Sex-specific associations between adipokine profiles and carotid-intima media thickness in the Cameron County Hispanic Cohort (CCHC)

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

Associations between adipokines and cIMT were sex-specific, and metabolic health status influenced the relationships between adipokines and cIMT. These heterogeneities by sex and metabolic health affirm the complex relationships between adipokines and atherosclerosis.

Study context

Population
Hispanic adults, Cameron County Hispanic Cohort; mean age 50, 70.8% female
Participants
624 adults
Outcome
Association between adipokines (adiponectin, leptin, resistin, LAR, ARI) and cIMT
Methodological detailssex-stratified analyses, fully adjusted linear regression
  • Sex-stratified analyses
  • Fully adjusted linear regression

Main finding

As reported in the abstract

cIMT, fully adjusted, sex-specific associations
Interaction by sex for adiponectin, leptin and leptin-to-adiponectin ratio (LAR)
p < 0.1
Males: LAR and carotid-intima media thickness (cIMT), β(SE)
0.060 (0.016), p = 2.52 × 10-4
Females: adiponectin and cIMT, β(SE)
0.010 (0.005), p = 0.043
Females: Adiponectin-resistin index (ARI) and cIMT, β(SE)
- 0.011 (0.005), p = 0.036

Observational data: associations, not effects.

Further findings

cIMT stratified by metabolic health status

Males, metabolically healthy: LAR and cIMT, β(SE)
0.127 (0.015), p = 4.70 × 10-10
Females, metabolically elevated risk: adiponectin and cIMT, β(SE)
0.014 (0.005), p = 0.012
Females, metabolically elevated risk: ARI and cIMT, β(SE)
- 0.015 (0.006), p = 0.013
p for interaction by metabolic health
< 0.1
  • Female-specific associations observed only among the metabolically elevated risk group

Original publication

Sex-specific associations between adipokine profiles and carotid-intima media thickness in the Cameron County Hispanic Cohort (CCHC). Cardiovasc Diabetol. Published 31 August 2023. doi:10.1186/s12933-023-01968-4

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