Vasculitis & polymyalgia rheumatica

Apolipoproteins and the risk of giant cell arteritis—a nested case–control study

Arthritis Res TherPublished Nested case–control study

Main finding · ApoA-I at baseline screeningResult — go to the resultOdds ratio per SD 1.57 95% CI 1.18–2.10

Authors' conclusion

Subsequent development of GCA was associated with significantly higher levels of ApoA-I.

Study context

Population
Participants of a population-based health survey (Malmö Diet Cancer Study; N = 30,447) who developed giant cell arteritis (GCA), and matched controls100 GCA cases
Exposure
GCA cases vs matched controls
  • Casesn = 100
Outcome
Relation between baseline apolipoprotein levels (apolipoprotein A-I (ApoA-I), ApoB) and future diagnosis of GCA
Methodological detailspopulation-based, 4 controls per case, matched for sex, year of birth and year of screening, conditional logistic regression
  • Population-based
  • 4 controls per case, matched for sex, year of birth and year of screening
  • Conditional logistic regression

Main finding

ApoA-I at baseline screening

Odds ratio per SD

1.57

95% CI 1.18–2.10

By group

Casesvs Controls
OR per SD 1.57 (95% CI 1.18–2.10)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mean, mg/dL

OutcomeCasesControlsOR per SD (95% CI)
ApoB at baseline screeningSD 27.1 mg/dL109.3110.40.99 (0.74–1.32)
ApoA-I, adjusted for BMI and physical activity1.48 (1.09–1.99)

Apolipoprotein B (ApoB)/ApoA1 ratio

Tended to be lower in cases than in controls, but the difference did not reach significance

Original publication

Apolipoproteins and the risk of giant cell arteritis—a nested case–control study. Arthritis Res Ther. Published 27 January 2024. doi:10.1186/s13075-024-03273-1

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