Table 2.

Metabolic risk factors, systemic inflammation, and disease characteristics associated with insulin resistance (IR) indexes and retinol-binding protein 4.

Log β Coefficient (95% CI), p
Controls, n = 115RA, n = 101
HOMA-IRHOMA-%BHOMA-IRHOMA-%B
Demographic data
  Age, yrs0.01 (0.00–0.02), 0.020.00 (−0.01–0.01)0.00 (−0.02–0.02), 0.830.01 (−0.03–0.00), 0.06
  Male0.16 (−0.21–0.54), 0.39−0.09 (−0.41–0.24), 0.60−0.24 (−0.76–0.27), 0.35−0.52 (−0.92 to −0.12), 0.01
Metabolic risk factors
  Body mass index, kg/m20.03 (0.01–0.06), 0.010.02 (−0.00–0.04), 0.070.06 (0.03–0.10), 0.000.02 (−0.01–0.05), 0.16
  Waist circumference, cm*0.03 (0.01–0.06), 0.020.02 (0.00–0.04), 0.020.02 (0.01–0.04), 0.000.00 (−0.01–0.02), 0.32
  Hip circumference, cm*0.01 (−0.01–0.02), 0.330.00 (−0.01–0.01), 0.890.03 (0.02–0.04), 0.000.01 (0.00–0.02), 0.02
  Waist-to-hip ratio*−0.03 (−0.23–0.16), 0.730.03 (−0.12–0.18), 0.65−0.34 (−0.55 to −0.14), 0.00−0.17 (−0.34 to −0.01), 0.04
  Hypertension0.39 (0.18–0.61), 0.000.18 (−0.01–0.38), 0.060.48 (0.11–0.86), 0.010.10 (−0.21–0.41), 0.53
  Metabolic syndrome0.56 (0.30–0.81), 0.000.15 (−0.08–0.39), 0.200.57 (0.17–0.97), 0.010.06 (−0.40–0.28), 0.73
Systemic inflammation
  ESR, mm/h−0.01 (−0.02–0.01), 0.460.00 (−0.10–0.02), 0.65−0.00 (−0.01–0.01), 0.660.00 (−0.01–0.01), 0.52
  CRP, mg/l0.03 (−0.00–0.07), 0.070.02 (−0.01–0.05), 0.21−0.01 (−0.02–0.00), 0.050.01 (−0.02–0.01), 0.32
RA-related data
  Disease duration, yrs−0.02 (−0.06–0.01), 0.190.02 (−0.01–0.04), 0.27
  DAS28-ESR−0.00 (−0.14–0.13), 0.96−0.01 (−0.12–0.10), 0.81
  HAQ−0.01 (−0.30–0.29), 0.970.03 (−0.27–0.21), 0.83
  Positive rheumatoid factor0.00 (−0.39–0.39), 0.990.10 (−0.21–0.42), 0.52
  Current nonbiologic DMARD−0.28 (−1.35–0.79), 0.600.16 (−1.10–0.79), 0.74
Patients with RA taking glucocorticoids, n = 46
  Current prednisone0.23 (−0.14–0.60), 0.220.01 (−0.28–0.31), 0.93
  Prednisone, (mg/day/last 3 mos)0.01 (−0.23–0.24), 0.960.02 (−0.20–0.24), 0.87
  • * Waist and hip circumference, and waist-to-hip ratio relation with HOMA-IR and HOMA-%B were adjusted for sex. β coefficients of HOMA-IR, HOMA-%B, and RB4 are expressed log-transformed.

  • Significant associations (p < 0.05). HOMA: homeostasis model assessment; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein; DAS28: Disease Activity Score; DMARD: disease-modifying antirheumatic drug; HAQ: Health Assessment Questionnaire; RA: rheumatoid arthritis.