dds ratios (ORs) and 95% CIs were obtained from multivariate logistic regression models adjusting for established confounders. The test for trend across quartiles used the P value from the type 111 analysis of effects based on the WaId ?2 test. Based on previous work, sex, race/ ethnicity, IGT status, and baseline obesity status were considered a priori as potential effect modifiers of the pattern scorediabetes association and evaluated by stratification and by including pattern score by covariate interaction terms. Only the interaction with obesity was of borderline statistical significance (P = 0.08); hence, we also show our results in obese versus nonobese individuals. All analyses were performed in SAS (version 8.2; SAS Institute, Cary, NC).