Research Article

Incidence of Metabolic Syndrome and Its Risk Factors among Type 2 Diabetes Clinic Attenders in Isfahan, Iran

Table 3

Incidence rates and relative risks (RR) for metabolic syndrome by baseline variables.

VariablesAt riskCasePerson-yearIncidence/1000 person-yearCrude RRAge-adjusted RR (95% CI)
(number)(number)(95% CI)

All3,04710173567728.5
Gender
 Men1,4614461720525.91.001.00
 Women1,5865711847230.91.19 (1.06, 1.35)**0.99 (0.84, 1.70)
Age (yr.)
 <40485133555223.91.00
 40–499463211060330.31.27 (1.04, 1.54)**
 50–599463511073232.71.37 (1.12, 1.66)**
 60–69508165670024.61.03 (0.82, 1.29)
 ≥7016047213422.00.92 (0.66, 1.28)
Age at diagnosis (yr.)
 <3019858233324.91.00
 30–5925848743011629.01.16 (0.90, 1.52)
 ≥6025180312625.61.03 (0.74, 1.44)
Duration of diabetes (yr.)
 <51,5515221710130.51.001.00
 5–7540173645026.80.88 (0.74, 1.04)0.85 (0.77, 0.94)**
 8–11422143510428.00.92 (0.77, 1.10)0.79 (0.71, 0.88)***
 ≥12522174692725.10.82 (0.70, 0.98)0.71 (0.65, 0.80)***
Fasting glucose (mg/dL)
 <10013951142835.71.001.00
 ≥10028099513325828.60.80 (0.61, 1.06)0.78 (0.66, 0.93)**
HbA1c (%)
 <6.525899140770.41.001.00
 ≥6.51,034423866748.80.69 (0.56, 0.86)*0.51 (0.45, 0.59)***
Systolic BP (mmHg)
 <13025569192889231.81.001.00
 ≥13034896441021.80.69 (0.56, 0.84)**0.90 (0.80, 1.01)
Diastolic BP (mmHg)
 <8527099663079631.41.001.00
 ≥8518949241320.30.65 (0.49, 0.86)**0.88 (0.76, 1.02)
Cholesterol (mg/dL)
 <20013324291449429.61.001.00
 200–219512182603830.11.02 (0.86, 1.21)0.84 (0.76, 0.93)
 >22010103731289228.90.98 (0.85, 1.12)0.75 (0.69, 0.81)***
HDL (mg/dL)
 Men ≥40 & women ≥50438210388354.01.001.00
 Men <40 & women <501063998939.40.73 (0.52, 1.02)0.85 (0.68, 1.05)
LDL (mg/dL)
 <10014457122646.51.001.00
 ≥100388186353352.61.13 (0.85, 1.51)0.86 (0.71, 1.05)
Triglyceride (mg/dL)
 <15019516932175431.91.001.00
 ≥1508782921127625.90.81 (0.71, 0.93)**0.73 (0.67, 0.79)***
BMI (kg/m2)
 <2516885112007725.51.001.00
 25–29.9644300673944.51.75 (1.52, 2.01)***1.24 (1.12, 1.35)***
 ≥30293153280354.62.14 (1.80, 2.56)***1.47 (1.29, 1.67)***
Smoking
 Nonsmoker19796772596026.11.001.00
 Currentsmoker416100582017.20.66 (0.54, 0.81)***0.87 (0.74, 0.98)*
Education
 Primary or below17186212127329.21.001.00
 Secondary778246814230.21.03 (0.89, 1.20)1.25 (1.14, 1.36)***
 Matriculation or above374100378226.40.90 (0.74, 1.12)1.37 (1.23, 1.54)***
Creatinine (mg/dL)
 ≤1.521598232266936.31.001.00
 >1.5612184125.00.69 (0.45, 1.05)0.60 (0.47, 0.77)***
Therapeutic regimen
 Diet687211847124.91.001.00
 Oral agent18606322148029.41.18 (1.01, 1.38)***1.25 (1.11, 1.40)***
 Insulin500174577730.11.21 (0.99, 1.49)1.20 (1.10, 1.32)***

Total number of patient-years and at risk is not the same for each variable because of missing values. Relative risks (with 95% CI) calculated by Cox’s proportional hazards model. CI: Confidence interval; RR: relative risk; BP: blood pressure; HDL: high-density lipoprotein cholesterol; LDL: low-density lipoprotein cholesterol. * 𝑃 < 0 . 5 , ** 𝑃 < 0 . 0 1 , and *** 𝑃 < 0 . 0 0 1 .