Table 2.
Energy-adjusted Folate Intake, μg/day | P trend‡ | |||||
---|---|---|---|---|---|---|
<200 | 200-299 | 300-399 | ≥400 | |||
All cancer | ||||||
No. cases / Person-years | 105 / 439,200 | 126 / 606,366 | 58 / 273,310 | 110 / 543,040 | ||
Age-adjusted RR (95% CI) | 1.0 | 0.78 (0.60-1.01) | 0.75 (0.55-1.04) | 0.74 (0.57-0.97) | 0.04 | |
Multivariate RR (95% CI)* | 1.0 | 0.81 (0.62-1.05) | 0.80 (0.58-1.10) | 0.80 (0.61-1.06) | 0.14 | |
p53-positive cancer† | ||||||
No. cases / Person-years | 51 / 439248 | 41 / 606442 | 15 / 273345 | 36 / 543103 | ||
Age-adjusted RR (95% CI) | 1.0 | 0.52 (0.35-0.79) | 0.40 (0.23-0.71) | 0.50 (0.33-0.77) | 0.003 | |
Multivariate RR (95% CI)* | 1.0 | 0.54 (0.36-0.81) | 0.42 (0.24-0.76) | 0.54 (0.35-0.83)** | 0.008 | |
p53-negative cancer† | ||||||
No. cases / Person-years | 54 / 439237 | 85 / 606398 | 43 / 273323 | 74 / 543072 | ||
Age-adjusted RR (95% CI) | 1.0 | 0.98 (0.69-1.37) | 1.09 (0.73-1.62) | 0.97 (0.68-1.38) | 0.70 | |
Multivariate RR (95% CI)* | 1.0 | 0.95 (0.67-1.33) | 1.15 (0.77-1.72) | 1.05 (0.73-1.51)** | 0.94 | |
P for trend from Wald statistic, modeling log-transformed folate continuously
P for heterogeneity of the association for folate intake and p53-positive colon cancer and folate intake and p53-negative colon cancers = 0.012 (χ2 = 10.88, 3 d.f.)
Presented as relative risks (RRs) and 95% Confidence Intervals (95% CI).
Multivariate RRs are adjusted for age, smoking before age 30 (0, 1-4, 5-10, 11-15, or >15 pack-years), body mass index (in quintiles), regular vigorous exercise (in quintiles of metabolic equivalent task score per week), colorectal cancer in a parent or sibling (yes or no), history of previous endoscopy (yes or no), history of previous polyp (yes or no), current multivitamin use (yes or no), beef, pork, or lamb as a main dish (0-3 per month, 1 per week, 2-4 per week, or ≥5 per week), alcohol consumption (0, 0.1-4.9, 5.0-14.9, ≥15 g per day), and post-menopausal hormone use (premenopausal, never, past, current).
p53 status was determined by immunohistochemistry.