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. Author manuscript; available in PMC: 2025 Apr 1.
Published in final edited form as: Int J Cancer. 2023 Nov 15;154(7):1174–1190. doi: 10.1002/ijc.34794

Table 4.

Total, direct, and indirect effects of BMI for the risk of biliary tract cancer mortality.

Model 1 Model 2 Model 3
HR 95% CI HR 95% CI HR 95% CI
Males
Biliary Tract Cancer
 Total effect 1.16 (0.94 -1.44) 1.16 (0.93 -1.44) 1.14 (0.91 -1.43)
 Direct effect 1.16 (0.93 -1.43) 1.15 (0.93 -1.43) 1.14 (0.91 -1.42)
 Indirect effect 1.00 (1.00 -1.01) 1.00 (1.00 -1.01) 1.00 (1.00 -1.01)
total Biliary Tract Cancer
 Total effect 1.08 (0.87 -1.34) 1.06 (0.86 -1.31) 1.06 (0.85 -1.31)
 Direct effect 1.08 (0.87 -1.33) 1.05 (0.85 -1.30) 1.05 (0.84 -1.31)
 Indirect effect 1.01 (1.00 -1.01) 1.01 (1.00 -1.01) 1.00 (1.00 -1.01)
Intrahepatic bile duct
 Total effect 1.14 (0.66 -1.96) 1.10 (0.65 -1.88) 1.27 (0.69 -2.33)
 Direct effect 1.13 (0.65 -1.94) 1.09 (0.64 -1.86) 1.25 (0.68 -2.30)
 Indirect effect 1.01 (0.99 -1.03) 1.01 (0.99 -1.03) 1.01 (0.99 -1.03)
Gallbladder
 Total effect 0.76 (0.53 -1.08) 0.73 (0.52 -1.02) 0.77 (0.53 -1.11)
 Direct effect 0.76 (0.53 -1.08) 0.73 (0.52 -1.01) 0.76 (0.53 -1.11)
 Indirect effect 1.00 (0.99 -1.01) 1.00 (0.99 -1.01) 1.00 (0.99 -1.01)
Extrahepatic bile duct
 Total effect 1.24 (0.93 -1.67) 1.24 (0.92 -1.66) 1.16 (0.86 -1.55)
 Direct effect 1.23 (0.92 -1.66) 1.23 (0.91 -1.65) 1.15 (0.86 -1.55)
 Indirect effect 1.01 (1.00 -1.02) 1.01 (1.00 -1.02) 1.00 (1.00 -1.01)
Females
Biliary Tract Cancer
 Total effect 1.25 (1.02 -1.54) 1.28 (1.03 -1.58) 1.25 (1.01 -1.56)
 Direct effect 1.20 (0.98 -1.47) 1.23 (1.00 -1.52) 1.21 (0.98 -1.50)
 Indirect effect 1.04 (1.02 -1.06) 1.04 (1.02 -1.05) 1.03 (1.02 -1.05)
total Biliary Tract Cancer
 Total effect 1.48 (1.13 -1.94) 1.45 (1.11 -1.89) 1.44 (1.09 -1.90)
 Direct effect 1.44 (1.11 -1.89) 1.41 (1.08 -1.84) 1.41 (1.07 -1.86)
 Indirect effect 1.02 (1.00 -1.05) 1.02 (1.01 -1.04) 1.02 (1.00 -1.04)
Intrahepatic bile duct
 Total effect 2.85 (0.97 -8.39) 2.40 (0.88 -6.49) 2.56 (0.91 -7.26)
 Direct effect 2.82 (0.96 -8.30) 2.36 (0.88 -6.36) 2.52 (0.90 -7.10)
 Indirect effect 1.01 (0.95 -1.08) 1.02 (0.96 -1.08) 1.02 (0.96 -1.08)
Gallbladder
 Total effect 1.81 (1.12 -2.94) 1.67 (1.05 -2.65) 1.51 (0.95 -2.40)
 Direct effect 1.71 (1.07 -2.73) 1.58 (1.01 -2.47) 1.45 (0.93 -2.28)
 Indirect effect 1.06 (1.01 -1.11) 1.06 (1.01 -1.11) 1.04 (1.00 -1.08)
Extrahepatic bile duct
 Total effect 1.12 (0.81 -1.55) 1.16 (0.82 -1.62) 1.20 (0.84 -1.72)
 Direct effect 1.12 (0.81 -1.54) 1.15 (0.82 -1.61) 1.19 (0.83 -1.72)
 Indirect effect 1.00 (0.98 -1.02) 1.00 (0.98 -1.02) 1.01 (0.99 -1.03)

Model 1, Adjusted for age and cohort; Model 2, Adjusted for age, cohort, education, population density, marriage status, past history of CHD, stroke, DM, hypertension, smoking status and alchol drinking status.

Abbreviations: CI, confidence interval; HR, hazard ratio