Research Article

Association of Impaired Vascular Endothelial Function with Increased Cardiovascular Risk in Asymptomatic Adults

Table 3

Odds ratios (95% confidence interval) for estimated 10-year CVD risk by categories of brachial FMD as stratified by characteristics (n=680).

SubgroupnFMD (%)25th versus 75th PercentileP for trend
≥10 (n=256)6-10 (n=278)<6 (n=146)

Age (years)
 <604521 (reference)1.03 (0.55-1.92)1.20 (0.52-2.73)0.98 (0.66-1.44)0.71
 ≥602281 (reference)2.55 (0.87-7.53)10.94 (2.58-46.32)2.77 (1.54-5.00)0.001
Sex
 Male2301 (reference)0.96 (0.17-5.36)2.70 (0.29-25.00)1.15 (0.46-2.89)0.42
 Female4501 (reference)1.30 (0.62-2.74)4.00 (1.49-10.73)1.77 (1.16-2.70)0.02
BMI (kg/m2)
 <244421 (reference)1.18 (0.51-2.73)2.78 (0.98-7.86)1.32 (0.81-2.15)0.08
 ≥242381 (reference)1.76 (0.56-5.62)2.44 (0.46-12.94)1.84 (0.87-3.91)0.26
Smoking
 Never5251 (reference)1.31 (0.64-2.66)3.89 (1.51-10.00)1.59 (1.08-2.35)0.01
 Ever1551 (reference)0.84 (0.20-3.48)0.91 (0.18-4.57)0.70 (0.31-1.59)0.89
Hypertension
 Yes2881 (reference)1.64 (0.61-4.41)3.63 (0.97-13.62)1.74 (1.02-2.97)0.06
 No3921 (reference)1.02 (0.40-2.58)2.74 (0.82-9.17)1.27 (0.76-2.14)0.18
Dysglycaemia
 Yes1441 (reference)0.94 (0.22-3.94)3.39 (0.52-22.31)1.85 (0.87-3.95)0.31
 No5361 (reference)1.67 (0.77-3.62)3.56 (1.33-9.54)1.59 (1.04-2.44)0.02
Dyslipidaemia
 Yes4231 (reference)0.63 (0.31-1.26)1.02 (0.42-2.46)1.13 (0.71-1.79)0.70
 No2571 (reference)2.34 (0.70-7.90)4.26 (0.98-18.55)1.20 (0.68-2.13)0.05
C-reactive protein (mg/L)
 <104361 (reference)0.92 (0.38-2.18)1.37 (0.43-4.34)1.08 (0.63-1.86)0.69
 ≥102441 (reference)1.80 (0.61-5.30)7.55 (2.04-27.97)2.03 (1.19-3.48)0.005
eGFR (mL/minute per 1.73 m2)
 <1063371 (reference)0.88 (0.35-2.19)4.99 (1.54-16.15)1.85 (1.12-3.06)0.03
 ≥1063431 (reference)3.19 (1.03-9.92)1.36 (0.31-5.90)1.19 (0.60-2.37)0.40

Abbreviations: CVD, cardiovascular disease; FMD, flow-mediated dilation; BMI, body mass index; eGFR, estimated glomerular filtration rate.
Results were adjusted for age (years), sex (male, female), ethnicity (Han, Zhuang, other), education (<high school, ≥high school), body mass index (kg/m2), smoking status (never, former, current), total cholesterol (mg/dL), high-density lipoprotein cholesterol (mg/dL), serum glucose (mmol/L), C-reactive protein (log mg/L), estimated glomerular filtration rate (mL/minute per 1.73 m2), hypertension (yes, no), heart rate (beat per minute), and baseline brachial artery diameter (mm), except for the factor per se in the corresponding subgroup.