Table 3.
Hazard Ratio of Total Invasive Cancer and Breast Cancer according to Randomized Folic Acid/Vitamin B6/Vitamin B12 Treatment, by Baseline Characteristics of Participants
| Total Invasive Cancera | Breast Cancer | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Active Group |
Placebo Group |
Hazard Ratio (95% Confidence Interval) |
P Value |
P for Interaction |
Active Group |
Placebo Group |
Hazard Ratio (95% Confidence Interval) |
P Value |
P for Interaction |
|
| no. of cases | no. of cases | |||||||||
| Overall | 187 | 192 | 0.97 (0.79–1.18) | .75 | 70 | 84 | 0.83 (0.60–1.14) | .24 | ||
| Age, y | .02 | .05 | ||||||||
| 40–54 | 22 | 16 | 1.42 (0.75–2.71) | .28 | 12 | 8 | 1.56 (0.64–3.81) | .33 | ||
| 55–64 | 77 | 59 | 1.26 (0.90–1.76) | .19 | 27 | 26 | 1.00 (0.58–1.72) | >.99 | ||
| ≥65 | 88 | 117 | 0.75 (0.57–0.99) | .05 | 31 | 50 | 0.62 (0.40–0.98) | .04 | ||
| CVD health history | .79 | .26 | ||||||||
| Prior CVDb | 123 | 123 | 0.99 (0.77–1.27) | .91 | 49 | 51 | 0.95 (0.64–1.40) | .78 | ||
| ≥3 risk factorsc | 64 | 69 | 0.93 (0.66–1.31) | .68 | 21 | 33 | 0.65 (0.37–1.12) | .12 | ||
| History of cancer within the past ten yearsd | .76 | .91 | ||||||||
| Yes | 18 | 18 | 1.09 (0.57–2.10) | .80 | 5 | 6 | 0.87 (0.27–2.87) | .83 | ||
| No | 169 | 174 | 0.96 (0.78–1.19) | .70 | 65 | 78 | 0.82 (0.59–1.14) | .24 | ||
| Smoking status | .50 | .82 | ||||||||
| Current | 27 | 28 | 1.11 (0.66–1.89) | .69 | 7 | 7 | 1.18 (0.41–3.38) | .76 | ||
| Past | 86 | 99 | 0.86 (0.65–1.15) | .31 | 35 | 42 | 0.83 (0.53–1.30) | .41 | ||
| Never | 74 | 65 | 1.10 (0.79–1.53) | .59 | 28 | 35 | 0.77 (0.47–1.27) | .30 | ||
| Alcohol use in past year, g/d | >.99 | .51 | ||||||||
| 0 | 99 | 114 | 0.87 (0.66–1.13) | .29 | 35 | 52 | 0.67 (0.44–1.03) | .07 | ||
| >0 – < 15 | 77 | 63 | 1.19 (0.85–1.66) | .31 | 32 | 24 | 1.30 (0.76–2.20) | .34 | ||
| ≥ 15 | 11 | 15 | 0.88 (0.40–1.92) | .75 | 3 | 8 | 0.44 (0.12–1.67) | .23 | ||
| Body mass indexe | .18 | .88 | ||||||||
| <25 | 39 | 44 | 0.80 (0.52–1.24) | .32 | 12 | 13 | 0.82 (0.37–1.79) | .61 | ||
| 25–<30 | 51 | 62 | 0.88 (0.61–1.28) | .51 | 25 | 30 | 0.89 (0.52–1.51) | .66 | ||
| ≥ 30 | 97 | 86 | 1.11 (0.83–1.48) | .48 | 33 | 41 | 0.79 (0.50–1.25) | .32 | ||
| Menopausal status | .85 | .20 | ||||||||
| Premenopausal | 5 | 4 | 1.28 (0.34–4.86) | .71 | 3 | 2 | 1.32 (0.22–8.02) | .76 | ||
| Uncertain | 6 | 4 | 1.31 (0.37–4.70) | .68 | 2 | 0 | -- | |||
| Postmenopausal | 176 | 184 | 0.95 (0.77–1.17) | .64 | 65 | 82 | 0.79 (0.57–1.09) | .15 | ||
| Postmenopausal hormone usef | .64 | .69 | ||||||||
| Current | 82 | 95 | 0.87 (0.65–1.17) | .35 | 32 | 46 | 0.69 (0.44–1.09) | .11 | ||
| Past | 35 | 33 | 1.08 (0.67–1.74) | .74 | 15 | 16 | 0.97 (0.48–1.96) | .92 | ||
