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TableĀ 4 Association of risk factors for quartile of HOMA-IR in metabolic disorders

From: Insulin resistance exhibits varied metabolic abnormalities in nonalcoholic fatty liver disease, chronic hepatitis B and the combination of the two: a cross-sectional study

Ā 

OR (95% CI)a

All

CHB

NAFLD

CHB with NAFLD

Hypertension

Ā HOMA-IR Q1

Referenceb

0.94 (0.57ā€“1.54)

3.57 (1.89ā€“6.75)

2.44 (0.90ā€“ā€“6.60)

Ā HOMA-IR Q2

1.72 (1.19ā€“2.50)

1.94 (1.19ā€“3.16)

3.73 (2.29ā€“6.06)

3.15 (1.45ā€“6.87)

Ā HOMA-IR Q3

2.78 (1.98ā€“3.91)

1.50 (0.91ā€“2.48)

3.99 (2.73ā€“5.85)

6.68 (3.73ā€“12.0)

Ā HOMA-IR Q4

6.69 (4.79ā€“9.34)

4.40 (2.64ā€“7.36)

7.75 (5.39ā€“11.2)

7.44 (4.55ā€“12.2)

Ā P for trend

0.08

0.03

0.03

0.006

Hypertriglyceridemia

Ā HOMA-IR Q1

Reference

0.77 (0.49ā€“1.21)

6.52 (3.81ā€“11.1)

3.18 (1.38ā€“7.37)

Ā HOMA-IR Q2

2.31 (1.69ā€“3.16)

1.37 (0.86ā€“2.18)

8.38 (5.56ā€“12.6)

4.90 (2.58ā€“9.34)

Ā HOMA-IR Q3

5.92 (4.45ā€“7.87)

2.29 (1.53ā€“3.42)

17.0 (12.2ā€“23.7)

6.37 (3.68ā€“11.0)

Ā HOMA-IR Q4

9.48 (7.05ā€“12.8)

3.22 (1.98ā€“5.23)

18.8 (13.4ā€“26.4)

4.43 (2.74ā€“7.15)

Ā P for trend

0.02

0.02

0.004

0.11

High LDL-c

Ā HOMA-IR Q1

Reference

1.15 (0.84ā€“1.58)

2.60 (1.54ā€“4.37)

2.90 (1.39ā€“6.01)

Ā HOMA-IR Q2

1.28 (0.98ā€“1.66)

1.31 (0.90ā€“1.90)

2.96 (2.02ā€“4.35)

2.01 (1.06ā€“3.83)

Ā HOMA-IR Q3

2.29 (1.80ā€“2.91)

1.39 (0.98ā€“1.97)

3.55 (2.67ā€“4.73)

4.70 (2.80ā€“7.90)

Ā HOMA-IR Q4

4.64 (3.61ā€“5.97)

2.59 (1.68ā€“3.99)

5.01 (3.75ā€“6.69)

6.97 (4.50ā€“10.8)

Ā P for trend

0.07

0.07

0.005

0.03

Hyperuricemia

Ā HOMA-IR Q1

Reference

1.14 (0.82ā€“1.59)

2.53 (1.48ā€“4.32)

3.19 (1.52ā€“6.70)

Ā HOMA-IR Q2

1.25 (0.95ā€“1.65)

1.10 (0.73ā€“1.66)

2.95 (2.00ā€“4.37)

2.74 (1.47ā€“5.14)

Ā HOMA-IR Q3

2.56 (2.00ā€“3.28)

1.64 (1.14ā€“2.34)

4.19 (3.13ā€“5.61)

3.33 (1.96ā€“5.68)

Ā HOMA-IR Q4

4.96 (3.83ā€“6.42)

2.15 (1.36ā€“3.38)

6.45 (4.80ā€“8.67)

6.21 (4.02ā€“9.58)

Ā P for trend

0.06

0.03

0.005

0.04

Metabolic symptoms

Ā HOMA-IR Q1

Reference

0.27 (0.10ā€“0.80)

10.5 (5.50ā€“19.9)

2.44 (0.70ā€“8.56)

