TABLE 4.
Mortality rates and hazard ratios (HRs) of total mortality in relation to use of nonvitamin-nonmineral supplements during the 10 y before baseline, western Washington, 2000–20061
Subjects (n = 77,673) |
Person-years (n = 387,801)3 |
Deaths (n = 3577) |
No. of deaths/1000 person-years | Sex- and age-adjusted |
Multivariate-adjusted4 |
||||||
10-y Average supplement use2 | n | Percentage | n | Percentage | n | Percentage | HR | 95% CI | HR | 95% CI | |
Fiber5 | |||||||||||
None | 65,919 | 85 | 329,435 | 85 | 2925 | 82 | 8.88 | 1.00 | Reference | 1.00 | Reference |
Low | 6619 | 9 | 32,883 | 9 | 360 | 10 | 10.95 | 1.14 | 1.02, 1.27 | 0.90 | 0.80, 1.00 |
High | 3480 | 5 | 17,260 | 5 | 200 | 6 | 11.59 | 1.06 | 0.92, 1.22 | 0.97 | 0.84, 1.13 |
Missing | 1655 | 2 | 8223 | 2 | 92 | 3 | 11.19 | ||||
P for trend | 0.078 | 0.172 | |||||||||
Glucosamine6 | |||||||||||
None | 61,769 | 80 | 308,451 | 80 | 3021 | 84 | 9.79 | 1.00 | Reference | 1.007 | Reference |
Low | 10,023 | 13 | 50,348 | 13 | 342 | 10 | 6.79 | 0.69 | 0.62, 0.78 | 0.927 | 0.82, 1.04 |
High | 5606 | 7 | 27,650 | 7 | 191 | 5 | 6.91 | 0.63 | 0.54, 0.72 | 0.837 | 0.72, 0.97 |
Missing | 275 | 0 | 1353 | 0 | 23 | 1 | 17.01 | ||||
P for trend | NA8 | 0.009 | |||||||||
Chondroitin6 | |||||||||||
None | 66,976 | 86 | 334,521 | 86 | 3214 | 90 | 9.61 | 1.00 | Reference | 1.007 | Reference |
Low | 6793 | 9 | 34,054 | 9 | 223 | 6 | 6.55 | 0.67 | 0.58, 0.76 | 0.887 | 0.77, 1.02 |
High | 3686 | 5 | 18,141 | 5 | 126 | 4 | 6.95 | 0.63 | 0.53, 0.75 | 0.837 | 0.69, 1.00 |
Missing | 218 | 0 | 1085 | 0 | 14 | 0 | 12.90 | ||||
P for trend | NA8 | 0.011 | |||||||||
Saw palmetto (men only)6 | |||||||||||
None | 33,187 | 89 | 164,816 | 89 | 1881 | 53 | 11.41 | 1.00 | Reference | 1.009 | Reference |
Low | 2166 | 6 | 10,872 | 6 | 87 | 2 | 8.00 | 0.67 | 0.54, 0.83 | 0.879 | 0.70, 1.09 |
High | 1936 | 5 | 9578 | 5 | 86 | 2 | 8.98 | 0.63 | 0.51, 0.78 | 0.939 | 0.74, 1.16 |
Missing | 76 | 0 | 367 | 0 | 9 | 0 | 24.55 | ||||
P for trend | 0.140 | 0.280 | |||||||||
6 | |||||||||||
None | 66,825 | 86 | 333,356 | 86 | 3192 | 89 | 9.58 | 1.00 | Reference | 1.00 | Reference |
Low | 6854 | 9 | 34,594 | 9 | 223 | 6 | 6.45 | 0.77 | 0.67, 0.88 | 0.84 | 0.73, 0.97 |
High | 3691 | 5 | 18,352 | 5 | 139 | 4 | 7.57 | 0.78 | 0.65, 0.92 | 0.96 | 0.81, 1.15 |
Missing | 303 | 0 | 1499 | 0 | 23 | 1 | 15.34 | ||||
P for trend | <0.001 | 0.102 | |||||||||
Garlic6 | |||||||||||
None | 68,273 | 88 | 340,755 | 88 | 3139 | 88 | 9.21 | 1.00 | Reference | 1.00 | Reference |
Low | 4899 | 6 | 24,527 | 6 | 221 | 6 | 9.01 | 1.03 | 0.90, 1.18 | 1.02 | 0.88, 1.17 |
High | 4188 | 5 | 20,932 | 5 | 194 | 5 | 9.27 | 0.86 | 0.74, 1.00 | 0.89 | 0.76, 1.03 |
Missing | 313 | 0 | 1558 | 0 | 23 | 1 | 14.77 | ||||
P for trend | 0.097 | 0.177 | |||||||||
Fish oil6 | |||||||||||
None | 69,857 | 90 | 348,950 | 90 | 3247 | 91 | 9.31 | 1.00 | Reference | 1.00 | Reference |
Low | 4234 | 5 | 21,091 | 5 | 172 | 5 | 8.16 | 0.97 | 0.84, 1.14 | 1.03 | 0.88, 1.21 |
High | 3331 | 4 | 16,505 | 4 | 139 | 4 | 8.42 | 0.84 | 0.71, 1.00 | 0.83 | 0.70, 1.00 |
Missing | 251 | 0 | 1256 | 0 | 19 | 1 | 15.13 | ||||
P for trend | 0.051 | 0.097 |
NA, not applicable.
From single supplements (and mixtures other than multivitamins) plus multivitamins.
Because of rounding, the numbers of person-years across strata of a variable do not always sum to 387,801.
Cox regression analysis adjusted for the following variables: sex, age, education, recency of smoking/dose of smoking, physical activity in the 10 y before baseline, self-rated health, and morbidity score.
The low-use category included those with a 10-y average frequency of use of <3 d/wk; the high use category includes those with a 10-y average frequency of use of ≥3 d/wk.
The low-use category included those with a duration of use of <3 y or a frequency of use <4 d/wk; the high-use category that included those with a duration of use ≥3 y and a frequency of use during that time of ≥4 d/wk.
Additionally adjusted for a composite variable that categorized participants as having either nonrheumatoid arthritis or chronic neck, back, or joint pain or as having neither condition.
NA because the test for nonlinearity in the log-hazard ratio was significant at α = 0.05.
Additionally adjusted for a previous diagnosis of benign prostatic hyperplasia.