BIOST 536 1 Homework 4 1. Coefficient 𝑖 𝛽𝑖 𝑒 𝛽𝑖 0: Intercept -4.15 0.02 1: Age 0.04 1.05 2: Diagnosis of Angina 0.25 1.28 3: Diagnosis of Myocardial Infarction 0.57 1.77 𝑒 𝛽0 is an estimate of the odds of having regions identified on the MRI scan which were suggestive of infarcts, among those of age zero and no diagnosis of coronary heart disease prior to the MRI. When comparing two groups differing in age by one year, but with the same prior coronary heart disease diagnosis status, 𝑒 𝛽1 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing the older group to the younger group. When looking at study participants of the same age, 𝑒 𝛽2 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing those with prior diagnosis of angina to those with no prior diagnosis of coronary heart disease. When looking at study participants of the same age, 𝑒 𝛽3 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing those with prior diagnosis of myocardial infarction to those with no prior diagnosis of coronary heart disease. 2. Coefficient 𝑖 0: Intercept 1: Age 2: Diagnosis of Angina 3: Diagnosis of Myocardial Infarction 4: Age × Diagnosis of Angina 5: Age × Diagnosis of Myocardial Infarction 𝛽𝑖 -4.35 0.05 0.41 2.31 0.00 -0.02 𝑒 𝛽𝑖 0.01 1.05 1.51 10.07 1.00 0.98 𝑒 𝛽0 is an estimate of the odds of having regions identified on the MRI scan which were suggestive of infarcts, among those of age zero and no diagnosis of coronary heart disease prior to the MRI. When comparing two groups differing in age by one year, but with no prior coronary heart disease diagnosis status, 𝑒 𝛽1 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing the older group to the younger group. BIOST 536 Homework 4 2 Among those of age zero, 𝑒 𝛽2 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing those with prior diagnosis of angina to those with no prior diagnosis of coronary heart disease. Among those of age zero, 𝑒 𝛽3 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing those with prior diagnosis of myocardial infarction to those with no prior diagnosis of coronary heart disease. When comparing two groups differing in age by one year, with prior diagnosis of angina, 𝑒 𝛽4 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing the older group to the younger group. When comparing two groups differing in age by one year, with prior diagnosis of myocardial infarction, 𝑒 𝛽5 is an estimate of the ratio of odds of having regions identified on the MRI scan which were suggestive of infarcts, comparing the older group to the younger group. 3. Methods: The binary indicator of having regions identified on the MRI scan which were suggestive of infarcts was analyzed using logistic regression on a binary indicator of having been diagnosed with angina prior to the MRI, a binary indicator of having been diagnosed with myocardial infarction prior to the MIR, and linear splines modeling a categorization of age into 7 intervals: age less than 65, 65 < age < 70, 70 < age < 75, 75 < age < 80, 80 < age < 85, 85 < age < 90, and 90 < age. The linearity in the association between age and the log odds of having such regions identified, after holding constant the status of prior diagnosis coronary heart disease, was then evaluated by simultaneously testing that all regression coefficients for the linear spline variables were equal to each other, at the 𝛼 = 0.05 level. The model-based estimate of the standard error of the regression parameters was used to compute a two-sided p value from a Wald test of association. Results: Logistic regression analysis of having regions identified on the MRI scan which were suggestive of infarcts, across age groups using a linear spline model fit to the categorization of age, after adjusting for the status of prior diagnosis coronary heart disease, finds statistically significant evidence that the association between age and having such regions identified is not linear (two-sided p < 0.0005). 4. Methods: The binary indicator of having regions identified on the MRI scan which were suggestive of infarcts was analyzed using logistic regression on age in years modeled continuously, ldl levels in mg/dl modeled continuously, and ldl levels squared modeled continuously. The U-shaped association BIOST 536 Homework 4 3 between ldl and the log odds of having such regions identified, after holding age constant, was then evaluated by testing that the regression coefficient for ldl squared was zero, at the 𝛼 = 0.05 level. The model-based estimate of the standard error of the regression parameter was used to compute a two-sided p value from a Wald test of association. Results: Logistic regression analysis of having regions identified on the MRI scan which were suggestive of infarcts, on ldl, ldl squared, and age, finds statistically significant evidence that the association between ldl and having such regions identified is U-shaped (two-sided p = 0.02).