Research Article

Association between Cystatin C and MRI Measures of Left Ventricular Structure and Function: Multi-Ethnic Study of Atherosclerosis

Table 1

Baseline characteristics of 4,970 MESA participants by quartile of cystatin C.

VariablesQuartile 1Quartile 2Quartile 3Quartile 4P value

Demographics

( )( )( )( )( )
Age, in years56.5 (8.6)59.7 (9.3)63.4 (9.3)67.8 (9.6)<0.0001
Male511 (38%)647 (48%)621 (54%)591 (53%)<0.0001
Female836 (62%)709 (52%)529 (46%)526 (47%)<0.0001
Caucasian453 (33%)505 (37%)484 (42%)501 (45%)<0.0001
Chinese234 (17%)172 (13%)129 (11%)116 (10%)<0.0001
African384 (29%)359 (26%)257 (22%)274 (25%)<0.003
Hispanic276 (20%)320 (24%)280 (24%)226 (20%)<0.024

Medical history

HTN425 (32%)491 (36%)524 (46%)669 (60%)<0.0001
Diabetes142 (11%)120 (9%)95 (8%)155 (14%)<0.0001
Current smokers158 (12%)165 (12%)151 (13%)157 (14%)<0.31
Renal disease (self-report)20 (1.5%)17 (1.3%)31 (2.7%)45 (4.0%)0.0001

Laboratory/clinical parameters

Creatinine mg/dL0.84 (0.2)0.91 (0.2)0.97 (0.2)1.13 (0.5)<0.0001
GFR MDRD mL/min/1.73 m291.8 (16.0)84.0 (14.2)78.4 (13.5)67.8 (16.0)<0.0001
Systolic BP, mm Hg121.2 (20.2)123.8 (20.0)126.7 (21.0)131.4 (22.9)<0.0001
Diastolic BP, mm Hg71.5 (10.5)72.3 (10.2)72.0 (9.9)71.6 (10.6)0.19
Body mass index Kg/m226.7 (4.8)27.5 (4.7)28.2 (4.9)28.8 (5.2)<0.0001
Body surface area m21.80 (0.2)1.85 (0.2)1.87 (0.2)1.88 (0.2)<0.0001

Medications

Antihypertensive meds322 (24%)414 (31%)421 (37%)598 (54%)<0.0001
Beta-blockers70 (5%)86 (6%)110 (10%)157 (14%)<0.0001
ACE inhibitors107 (8%)113 (8%)122 (11%)199 (18%)<0.0001
ARB23 (2%)41 (3%)30 (3%)67 (6%)<0.0001
Calcium channel blockers127 (9%)146 (11%)145 (13%)174 (16%)<0.0001
Thiazide diuretics47 (3%)70 (5%)79 (7%)126 (11%)<0.0001
Loop diuretics10 (1%)11 (1%)15 (1%)40 (4%)<0.0001

Continuous variables as mean (standard deviation) and categorical variables as percentages; P value obtained using analysis of variance and chi-square test across cystatin C quartiles. cystatin C quartiles 1: ≤0.76, quartile 2: >0.76 & ≤0.86, quartile 3: >0.86 & ≤0.98, quartile 4: >0.98 in mg/dL; HTN: hypertension; GFR: glomerular filtration rate; MDRD: modification of diet in renal disease; ACE: angiotensin-converting enzyme; ARB: angiotensin receptor blocker.