Hazard Ratios of Subtypes of Stroke by Different Levels of Body Mass Index at Baseline and During Follow-up Among Patients with Type 2 Diabetes
. | Body mass index, kg/m2 . | . | . | . | . | P for trend . | Each 1 kg/m2 increase . |
---|---|---|---|---|---|---|---|
. | 18.5–24.9 . | 25.0–29.9 . | 30.0–34.9 . | 35.0–39.9 . | ≥40.0 . | . | . |
Hemorrhagic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 118 | 200 | 115 | 67 | 43 | ||
Person-years | 25 217 | 64 271 | 67 703 | 43 101 | 37 621 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.78 (0.62–0.98) | 0.49 (0.37–0.63) | 0.50 (0.37–0.68) | 0.42 (0.29–0.61) | <0.001 | 0.958 (0.944–0.972) |
Model 2 | 1.00 | 0.79 (0.63–0.99) | 0.50 (0.38–0.65) | 0.50 (0.37–0.69) | 0.41 (0.28–0.59) | <0.001 | 0.957 (0.943–0.971) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 123 | 198 | 113 | 66 | 43 | ||
Person-years | 25 485 | 64 135 | 67 721 | 42 824 | 37 260 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.75 (0.60–0.94) | 0.47 (0.36–0.60) | 0.48 (0.35–0.65) | 0.41 (0.29–0.59) | <0.001 | 0.957 (0.943–0.971) |
Model 2 | 1.00 | 0.77 (0.61–0.96) | 0.47 (0.36–0.62) | 0.48 (0.35–0.66) | 0.40 (0.28–0.58) | <0.001 | 0.956 (0.942–0.970) |
Ischemic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 1328 | 2703 | 2374 | 1195 | 775 | ||
Person-years | 26 941 | 68 149 | 71 362 | 44 953 | 38 865 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.94 (0.87–1.00) | 0.83 (0.77–0.90) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.990) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.77 (0.71–0.83) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 1357 | 2706 | 2368 | 1175 | 769 | ||
Person-years | 27 275 | 67 983 | 71 384 | 44 649 | 38 488 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.93 (0.87–0.99) | 0.82 (0.76–0.89) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.989) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.76 (0.70–0.82) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
. | Body mass index, kg/m2 . | . | . | . | . | P for trend . | Each 1 kg/m2 increase . |
---|---|---|---|---|---|---|---|
. | 18.5–24.9 . | 25.0–29.9 . | 30.0–34.9 . | 35.0–39.9 . | ≥40.0 . | . | . |
Hemorrhagic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 118 | 200 | 115 | 67 | 43 | ||
Person-years | 25 217 | 64 271 | 67 703 | 43 101 | 37 621 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.78 (0.62–0.98) | 0.49 (0.37–0.63) | 0.50 (0.37–0.68) | 0.42 (0.29–0.61) | <0.001 | 0.958 (0.944–0.972) |
Model 2 | 1.00 | 0.79 (0.63–0.99) | 0.50 (0.38–0.65) | 0.50 (0.37–0.69) | 0.41 (0.28–0.59) | <0.001 | 0.957 (0.943–0.971) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 123 | 198 | 113 | 66 | 43 | ||
Person-years | 25 485 | 64 135 | 67 721 | 42 824 | 37 260 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.75 (0.60–0.94) | 0.47 (0.36–0.60) | 0.48 (0.35–0.65) | 0.41 (0.29–0.59) | <0.001 | 0.957 (0.943–0.971) |
Model 2 | 1.00 | 0.77 (0.61–0.96) | 0.47 (0.36–0.62) | 0.48 (0.35–0.66) | 0.40 (0.28–0.58) | <0.001 | 0.956 (0.942–0.970) |
Ischemic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 1328 | 2703 | 2374 | 1195 | 775 | ||
Person-years | 26 941 | 68 149 | 71 362 | 44 953 | 38 865 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.94 (0.87–1.00) | 0.83 (0.77–0.90) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.990) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.77 (0.71–0.83) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 1357 | 2706 | 2368 | 1175 | 769 | ||
Person-years | 27 275 | 67 983 | 71 384 | 44 649 | 38 488 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.93 (0.87–0.99) | 0.82 (0.76–0.89) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.989) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.76 (0.70–0.82) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Model 1 adjusted for age, sex and race; Model 2 is additionally adjusted for insurance, smoking, systolic blood pressure, HbA1c, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, eGFR, use of antihypertensive drugs, use of thiazolidinediones, use of lipid-lowering agents, use of antiplatelet agents, and use of anticoagulant agents.
Abbreviations: CI, confidence interval; eGFR, estimated glomerular filtration rate; HbA1c, hemoglobin A1C.
