Research Article

Insulin Resistance in Adipose Tissue but Not in Liver Is Associated with Aortic Valve Calcification

Table 3

Characteristics of the study population by adipose tissue insulin resistance quartiles.

Quartile 1Quartile 2Quartile 3Quartile 4 trend

Age (years)52.5 ± 9.454.1 ± 9.054.5 ± 8.953.4 ± 9.80.660
Gender (men, %)144 (48)144 (48.2)144 (47.7)144 (48)0.990
BMI (kg/m2)25.7 ± 3.5<0.001
Visceral AT (cm2)109 (82–150)144 (109–180)162 (126–205)181 (150–230)<0.001
Systolic BP (mmHg)112 ± 16117 ± 17<0.001
Diastolic BP (mmHg)69 ± 972 ± 974 ± 10<0.001
LDL-C (mmol/L)3.05 ± 0.273.08 ± 0.823.18 ± 0.883.03 ± 0.850.784
HDL-C (mmol/L)1.28 ± 0.371.21 ± 0.321.19 ± 0.33<0.001
Triglycerides (mmol/L)1.42 (1.04–1.89)1.67 (1.22–2.18)1.81 (1.33–2.46)1.94 (1.46–2.72)<0.001
Glucose (mmol/L)4.77 (4.50–5.11)4.99 (4.70–5.30)5.10 (4.80–5.60)5.40 (4.90–6.10)<0.001
Insulin (µIU/L)10.7 (7.9–13)14.9 (12–18)20.0 (17–24)29.3 (23–36)<0.001
Free fatty acids (mmol/l)0.42 (0.32–0.53)0.54 (0.44–0.65)0.60 (0.48–0.72)0.70 (0.60–0.80)<0.001
HOMA-IR2.28 (1.70–2.90)3.36 (2.70–4.50)4.70 (3.70–5.70)7.22 (5.40–9.60)<0.001
Adipo-IR4.46 (3.30–5.40)7.98 (7.10–8.90)11.8 (10.30–13.40)19.9 (17.0–25.0)<0.001
hsCRP (mmol/L)10.4 (6.0–19.0)15.4 (8.0–31.0)17.6 (10.0–33.0)21.9 (11.0–39.0)<0.001
Adiponectin (µg/mL)9.2 (6.2–15.3)8.6 (5.2–13.7)7.1 (4.6–11.6)6.4 (3.8–9.9)<0.001
eGFR (mL/min/1.73 m2)100 ± 7.999.8 ± 8.4102 ± 8.3100 ± 120.398
Physical activity index8.15 ± 1.27.79 ± 1.37.90 ± 1.20.029
Current smoking (%)76 (25.3)61 (20.4)71 (23.5)62 (20.7)0.408
Statin use (%)23 (7.67)33 (11)29 (9.6)21 (7)0.285
Type 2 diabetes (%)24 (8)37 (12.4)42 (13.9)58 (19.33)0.001

Values are expressed as mean ± standard deviation, median (interquartile range), or number of subjects (percentage). BMI: body mass index; AT: adipose tissue; BP: blood pressure; LDL-C: low density lipoprotein cholesterol; HDL-C: high density lipoprotein cholesterol; HOMA-IR: homeostasis model assessment of insulin resistance; Adipo-IR: adipose tissue insulin resistance; hsCRP: high sensitive C-reactive protein; eGFR: estimated glomerular filtration rate. Adipo-IR range: Q1: <5.57; Q2: 5.57–8.58; Q3: 8.59–12.48; Q4: >12.48 for men and Q1: <6.98; Q2: 6.98–10.89; Q3: 10.60–16.22; Q4: >16.23 for women. versus Q1, versus Q2, and versus Q3.