Table 4. 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 menopausal status.
|
Premenopausal (NHS and NHSII)
|
Postmenopausal (NHS and NHSII)
|
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|---|---|---|---|---|---|---|
| Cases | Person-years | Multivariatea RR (95% CI) | Cases | Person-years | Multivariatea RR (95% CI) | |
| Average body fatness at the ages of 5 and 10 years b | ||||||
| 1 | 25 | 239 481 | 1.0 (REF) | 123 | 250 962 | 1.0 (REF) |
| 1.5–2 | 44 | 422 079 | 1.16 (0.71–1.90) | 96 | 232 530 | 0.89 (0.68–1.17) |
| 2.5–3 | 32 | 345 738 | 0.96 (0.57–1.64) | 59 | 167 233 | 0.79 (0.58–1.08) |
| 3.5–4.5 | 31 | 281 222 | 1.12 (0.65–1.90) | 38 | 142 234 | 0.60 (0.42–0.87) |
| ⩾5 | 13 | 85 055 | 1.38 (0.70–2.71) | 24 | 60 158 | 0.85 (0.54–1.31) |
| P for trendc | 0.92 | 0.09 | ||||
| P for interaction=0.37 | ||||||
| BMI at the age of 18 years, kg m −2 | ||||||
| <20 | 64 | 657 807 | 1.0 (REF) | 172 | 446 874 | 1.0 (REF) |
| 20–20.9 | 38 | 313 846 | 1.22 (0.81–1.83) | 81 | 236 512 | 0.90 (0.69–1.18) |
| 21–22.9 | 53 | 401 364 | 1.22 (0.84–1.77) | 125 | 322 686 | 1.04 (0.83–1.32) |
| 23–24.9 | 26 | 183 682 | 1.40 (0.88–2.21) | 61 | 153 997 | 1.04 (0.78–1.40) |
| ⩾25 | 26 | 170 607 | 1.41 (0.89–2.24) | 43 | 123 277 | 0.91 (0.65–1.27) |
| P for trendd | 0.10 | 0.85 | ||||
| P for interaction=0.11 | ||||||
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).
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 body fatness modelled as continuous variable.
P value from multivariate model with BMI at the age of 18 years modelled as medians of categories.