Ā HOMA-IR Q2

2.55 (1.60ā€“4.08)

0.74 (0.30ā€“1.81)

9.15 (5.35ā€“15.6)

7.06 (3.17ā€“15.7)

Ā HOMA-IR Q3

9.62 (6.34ā€“14.6)

3.62 (2.11ā€“6.23)

24.0 (15.5ā€“37.3)

9.17 (4.71ā€“17.9)

Ā HOMA-IR Q4

27.4 (18.0ā€“41.7)

8.34 (4.67ā€“14.9)

46.0 (29.5ā€“71.8)

23.2 (13.4ā€“40.1)

Ā P for trend

0.08

0.07

0.02

0.03

High ALT level

Ā HOMA-IR Q1

Reference

1.68 (1.27ā€“2.21)

2.22 (1.33ā€“3.73)

2.71 (1.32ā€“5.58)

Ā HOMA-IR Q2

1.17 (0.78ā€“1.28)

1.70 (1.22ā€“2.36)

2.10 (1.42ā€“3.09)

3.19 (1.75ā€“5.80)

Ā HOMA-IR Q3

2.01 (1.60ā€“2.53)

2.23 (1.63ā€“3.05)

2.79 (2.11ā€“3.70)

3.22 (1.92ā€“5.40)

Ā HOMA-IR Q4

4.87 (3.82ā€“6.23)

3.59 (2.39ā€“5.39)

4.89 (3.66ā€“6.53)

8.21 (5.18ā€“13.0)

Ā P for trend

0.10

0.21

0.03

0.052

Liver fat content (mild vs. moderate and severe)

Ā HOMA-IR Q1

Ā Ā 

Reference

Reference

Ā HOMA-IR Q2

Ā Ā 

1.12 (0.48ā€“3.35)

1.45 (0.12ā€“17.2)

Ā HOMA-IR Q3

Ā Ā 

2.19 (0.94ā€“5.11)

2.79 (0.33ā€“24.0)

Ā HOMA-IR Q4

Ā Ā 

10.92 (4.59ā€“25.9)

20.3 (2.49ā€“30.1)

Ā P for trend

Ā Ā 

0.029

0.039

  1. P for trend was calculated for the logistic regression analysis tests across the groups
  2. HOMA-IR was categorized by 1.10, 1.60, and 2.70, for the 25th, 50th and 75th percentiles of HOMA-IR, represented by HOMA-IR Q1, Q2, Q3 and Q4
  3. Metabolic symptom was diagnosis as meeting at least three of the following criteria: (1) Waistlineā€‰>ā€‰90Ā cm (male) and >ā€‰80Ā cm (female) and/or body mass index (BMI)ā€‰ā‰„ā€‰25Ā kg/m2; (2) elevated BPs (systolic blood pressure (SBP)ā€‰>ā€‰125Ā mmHg and/or diastolic blood pressure (DBP)ā€‰>ā€‰70Ā mmHg); (3) low HDL-C level; (4) fasting serum triglycerideā€‰ā‰„ā€‰1.7Ā mmol/L; (5) fasting plasma glucoseā€‰ā‰„ā€‰5.6Ā mmol/L. Hypertension was defined as systolic blood pressure (SBP)ā€‰ā‰„ā€‰140Ā mmHg or diastolic blood pressure (DBP)ā€‰ā‰„ā€‰90Ā mmHg. Hypercholesterolemia was defined as a total CHOL levelā€‰>ā€‰5.2Ā mmol/L. Hypertriglyceridemia was defined as a TG levelā€‰>ā€‰1.7Ā mmol/L. A low HDL-C level was defined as an HDL-C levelā€‰<ā€‰1.0Ā mmol/L. A high LDL-C level was defined as an LDL-C levelā€‰>ā€‰3.4Ā mmol/L. Hyperuricemia was defined as males and females at >ā€‰420 and 360Ā Āµmol/L, respectively. The normal upper limit for ALT and AST were 40 and 37Ā U/L, respectively
  4. aAdjusted for gender and age
  5. bHomeostasis model assessment insulin resistance first quartile (HOMA-IR Q1) of all subjects was set as reference