TABLE 2

Associations of biomarkers, forced vital capacity, ILA, and all-cause and ILD-specific mortality with HAA in examined lung regions

BasilarNon-basilarPeelCoreBasilar peelBasilar core
Change per doubling HAA %p-valueChange per doubling HAA %p-valueChange per doubling HAA %p-valueChange per doubling HAA %p-valueChange per doubling HAA %p-valueChange per doubling HAA %p-value
MMP-76.6 (2.6–10.8)0.0016.4 (2.5–10.4)0.0015.9 (2.2–9.8)0.00210.3 (4.7–16.3)<0.0015.8 (2.2–9.6)0.0023.8 (0.8–7.0)0.01
IL-64.9 (1.5–8.4)0.00510.3 (6.5–14.2)<0.0017.3 (4.0–10.6)<0.0019.1 (4.0–14.4)<0.0015.5 (2.4–8.6)<0.0011.5 (−0.9–4.0)0.220
SP-A4.9 (−1.1–11.3)0.1132.7 (−3.0–8.8)0.3625.2 (−0.5–11.1)0.0738.7 (0.2–17.8)0.044.2 (−1.3–10.0)0.140−0.1 (−4.7–4.8)0.973
Change per doubling HAA mLp-valueChange per doubling HAA mLp-valueChange per doubling HAA mLp-valueChange per doubling HAA mLp-valueChange per doubling HAA mLp-valueChange per doubling HAA mLp-value
FVC−28 (−57–0)0.051−113 (−151–−75)<0.001−26 (−58–5)0.099−186 (−226–−145)<0.001−15 (−42–12)0.226−115 (−142–−88)<0.001
OR per doubling HAAp-valueOR per doubling HAAp-valueOR per doubling HAAp-valueOR per doubling HAAp-valueOR per doubling HAAp-valueOR per doubling HAAp-value
ILA2.20 (1.66–2.90)<0.0011.54 (1.17–2.02)0.0021.79 (1.40–2.30)<0.0011.52 (1.04–2.24)0.031.87 (1.45–2.39)<0.0011.42 (1.14–1.76)0.001
Hazard ratio per doubling HAAp ValueHazard ratio per doubling HAAp ValueHazard ratio per doubling HAAp ValueHazard ratio per doubling HAAp ValueHazard ratio per doubling HAAp ValueHazard ratio per doubling HAAp Value
All-cause mortality1.25 (1.10–1.42)<0.0011.47 (1.29–1.66)<0.0011.41 (1.26–1.58)<0.0011.35 (1.13–1.62)0.0011.21 (1.08–1.36)0.0011.20 (1.09–1.32)<0.001
ILD mortality#3.98 (2.10–7.55)<0.0013.44 (2.13–5.56)<0.0013.94 (2.36–6.56)<0.0013.30 (1.83–5.93)<0.0013.89 (2.08–7.29)<0.0011.83 (0.97–3.46)0.061

Data are presented as mean (95% CI). All analyses adjusted for age, sex, race/ethnicity, body mass index (BMI), waist circumference, smoking status, pack–years, educational attainment, renal function, total volume of imaged lung (not in FVC analysis), percentage emphysema, mA dose and study site. HAA: high attenuation areas; MMP-7: matrix metalloproteinase-7; IL-6: interleukin-6; SP-A: surfactant protein-A; FVC: forced vital capacity; ILA: interstitial lung abnormalities. #: Adjusted for generalised propensity score, which includes age, sex, race/ethnicity, BMI, waist circumference, smoking status, pack-years, educational attainment, renal function, total volume of imaged lung, percentage emphysema, mA dose, study site, alcohol use, total intentional exercise (metabolic equivalent min·wk−1), coronary artery calcium, diabetes medication use, insulin use, fasting glucose, hypertension, antihypertensive medication use, systolic and diastolic blood pressures, cholesterol medication use, total and high-density lipoprotein cholesterol levels, C-reactive protein, d-dimer and cancer history.