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Subclinical atherosclerosis in young Thai adults with juvenile-onset systemic lupus erythematosus Cover

Subclinical atherosclerosis in young Thai adults with juvenile-onset systemic lupus erythematosus

Open Access
|Jan 2017

Figures & Tables

Relationship between common carotid intima-media thickness and continuous variables evaluated by univariable regression

VariablesB (95% CI)P
Demographic features
Age at enrollment19.1 (5.3, 32.8)0.008
Age at diagnosis of SLE19.7 (5.6, 21.9)0.08
Duration of SLE8.1 (–5.6, 21.9)0.23
Body mass index12.7 (–1.7, 27.0)0.08
Metabolic equivalent of task–57.4 (–117.1, 2.3)0.06
Laboratory test
Hemoglobin–34.7 (–71.3, 2.0)0.06
White blood cells–0.004 (–0.03, 0.02)0.72
Lymphocyte0.005 (–0.06, 0.07)0.89
Platelets0 (–0.001, 0.000)0.31
Serum creatinine117.2 (–142.1, 376.6)0.36
Plasma glucose4.0 (–3.7, 11.7)0.30
Insulin–0.49 (–8.7, 7.7)0.9
Cholesterol0.67 (–0.7, 2.0)0.33
Triglyceride0.27 (–0.3, 0.9)0.35
Low density lipoprotein0.55 (–1.2, 2.3)0.52
High density lipoprotein1.18 (–2.9, 5.3)0.56
High-sensitivity C-reactive protein5.13 (–41.3, 51.5)0.82
Erythrocyte sedimentation rate1.6 (–1.2, 4.4)0.25
Anti-double-stranded DNA0.2 (–0.05, 0.4)0.11
C3–1.3 (–3.5, 0.9)0.22
Medication
Prednisolone, average dose0.02 (–9.9, 9.90.99
Cyclophosphamide, cumulative dose0.02 (–0.02, 0.06)0.23
Azathioprine, cumulative dose0 (–0.003, 0.001)0.51

Relationship between CCIMT and categorical variables evaluated by multivariable regression

B (95% CI)P
1st model
Age at enrollment11.4 (–1.7, 24.5)0.09
Age at diagnosis of SLE7.4 (–12.4, 27.2)0.44
Overweight59.5 (–40.9, 159.9)0.23
Metabolic equivalent of task–10.7 (–69.3, 47.9)0.71
Hemoglobin–14.1 (–49.0, 20.9)0.41
Persistent proteinuria89.0 (–23.2, 201.3)0.11
Cyclosporin use153.4 (–37.4, 344.3)0.11
Final model
Age at enrollment14.1 (2.1, 26.1)0.02
Persistent proteinuria122.9 (24.1, 221.7)0.02
Cyclosporin use198.7 (26.7, 370.8)0.03

Relationship between CCIMT and categorical variables evaluated by univariable regression

VariablesB (95% CI)P
Demographic features
  Female sex56.2 (–96.3, 208.8)0.46
  Renal involvement100.4 (–86.6, 287.5)0.28
  Overweight104.3 (–8.4, 217.0)0.07
  Insulin resistance–23.1(–218.4, 172.2)0.81
  Hypertension83.3 (–38.2, 204.8)0.17
  Dyslipidemia91.5 (–29.1, 212.1)0.13
  Impaired renal function132.6 (–27.9, 293.2)0.10
  Premature coronary heart in family–90.2 (–278.1, 97.7)0.33
  Sedentary lifestyle172.6 (–46.9, 392.0)0.12
Laboratory variables
  Leukopenia–20.5 (–156.4, 115.3)0.76
  Lymphopenia–86.2 (–197.7, 25.2)0.12
  Lupus anticoagulant, positive2.53 (–127.8, 132.8)0.97
  Anti-cardiolipin, positive–88.7 (–315.8, 138.5)0.43
  Persistent proteinuria156.9 (42.3, 271.6)0.009
Medication
  Cyclosporin use255.7 (49.3, 462.2)0.02
  Tacrolimus use114.7 (49.3, 462.2)0.31

Demographic and clinical characteristics of the 29 participants with systemic lupus erythematosus

CharacteristicsMean ± SD or Number (%)Range
Female sex24 (83)
Age at enrollment (y)25.1 ± 3.818.3–31.9
Age at diagnosis of SLE (y)13.8 ± 2.68–17.7
Duration of SLE (y)11.3 ± 4.23.7–19.4
History of renal involvement26 (89.6)
Metabolic equivalent of task1.19 ± 0.930.1–3.9
Body mass index (kg/m2)22.4 ± 3.915.5–30.5
Proteinuria, persistent, n = 288 (28.6)
Impaired renal function4 (13.8)
CCIMT (μm)690 ± 150470–966

Difference in common carotid intima-media thickness according to classic risk factors for atherosclerosis

Risk factorsNumberCCIMT (μm)

median (min, max),

P

Mann-Whitney U test

Sedentary lifestyle
  Yes27665 (470, 966)0.08
  No2529 (526, 533)
Dyslipidemia
  Yes20728 (471, 966)0.15
  No9598 (470, 871)
Overweight
  Yes11796 (538, 966)0.08
  No18616 (470, 890)
Hypertension
  Yes9796 (471, 966)0.28
  No20636 (470, 890)
Insulin resistance (n = 26)
  Yes3635 (585, 796)0.93
  No23663 (470, 966)
Premature coronary heart disease in family
  Yes3555 (470, 803)0.31
  No26664 (471, 966)
DOI: https://doi.org/10.5372/1905-7415.1002.475 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 139 - 146
Published on: Jan 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Nalinee Pattrakornkul, Patamakom Pruangprasert, Prakul Chanthong, Ratana Chawanasuntorapoj, Anirut Pattaragarn, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.