Hazard Ratios of Subtypes of Stroke by Different Levels of Body Mass Index at Baseline and During Follow-up Among Patients with Type 2 Diabetes
. | Body mass index, kg/m2 . | . | . | . | . | P for trend . | Each 1 kg/m2 increase . |
---|---|---|---|---|---|---|---|
. | 18.5–24.9 . | 25.0–29.9 . | 30.0–34.9 . | 35.0–39.9 . | ≥40.0 . | . | . |
Hemorrhagic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 118 | 200 | 115 | 67 | 43 | ||
Person-years | 25 217 | 64 271 | 67 703 | 43 101 | 37 621 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.78 (0.62–0.98) | 0.49 (0.37–0.63) | 0.50 (0.37–0.68) | 0.42 (0.29–0.61) | <0.001 | 0.958 (0.944–0.972) |
Model 2 | 1.00 | 0.79 (0.63–0.99) | 0.50 (0.38–0.65) | 0.50 (0.37–0.69) | 0.41 (0.28–0.59) | <0.001 | 0.957 (0.943–0.971) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 123 | 198 | 113 | 66 | 43 | ||
Person-years | 25 485 | 64 135 | 67 721 | 42 824 | 37 260 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.75 (0.60–0.94) | 0.47 (0.36–0.60) | 0.48 (0.35–0.65) | 0.41 (0.29–0.59) | <0.001 | 0.957 (0.943–0.971) |
Model 2 | 1.00 | 0.77 (0.61–0.96) | 0.47 (0.36–0.62) | 0.48 (0.35–0.66) | 0.40 (0.28–0.58) | <0.001 | 0.956 (0.942–0.970) |
Ischemic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 1328 | 2703 | 2374 | 1195 | 775 | ||
Person-years | 26 941 | 68 149 | 71 362 | 44 953 | 38 865 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.94 (0.87–1.00) | 0.83 (0.77–0.90) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.990) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.77 (0.71–0.83) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 1357 | 2706 | 2368 | 1175 | 769 | ||
Person-years | 27 275 | 67 983 | 71 384 | 44 649 | 38 488 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.93 (0.87–0.99) | 0.82 (0.76–0.89) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.989) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.76 (0.70–0.82) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
. | Body mass index, kg/m2 . | . | . | . | . | P for trend . | Each 1 kg/m2 increase . |
---|---|---|---|---|---|---|---|
. | 18.5–24.9 . | 25.0–29.9 . | 30.0–34.9 . | 35.0–39.9 . | ≥40.0 . | . | . |
Hemorrhagic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 118 | 200 | 115 | 67 | 43 | ||
Person-years | 25 217 | 64 271 | 67 703 | 43 101 | 37 621 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.78 (0.62–0.98) | 0.49 (0.37–0.63) | 0.50 (0.37–0.68) | 0.42 (0.29–0.61) | <0.001 | 0.958 (0.944–0.972) |
Model 2 | 1.00 | 0.79 (0.63–0.99) | 0.50 (0.38–0.65) | 0.50 (0.37–0.69) | 0.41 (0.28–0.59) | <0.001 | 0.957 (0.943–0.971) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 123 | 198 | 113 | 66 | 43 | ||
Person-years | 25 485 | 64 135 | 67 721 | 42 824 | 37 260 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.75 (0.60–0.94) | 0.47 (0.36–0.60) | 0.48 (0.35–0.65) | 0.41 (0.29–0.59) | <0.001 | 0.957 (0.943–0.971) |
Model 2 | 1.00 | 0.77 (0.61–0.96) | 0.47 (0.36–0.62) | 0.48 (0.35–0.66) | 0.40 (0.28–0.58) | <0.001 | 0.956 (0.942–0.970) |
Ischemic | |||||||
Baseline | |||||||
No. of patients | 7756 | 18 593 | 18 933 | 11 648 | 10 156 | ||
No. of cases | 1328 | 2703 | 2374 | 1195 | 775 | ||
Person-years | 26 941 | 68 149 | 71 362 | 44 953 | 38 865 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.94 (0.87–1.00) | 0.83 (0.77–0.90) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.990) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.77 (0.71–0.83) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Follow-up | |||||||
No. of patients | 8009 | 18 538 | 18 924 | 11 556 | 10 059 | ||
No. of cases | 1357 | 2706 | 2368 | 1175 | 769 | ||
Person-years | 27 275 | 67 983 | 71 384 | 44 649 | 38 488 | ||
Hazard ratios (95% CI) | |||||||
Model 1 | 1.00 | 0.96 (0.90–1.03) | 0.93 (0.87–0.99) | 0.82 (0.76–0.89) | 0.71 (0.65–0.78) | <0.001 | 0.986 (0.983–0.989) |
Model 2 | 1.00 | 0.93 (0.87–0.99) | 0.88 (0.82–0.94) | 0.76 (0.70–0.82) | 0.65 (0.59–0.71) | <0.001 | 0.981 (0.978–0.985) |
Model 1 adjusted for age, sex and race; Model 2 is additionally adjusted for insurance, smoking, systolic blood pressure, HbA1c, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, eGFR, use of antihypertensive drugs, use of thiazolidinediones, use of lipid-lowering agents, use of antiplatelet agents, and use of anticoagulant agents.
Abbreviations: CI, confidence interval; eGFR, estimated glomerular filtration rate; HbA1c, hemoglobin A1C.
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