| Never | 59 | 56 | 1.06 (0.74–1.54) | .74 | 18 | 20 | 0.91 (0.48–1.73) | .77 | ||
| Physical activity, kcal/wk | .60 | .97 | ||||||||
| <1000 | 130 | 131 | 1.01 (0.79–1.28) | .95 | 45 | 55 | 0.83 (0.56–1.24) | .37 | ||
| ≥ 1000 | 57 | 61 | 0.90 (0.63–1.29) | .57 | 25 | 29 | 0.83 (0.48–1.41) | .49 | ||
| Current multivitamin use | .71 | .96 | ||||||||
| Yes | 43 | 48 | 0.90 (0.60–1.36) | .62 | 15 | 18 | 0.84 (0.42–1.67) | .62 | ||
| No | 144 | 144 | 0.99 (0.78–1.24) | .91 | 55 | 66 | 0.82 (0.58–1.18) | .28 | ||
| Randomized to receive vitamin E | .65 | .90 | ||||||||
| Yes | 87 | 93 | 0.92 (0.69–1.23) | .58 | 36 | 42 | 0.84 (0.54–1.32) | .45 | ||
| No | 100 | 99 | 1.01 (0.77–1.34) | .93 | 34 | 42 | 0.81 (0.52–1.27) | .36 | ||
| Randomized to receive vitamin C | .06 | .36 | ||||||||
| Yes | 87 | 108 | 0.81 (0.61–1.07) | .13 | 33 | 46 | 0.72 (0.46–1.12) | .14 | ||
| No | 100 | 84 | 1.18 (0.88–1.58) | .27 | 37 | 38 | 0.97 (0.61–1.52) | .88 | ||
| Randomized to receive β-carotene | .12 | .15 | ||||||||
| Yes | 91 | 108 | 0.83 (0.63–1.10) | .19 | 33 | 49 | 0.66 (0.43–1.03) | .07 | ||
| No | 96 | 84 | 1.15 (0.86–1.54) | .36 | 37 | 35 | 1.06 (0.67–1.69) | .80 | ||
| Total folate intakeg, median value | .78 | .77 | ||||||||
| ≤ 431.5 μg/day | 94 | 88 | 1.01 (0.75–1.35) | .97 | 36 | 38 | 0.90 (0.57–1.41) | .63 | ||
| > 431.5 μg/day | 87 | 96 | 0.95 (0.71–1.27) | .74 | 32 | 41 | 0.82 (0.51–1.30) | .39 | ||
| Total vitamin B6 intakeg, median value | .73 | .63 | ||||||||
| ≤ 2.5 mg/day | 91 | 92 | 0.94 (0.71–1.26) | .68 | 33 | 40 | 0.79 (0.50–1.25) | .32 | ||
| > 2.5 mg/day | 90 | 92 | 1.01 (0.76–1.36) | .93 | 35 | 39 | 0.92 (0.59–1.46) | .74 | ||
| Total vitamin B12 intakeg, median value | .10 | .39 | ||||||||
| ≤ 7.0 μg/day | 88 | 106 | 0.83 (0.62–1.10) | .19 | 32 | 43 | 0.74 (0.47–1.18) | .20 | ||
| > 7.0 μg/day | 93 | 78 | 1.18 (0.87–1.59) | .29 | 36 | 36 | 0.99 (0.62–1.57) | .96 | ||
Abbreviations: CVD: cardiovascular disease
Excluding non-melanoma skin cancer.
Reported history of myocardial infarction, stroke, coronary revascularization, angina pectoris, transient ischemic attack, carotid endarterectomy, or peripheral artery surgery.
Denotes women with no prior CVD but with at least 3 of the following: hypertension, high cholesterol level, diabetes mellitus, parental history of premature myocardial infarction (before age 60 years), obesity (body mass index ≥30 kg/m2), current cigarette smoking, and inconsistent report of prior CVD.
Except for non-melanoma skin cancers.
Body mass index is calculated as weight in kilograms divided by height in meters squared.
Among postmenopausal women only.
Calculated from the food frequency questionnaire.