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LetterLetter

Effect of Traditional Cardiovascular Risk Factors on the Independent Relationship of Leptin with Atherosclerosis in Rheumatoid Arthritis

PATRICK H. DESSEIN, LINDA TSANG, ANGELA J. WOODIWISS and AHMED SOLOMON
The Journal of Rheumatology October 2014, 41 (10) 2087-2089; DOI: https://doi.org/10.3899/jrheum.140315
PATRICK H. DESSEIN
Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand;
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  • For correspondence: dessein@telkomsa.net
LINDA TSANG
Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand;
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ANGELA J. WOODIWISS
Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand;
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AHMED SOLOMON
Department of Rheumatology, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
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    Table 1.

    Leptin concentrations (ng/ml) and the relationships with carotid artery plaque (per 1 SD increment) in all RA patients and subgroups. Univariate comparisons of leptin concentrations between subgroups were made using the Mann-Whitney U test and univariate associations of leptin concentrations with plaque in logistic regression models. Major risk factors comprised hypertension, dyslipidemia, smoking, and diabetes2.

    GroupsNumberConcentrationsRelationships with Plaque
    CrudeIndependent
    Median (IQR)pp*OR (95% CI)pOR (95% CI)p†
    All21710.2 (5.5–18.5)——1.00 (0.99–1.01)0.41.00 (0.99–1.01)0.3
    Population
      Black11212.4 (6.3–21.4)1.01 (0.99–1.02)0.41.01 (0.99–1.02)0.5
      White1058.4 (4.9–14.3)0.0010.20.96 (0.65–1.43)0.81.00 (0.67–1.50)1
    Age ≥ 50 yrs
      Yes16910.1 (5.5–18.4)1.00 (0.99–1.01)0.51.00 (0.99–1.01)0.4
      No4810.8 (5.2–20.0)0.90.31.05 (0.86–1.28)0.61.03 (0.88–1.21)0.7
    Age > 55 yrs
      Yes1279.5 (5.5–17.8)1.00 (0.99–1.01)0.91.00 (0.99–1.01)1
      No9011.6 (5.5–21.2)0.40.11.01 (0.99–1.03)0.41.01 (0.99–1.02)0.5
    ≥ 1 major risk factor
      Yes15111.2 (5.7–20.9)1.53 (0.82–2.84)0.22.75 (1.19–6.37)0.01
      No589.0 (3.8–15.3)0.030.51.00 (0.99–1.01)11.00 (0.99–1.01)0.6
      Missing8
    Obesity
      Yes6418.2 (9.5–27.6)0.99 (0.98–1.01)0.51.00 (0.98–1.01)0.7
      No1477.5 (4.6–13.3)< 0.00010.91.01 (1.00–1.02)0.091.01 (1.00–1.02)0.1
      Missing6
    MetS waist
      Yes10015.0 (8.2–23.3)0.99 (0.98–1.01)0.61.00 (0.98–1.01)0.5
      No1146.9 (4.3–12.4)< 0.00010.71.01 (0.99–1.02)0.091.01 (1.00–1.02)0.1
      Missing3
    RA duration > 10 yrs
      Yes1169.8 (4.9–17.8)1.01 (0.99–1.02)0.21.01 (1.00–1.02)0.2
      No10010.6 (5.9–20.4)0.30.81.00 (0.98–1.01)0.91.00 (0.99–1.01)1
      Missing1
    CDAI > 10
      Yes929.4 (5.4–18.3)1.00 (0.99–1.02)0.71.00 (0.98–1.02)1
      No12410.3 (5.2–21.2)0.30.81.00 (0.99–1.02)0.41.01 (1.00–1.02)0.3
      Missing1
    ESR > 12 mm/h
      Yes10610.03 (5.9–19.3)1.05 (0.96–1.13)0.31.05 (0.96–1.14)0.3
      No1059.2 (5.2–18.0)0.40.091.00 (0.99–1.01)0.81.00 (1.00–1.01)0.8
      Missing6
    Deformed joints
      Yes16510.0 (5.4–17.9)1.00 (0.99–1.01)0.71.00 (0.99–1.02)0.7
      No5111.9 (5.5–22.4)0.30.061.00 (0.99–1.02)0.61.01 (0.99–1.03)0.4
      Missing1
    RF-positive
      Yes1689.5 (5.4–18.5)1.01 (0.99–1.02)0.11.01 (1.00–1.02)0.2
      No4812.7 (6.7–19.4)0.30.91.00 (0.98–1.01)0.51.00 (0.98–1.01)0.8
      Missing1
    • ↵* p value for associations in age at disease onset, sex, race (except for in models by population grouping), body mass index, glomerular filtration rate, and cardiovascular drug use adjusted linear regression models.

    • ↵† p value for associations in Framingham score, race, glomerular filtration rate, body mass index, and C-reactive protein adjusted logistic regression models. Significant associations are shown in bold face. RA: rheumatoid arthritis; IQR: interquartile range; MetS: metabolic syndrome; CDAI: Clinical Disease Activity Index; ESR: erythrocyte sedimentation rate; RF: rheumatoid factor.

    • View popup
    Table 2.

    Relations of leptin concentrations (1 SD increment) with carotid artery plaque among patients with major conventional cardiovascular risk factors. Associations were determined in logistic regression models.

    Adjusted CharacteristicsOR (95% CI)p
    None1.53 (0.82–2.84)0.2
    Framingham score1.58 (0.83–3.02)0.2
    Framingham score, race1.78 (0.90–3.52)0.1
    Framingham score, race, CRP1.80 (0.90–3.58)0.1
    Framingham score, race, CRP, GFR2.07 (1.00–4.29)0.04
    Framingham score, race, CRP, BMI2.35 (1.06–5.21)0.03
    Framingham score, race, CRP, GFR, BMI2.75 (1.19–6.37)0.01
    • Significant relations are shown in bold face. CRP: C-reactive protein; GFR: glomerular filtration rate, BMI: body mass index.

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1 Oct 2014
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Effect of Traditional Cardiovascular Risk Factors on the Independent Relationship of Leptin with Atherosclerosis in Rheumatoid Arthritis
PATRICK H. DESSEIN, LINDA TSANG, ANGELA J. WOODIWISS, AHMED SOLOMON
The Journal of Rheumatology Oct 2014, 41 (10) 2087-2089; DOI: 10.3899/jrheum.140315

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Effect of Traditional Cardiovascular Risk Factors on the Independent Relationship of Leptin with Atherosclerosis in Rheumatoid Arthritis
PATRICK H. DESSEIN, LINDA TSANG, ANGELA J. WOODIWISS, AHMED SOLOMON
The Journal of Rheumatology Oct 2014, 41 (10) 2087-2089; DOI: 10.3899/jrheum.140315
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