Table 3. Multivariatea relative risks (RR) and 95% confidence intervals (CI) of epithelial ovarian cancer according to childhood body fatness and BMI at the age of 18 years, by study population.
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Nurses' Health Study (NHS)
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Nurses' Health Study II (NHSII)
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|---|---|---|---|---|---|---|
| Cases | Person-years | Multivariatea RR (95% CI) | Cases | Person-years | Multivariatea RR (95% CI) | |
| Body fatness at the age of 5 years | ||||||
| 1 | 169 | 362 320 | 1.0 (REF) | 27 | 397 883 | 1.0 (REF) |
| 2 | 89 | 205 923 | 0.97 (0.75–1.26) | 36 | 513 243 | 1.12 (0.68–1.85) |
| 3 | 54 | 155 820 | 0.78 (0.58–1.07) | 38 | 385 284 | 1.48 (0.90–2.42) |
| 4 | 32 | 96 839 | 0.74 (0.50–1.08) | 17 | 206 119 | 1.18 (0.64–2.17) |
| ⩾5 | 28 | 67 943 | 0.87 (0.58–1.29) | 13 | 111 557 | 1.65 (0.85–3.20) |
| P for trendb | 0.11 | 0.12 | ||||
| P for heterogeneityc=0.03 | ||||||
| Body fatness at the age of 10 years | ||||||
| 1 | 143 | 274 838 | 1.0 (REF) | 18 | 301 794 | 1.0 (REF) |
| 2 | 102 | 233 863 | 0.87 (0.67–1.13) | 32 | 495 385 | 1.16 (0.65–2.08) |
| 3 | 50 | 158 127 | 0.64 (0.46–0.88) | 36 | 365 516 | 1.76 (1.00–3.11) |
| 4 | 41 | 116 397 | 0.72 (0.51–1.02) | 29 | 255 624 | 1.91 (1.06–3.45) |
| ⩾5 | 36 | 105 620 | 0.69 (0.48–0.99) | 16 | 195 766 | 1.30 (0.66–2.56) |
| P for trendb | 0.01 | 0.12 | ||||
| P for heterogeneityc=0.01 | ||||||
| Average body fatness at the ages 5 and 10 years d | ||||||
| 1 | 135 | 263 830 | 1.0 (REF) | 15 | 279 639 | 1.0 (REF) |
| 1.5–2 | 107 | 241 430 | 0.90 (0.70–1.17) | 35 | 495 350 | 1.44 (0.78–2.64) |
| 2.5–3 | 61 | 173 145 | 0.73 (0.54–0.99) | 37 | 405 487 | 1.80 (0.98–3.28) |
| 3.5–4.5 | 43 | 147 540 | 0.61 (0.43–0.86) | 32 | 332 410 | 1.79 (0.97–3.32) |
| ⩾5 | 26 | 62 901 | 0.81 (0.53–1.24) | 12 | 101 199 | 2.09 (0.98–4.48) |
| P for trendb | 0.04 | 0.10 | ||||
| P for heterogeneityc=0.01 | ||||||
| BMI at the age of 18 years, kg m −2 | ||||||
| <20 | 204 | 578 036 | 1.0 (REF) | 38 | 645 713 | 1.0 (REF) |
| 20–20.9 | 95 | 314 831 | 0.89 (0.69–1.13) | 29 | 288 710 | 1.79 (1.10–2.91) |
| 21–22.9 | 147 | 427 126 | 1.02 (0.82–1.26) | 38 | 366 025 | 1.87 (1.19–2.95) |
| 23–24.9 | 76 | 200 613 | 1.10 (0.84–1.43) | 14 | 169 776 | 1.46 (0.79–2.71) |
| ⩾25 | 59 | 159 473 | 1.06 (0.79–1.41) | 17 | 170 411 | 1.57 (0.88–2.79) |
| P for trende | 0.46 | 0.13 | ||||
| P for heterogeneityc=0.32 | ||||||
Multivariate analyses adjusted for age (continuous), parity (continuous), duration of oral contraceptive use (continuous), tubal ligation history (yes/no), and height (<1.6, 1.6 to <1.65, 1.65 to <1.7, 1.7 to <1.75, and ⩾1.75 m).
P value from multivariate model with body fatness as continuous variable.
P for heterogeneity by cohort assessed using the DerSimonian and Laird random effects model.
Average childhood body fatness calculated by taking the average of each participant's body fatness at the ages 5 and 10 years.
P value from multivariate model with BMI at the age of 18 years modelled as medians of categories.