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Table 3 Cox proportional hazard ratios (HRs) of the identified cMetS-S trajectory patterns for incidence type 2 diabetes mellitus in normoglycemic and prediabetic individuals

From: Trajectory patterns of metabolic syndrome severity score and risk of type 2 diabetes

 

Events

IR (95% CI)a

HR (95% CI)

Test PH p-valueb

Model 1

Model 2

Model 3

Model 4

Normoglycemic subjects at baseline (n = 3260)

 

Class 1 (n = 867)

15

2.1 (1.2–3.4)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

Class 2 (n = 1558)

83

6.1 (4.9–7.6)

2.67 (1.53–4.68)

2.64 (1.51–4.62)

2.39 (1.36–4.21)

2.20 (1.25–3.88)

0.41

Class 3 (n = 835)

159

20.1 (17.2–23.4)

9.46 5.44–16.43)

9.24 (5.31–16.07)

7.93(4.51–13.94)

7.12 (6.05–12.52)

0.78

Prediabetic subjects at baseline (n = 671)

 

Class 1 (n = 64)

16

15.6 (9.6–25.5)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

Class 2 (n = 307)

94

37.8 (30.9–46.3)

2.54 (1.46–4.41)

2.51 (1.45–4.37)

2.60 (1.50–4.52)

2.53 (1.46–4.66)

0.09

Class 3 (n = 300)

105

60.6 (50.1–73.4)

4.04 (2.32–7.03)

3.74 (2.13–6.56)

3.99 (2.27–7.00)

3.78 (2.15–6.65)

0.14

  1. Model 1: Adjusted for age and sex
  2. Model 2: Adjusted for age, sex, education, DM family history
  3. Model 3: Adjusted for age, sex, education, DM family history, physical activity, obesity, antihypertensive drug use, lipid-lowering drug use
  4. Model 4: Adjusted for age, sex, education, DM family history, physical activity, obesity, antihypertensive drug use, lipid-lowering drug use. and fasting plasma glucose
  5. The population was classified into three trajectory classes using latent class analysis, including trajectories of low (class 1), medium (class 2), and high (class 3) cMetS-S
  6. CMetS-S, continuous metabolic syndrome severity score; PH, proportional-hazards assumption
  7. aIR Incidence rate per 1,000 person-years
  8. bThe proportional hazards assumption was tested based on Schoenfeld residuals. There is no evidence that proportional-hazards assumption has been violated (p > 0.5). In the fully adjusted model (model 4), the p-value of the proportional hazards assumption of the global test in normoglycemic and prediabetic subjects at baseline is equal to 0.18 and 0.56, respectively