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Table 2 Odds of acute coronary syndrome by circulating concentration of choline pathway metabolites

From: Circulating metabolites from the choline pathway and acute coronary syndromes in a Chinese case-control study

Variable

Odds Ratio (95% CI) for Quartiles of Metabolites Concentration

P for trend

Odds Ratio (95% CI) per 1-SD increment

1

2

3

4

Betaine

 No. of controls

62

62

61

62

…

…

 No. of cases

59

45

53

97

…

…

 Model 1 a

Ref.

0.69 (0.40–1.18)

0.84 (0.50–1.43)

1.43 (0.87–2.34)

0.07

1.11(0.93–1.33)

 Model 2 b

Ref.

0.62 (0.35–1.07)

0.76 (0.44–1.31)

1.43 (0.87–2.36)

0.07

1.12(0.93–1.35)

 Model 3 c

Ref.

0.63 (0.36–1.09)

0.78 (0.45–1.34)

1.41 (0.85–2.34)

0.08

1.12(0.93–1.34)

Choline

 No. of controls

62

62

61

62

…

…

 No. of cases

35

28

27

164

…

…

 Model 1 a

Ref.

0.82 (0.44–1.53)

0.70 (0.37–1.31)

4.36 (2.61–7.38)

< 0.001

1.85(1.52–2.28)

 Model 2 b

Ref.

0.79 (0.42–1.47)

0.58 (0.30–1.11)

3.91 (2.33–6.65)

< 0.001

1.79(1.47–2.21)

 Model 3 c

Ref.

0.73 (0.39–1.39)

0.55 (0.29–1.06)

3.72 (2.21–6.34)

< 0.001

1.77(1.44–2.18)

TMA

 No. of controls

62

62

61

62

…

…

 No. of cases

70

49

59

76

…

…

 Model 1 a

Ref.

1.41 (0.85–2.34)

0.94 (0.56–1.58)

0.67 (0.39–1.15)

0.02

1.11(0.92–1.34)

 Model 2 b

Ref.

1.53 (0.92–2.57)

1.09 (0.64–1.85)

0.76 (0.44–1.32)

0.07

1.05(0.87–1.27)

 Model 3 c

Ref.

1.71 (1.01–2.91)

1.26 (0.73–2.17)

0.80 (0.46–1.40)

0.09

1.10(0.90–1.33)

TMAO

 No. of controls

62

62

61

62

…

…

 No. of cases

85

62

42

65

…

…

 Model 1 a

Ref.

0.79 (0.47–1.35)

0.95 (0.57–1.60)

1.25 (0.75–2.08)

0.37

0.87(0.72–1.05)

 Model 2 b

Ref.

0.70 (0.40–1.20)

0.91 (0.54–1.53)

1.01 (0.60–1.70)

0.76

0.84(0.69–1.02)

 Model 3 c

Ref.

0.71 (0.41–1.23)

0.94 (0.56–1.59)

1.09 (0.64–1.85)

0.56

0.80(0.65–0.97)

Metabolite Score

 No. of controls

62

62

61

62

…

…

 No. of cases

41

26

59

128

…

…

 Model 1 a

Ref.

1.10(0.60–2.03)

1.65(0.93–2.97)

3.65(2.14–6.32)

< 0.001

1.96(1.49–2.59)

 Model 2 b

Ref.

1.00(0.54–1.86)

1.39(0.77–2.52)

3.26(1.90–5.67)

< 0.001

1.85(1.40–2.45)

 Model 3 c

Ref.

1.00(0.54–1.86)

1.35(0.75–2.46)

3.18(1.85–5.54)

< 0.001

1.80(1.37–2.40)

Betaine/choline ratio

 No. of controls

62

62

61

62

…

…

 No. of cases

160

39

24

31

…

…

 Model 1 a

Ref.

0.23(0.14–0.39)

0.16(0.09–0.29)

0.19(0.11–0.31)

< 0.001

0.46(0.37–0.57)

 Model 2 b

Ref.

0.24(0.14–0.39)

0.17(0.09–0.30)

0.20(0.12–0.35)

< 0.001

0.48(0.39–0.59)

 Model 3 c

Ref.

0.24(0.14–0.41)

0.17(0.09–0.30)

0.21(0.12–0.36)

< 0.001

0.49(0.39–0.60)

  1. The inverse normal transformation was applied to the raw values of metabolites. To build the score, we applied a weighted sum of concentrations of 4 metabolites in the choline pathway (betaine, choline, TMA, and TMAO). The ratio of betaine/choline was calculated by dividing the raw values and then applying the inverse normal transformations
  2. TMA trimethylamine, TMAO trimethylamine N-oxide. Ref., i.e., reference group, and we used participants assigned to the first quartile of the concentrations of each metabolite, the metabolite score and betaine to choline ratio, as the reference group in each model
  3. a in model 1, odds ratio was adjusted for age, sex, smoking index and body mass index;
  4. b in model 2, odds ratio was adjusted for all factors in model 1, plus history of the disease (i.e., hypertension, diabetes mellitus and hyperlipidemia);
  5. c in model 3, odds ratio was adjusted for all factors in model 2, plus kidney function measured by eGFR