Table 3 Joint effect of hypertension, diabetes, and smoking on moderate to severe SVD score (≥2)

From: Synergistic effect of hypertension and smoking on the total small vessel disease score in healthy individuals: the Kashima scan study

Factor 1

Factor 2

None to mild group (SVD score <2)

Moderate to severe group (SVD score ≥2)

n

n

Adjusted OR (95% CI)

Hypertension

Current smoking

   

(−)

(−)

463

17

1.00 (ref.)

(−)

(+)

68

3

1.14a (0.30–4.30)

(+)

(−)

221

43

3.24a (1.75–6.02)

(+)

(+)

32

11

10.59a (3.97–28.3)

   

Synergy index

4.03a (1.17–13.8)

Hypertension

Diabetes

   

(−)

(−)

501

17

1.00 (ref.)

(−)

(+)

30

3

2.27b (0.60–8.58)

(+)

(−)

229

42

3.72b (2.02–6.86)

(+)

(+)

24

12

9.48b (3.80–23.66)

   

Synergy index

2.12b (0.68–6.67)

Hypertension

BMI ≥ 25

   

(−)

(−)

435

14

1.00 (ref.)

(−)

(+)

96

6

1.96c (0.72–5.35)

(+)

(−)

163

37

4.69c (2.42–9.10)

(+)

(+)

90

17

4.57c (2.12–9.86)

   

Synergy index

0.77c (0.32–1.84)

Diabetes

Current smoking

   

(−)

(−)

642

48

1.00 (ref.)

(−)

(+)

88

11

2.14d (0.95–4.84)

(+)

(−)

42

12

2.88d (1.31–6.30)

(+)

(+)

12

3

3.99d (0.97–16.39)

   

Synergy index

0.99d (0.14–7.02)

Diabetes

BMI ≥ 25

   

(−)

(−)

567

41

1.00 (ref.)

(−)

(+)

163

18

1.31e (0.70–2.44)

(+)

(−)

31

10

3.06e (1.28–7.31)

(+)

(+)

23

5

2.07e (0.68–6.36)

   

Synergy index

0.45e (0.05–4.54)

Current smoking

BMI ≥ 25

   

(−)

(−)

531

40

1.00 (ref.)

(−)

(+)

153

20

1.22f (0.66–2.28)

(+)

(−)

67

11

2.46f (1.07–5.64)

(+)

(+)

33

3

2.14f (0.55–8.31)

   

Synergy index

0.68f (0.05–9.07)

  1. CI confidence interval, OR odds ratio, ref. reference, SVD small vessel disease
  2. aAdjusted for sex, age, BMI, and diabetes
  3. bAdjusted for sex, age, BMI, and current smoking
  4. cAdjusted for sex, age, diabetes, and current smoking
  5. dAdjusted for sex, age, hypertension, and BMI
  6. eAdjusted for sex, age, hypertension, and current smoking
  7. fAdjusted for sex, age, hypertension, and diabetes