

Adjusted

 

Univariable

Adjusted

No=199

Yes=124

p

OR (95% CI)

p

beta coef. (95% CI), p

 

Age, years

51 ± 10

61 ± 8

<0.001

  

7 (6–8), <0.001

 

Female, n (%)

175 (88)

88 (71)

<0.001

  

−88 (−126 to –50), <0.001

 

BMI, kg/m2

28 ± 5

28 ± 5

0.51

  

2 (−8–5), 0.14

 

Abdominal circumference, cm

97 ± 14

97 ± 11

0.71

  

2 (1–3), 0.004

 

Cardiovascular data

       

CV risk factors, n (%)

 Current smoker

37 (19)

27 (22)

0.49

  

4 (−34–42), 0.84

 

 Obesity

67 (34)

37 (30)

0.47

  

21 (−10–54), 0.18

 

 Hypertension

49 (25)

52 (42)

0.001

  

61 (29–93), <0.001

 

 Diabetes mellitus

17 (9)

25 (20)

0.003

  

87 (43–132), <0.001

 

Blood pressure, mm Hg

 Systolic

130 ± 18

138 ± 19

0.001

  

2 (1–3), <0.001

 

 Diastolic

81 ± 12

83 ± 11

0.077

  

1 (0.3), 0.061

 

Statins, n (%)

46 (23)

57 (46)

<0.001

  

51 (20–83), 0.002

 

Lipid profile

       

Cholesterol, mg/dl

205 ± 37

201 ± 39

0.42

  

0.2 (−0.2–0.6), 0.24

 

Triglycerides, mg/dl

138 ± 82

168 ± 93

0.003

  

0.1 (−0.0–0.3), 0.13

 

HDL cholesterol, mg/dl

57 ± 15

55 ± 16

0.50

  

−0.7 (−1.7–0.3), 0.17

 

LDL cholesterol, mg/dl

121 ± 32

112 ± 35

0.030

  

0.3 (−0.2–0.7), 0.24

 

LDL:HDL cholesterol ratio

2.30 ± 0.97

2.18 ± 0.90

0.24

  

12 (−4–28), 0.14

 

Non-HDL cholesterol, mg/dl

148 ± 39

146 ± 38

0.61

  

0.3 (−0.0–0.7), 0.085

 

Lipoprotein (a), mg/dl

29 (10–87)

38 (14–132)

0.018

  

0.0 (−0.2–0.2), 0.74

 

Apolipoprotein A1, mg/dl

170 ± 29

171 ± 30

0.70

  

0.0 (−0.5–0.5), 0.98

 

Apolipoprotein B, mg/dl

108 ± 57

104 ± 24

0.51

  

0.2 (−0.2–0.5), 0.35

 

Apo B:Apo A ratio

0.65 ± 0.28

0.63 ± 0.17

0.42

  

36 (−25–97), 0.25

 

Atherogenic index

3.87 ± 1.38

3.89 ± 1.25

0.92

  

9 (−3–20), 0.13

 

Axis

       

Angiopoietin-like protein 4, ng/ml

143 (85–281)

161 (104–451)

0.15

1.00 (0.99–1.00)

0.14

0.07 (0.03–0.10), <0.001

0.05 (0.02–0.08), <0.001

Apolipoprotein C3, mg/dl

8.3 ± 4.7

9.8 ± 5.9

0.028

1.03 (0.97–1.09)

0.41

2.9 (−0.3–6.2), 0.077

0.4 (−2.6–3.4), 0.78

Lipoprotein lipase, ng/ml

91 (53–149)

108 (76–166)

0.34

  

0.03 (−0.03–0.09), 0.26

0.01 (−0.04–0.6), 0.73

  1. BMI body mass index, CV cardiovascular, HDL high-density lipoprotein, LDL low-density lipoprotein, OR odds ratio, cIMT carotid intima-media thickness
  2. Carotid plaque and cIMT are dependent variables. Multivariable logistic regression—odds ratios—is adjusted for age, gender, hypertension, diabetes mellitus, statins, triglycerides, LDL cholesterol and lipoprotein (a). Multivariable linear regression is adjusted for age, gender, abdominal circumference, hypertension, diabetes mellitus, statins, triglycerides, and HDL cholesterol