Research Article

Insulin Resistance and Cardiovascular Risks in Different Groups of Hemodialysis Patients: A Multicenter Study

Table 2

Odd ratios of having traditional cardiovascular risks among hemodialysis patients with insulin resistance.

High SBPHigh DBPHigh TCHigh LDL-CLow HDL-CHigh TGIFG
OR (95%CI)OR (95%CI)OR (95%CI)OR (95%CI)OR (95%CI)OR (95%CI)OR (95%CI)

Normal weight
 Model 10.42 (0.20, 0.86)0.90 (0.50, 1.63)0.80 (0.38, 1.68)0.83 (0.49, 1.39)1.68 (0.99, 2.86)2.79 (1.54, 5.06)8.22 (4.35, 15.52)
 Model 20.36 (0.17, 0.76)1.13 (0.60, 2.12)0.81 (0.37, 1.75)0.78 (0.45, 1.36)1.75 (1.01, 3.06)3.41 (1.78, 6.53)8.15 (4.14, 16.02)
Overweight/Obese
 Model 11.68 (0.71, 3.97)1.05 (0.51, 2.19)1.14 (0.52, 2.50)0.84 (0.45, 1.58)3.65 (1.58, 8.45)2.90 (1.50, 5.61)6.06 (2.33, 15.74)
 Model 21.69 (0.66, 4.29) 0.75 (0.33, 1.68)0.99 (0.42, 2.33)0.80 (0.41, 1.55)4.15 (1.71, 10.06)3.06 (1.53, 6.13)10.76 (3.36, 34.5)
Non-diabetes
 Model 10.69 (0.37, 1.31)1.15 (0.63, 2.07)0.78 (0.39, 1.56)0.90 (0.54, 1.51)2.38 (1.39, 4.07)3.40 (1.85, 6.25)10.64 (5.78, 19.58)
 Model 20.61 (0.31, 1.18)1.21 (0.64, 2.30)0.64 (0.31, 1.35)0.76 (0.44, 1.33)2.14 (1.23, 3.75)3.22 (1.69, 6.12)12.54 (6.39, 24.63)
Diabetes
 Model 11.49 (0.54, 4.15)0.93 (0.45, 1.93)1.00 (0.43, 2.32)0.77 (0.41, 1.45)2.40 (1.07, 5.38)3.75 (1.91, 7.37)
 Model 22.11 (0.70, 6.31)0.94 (0.43, 2.05)1.16 (0.44, 3.05)0.78 (0.40, 1.54)3.07 (1.28, 7.33)4.29 (2.05, 8.98)
Overall
 Model 10.80 (0.47, 1.37)1.00 (0.63, 1.58)0.80 (0.47, 1.37)0.72 (0.48, 1.07)2.65 (1.71, 4.11)3.67 (2.39, 5.66)8.14 (4.77, 13.89)
 Model 20.76 (0.43, 1.32)1.11 (0.68, 1.83)0.75 (0.42, 1.32)0.63 (0.41, 0.96)2.53 (1.59, 4.01)3.58 (2.25, 5.69)7.99 (4.50, 14.18)

Significant level at p < 0.05, p < 0.01, and p < 0.001.
Model 1: elevated HOMA-IR and traditional CVD risk factors.
Model 2: adjusted for age, gender, hemodialysis vintage, Charlson comorbidity index, physical activity, and body mass index (for nondiabetes, diabetes, and overall sample).
SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; LDL-C, low-density lipoprotein cholesterol; HDL-C, high-density lipoprotein cholesterol; TG, triglyceride; IFG, impaired fasting glucose.