Research Article

Glucose Metabolism Indices and the Development of Chronic Kidney Disease: A Cohort Study of Middle-Aged and Elderly Chinese Persons

Table 3

Association between quartiles of baseline glucose indexes and risk of CKD.

Quartile 1Quartile 2Quartile 3Quartile 41-quartile change#

FPGModel 111.09 (0.78–1.54)1.27 (0.91–1.78)1.84 (1.35–2.51)1.23 (1.12–1.36)
Model 211.04 (0.73–1.47)1.14 (0.81–1.61)1.47 (1.06–2.04)1.14 (1.03–1.27)
Model 311.10 (0.76–1.58)1.15 (0.80–1.64)1.36 (0.96–1.92)1.11 (0.99–1.23)

OGTT 2 h glucoseModel 111.13 (0.79–1.61)1.38 (0.98–1.94)2.24 (1.63–3.08)1.32 (1.20–1.47)
Model 211.10 (0.77–1.58)1.20 (0.84–1.70)1.75 (1.26–2.42)1.21 (1.09–1.34)
Model 311.11 (0.77–1.61)1.16 (0.81–1.67)1.52 (1.08–2.14)1.15 (1.03–1.28)

HbA1cModel 111.27 (0.92–1.77)1.41 (1.01–1.97)1.97 (1.44–2.70)1.24 (1.12–1.37)
Model 211.14 (0.81–1.59)1.29 (0.92–1.82)1.52 (1.09–2.12)1.15 (1.04–1.28)
Model 311.21 (0.86–1.72)1.29 (0.91–1.84)1.50 (1.07–2.12)1.14 (1.02–1.26)

Fasting insulinModel 111.23 (0.88–1.73)1.27 (0.90–1.78)1.95 (1.42–2.67)1.24 (1.12–1.37)
Model 211.13 (0.80–1.61)1.12 (0.79–1.60)1.61 (1.14–2.27)1.16 (1.04–1.30)
Model 311.10 (0.77–1.59)1.06 (0.73–1.54)1.39 (0.96–2.00)1.11 (0.99–1.24)

HOMA-IRModel 111.27 (0.89–1.81)1.52 (1.07–2.15)2.32 (1.68–3.21)1.32 (1.20–1.47)
Model 211.20 (0.83–1.73)1.32 (0.92–1.90)1.89 (1.33–2.70)1.23 (1.10–1.38)
Model 311.15 (0.79–1.69)1.22 (0.84–1.78)1.61 (1.10–2.34)1.17 (1.04–1.31)

HOMA-βModel 110.72 (0.52–0.99)0.80 (0.58–1.09)1.03 (0.76–1.38)1.02 (0.92–1.12)
Model 210.72 (0.52–1.00)0.79 (0.57–1.09)0.97 (0.71–1.33)1.00 (0.90–1.11)
Model 310.72 (0.52–1.01)0.77 (0.55–1.08)0.96 (0.70–1.33)1.00 (0.89–1.11)

Data are odds ratios (95% confidence interval). Participants without CKD at follow-up are defined as 0 and with CKD as 1. #All variables were calculated for 1-quartile change of glucose indices. AUC (95% CI), area under the receiver operating characteristic curve (AUC), and the corresponding 95% confidence intervals (CIs). Model 1 is unadjusted. Model 2 is adjusted for age, sex, and BMI. Model 3 is adjusted for age, sex, BMI, current smoking status, current drinking status, physical activity level, SBP, γ-GGT, and LDL-C.