Table 3.
Participants, No. |
Model 1b |
Model 2c |
Model 3d |
|||||
Cases | Noncases | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
Blood Cadmium (μg/L) | ||||||||
Quintile 1 (≤0.26) | 22 | 384 | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference |
Quintile 2 (0.26–0.3) | 17 | 392 | 0.61 | 0.23, 1.58 | 0.61 | 0.23, 1.61 | 0.58 | 0.22, 1.54 |
Quintile 3 (0.4–0.5) | 33 | 586 | 0.63 | 0.23, 1.71 | 0.64 | 0.23, 1.75 | 0.61 | 0.22, 1.69 |
Quintile 4 (0.6–0.7) | 79 | 927 | 0.81 | 0.41, 1.58 | 0.76 | 0.40, 1.42 | 0.67 | 0.36, 1.24 |
Quintile 5 (≥0.8) | 72 | 611 | 1.66 | 0.92, 3.00 | 1.49 | 0.86, 2.58 | 1.19 | 0.66, 2.16 |
P trende | <0.001 | <0.001 | 0.01 | |||||
Urine Cadmium (μg/g Creatinine) | ||||||||
Quintile 1 (<0.20) | 10 | 130 | 1.00 | Reference | 1.00 | Reference | 1.00 | Reference |
Quintile 2 (0.20–0.30) | 23 | 465 | 0.44 | 0.14, 1.37 | 0.43 | 0.13, 1.36 | 0.42 | 0.13, 1.33 |
Quintile 3 (0.31–0.43) | 37 | 773 | 0.35 | 0.14, 0.92 | 0.34 | 0.13, 0.94 | 0.32 | 0.12, 0.85 |
Quintile 4 (0.44–0.68) | 61 | 887 | 0.29 | 0.11, 0.73 | 0.30 | 0.11, 0.80 | 0.24 | 0.09, 0.68 |
Quintile 5 (≥0.69) | 92 | 645 | 0.78 | 0.30, 2.00 | 0.80 | 0.28, 2.31 | 0.56 | 0.18, 1.71 |
P trende | 0.004 | 0.008 | 0.22 |
Abbreviations: CI, confidence interval; OR, odds ratio.
International system conversion factors: To convert blood cadmium to nmol/L, multiply by 8.896; to convert creatinine-corrected urine cadmium to nmol/mmol creatinine, multiply by 1.006.
Adjusted for age (years), race-ethnicity (non-Hispanic white, non-Hispanic black, Mexican American, other), and survey year.
Further adjusted for education (<high school, ≥high school), postmenopausal status for women (yes, no), body mass index (kg/m2), blood lead (log μg/dL), C-reactive protein (log mg/L), total cholesterol (mg/dL), high density lipoprotein cholesterol (mg/dL), cholesterol-lowering medication (yes, no), systolic blood pressure (mm Hg), blood-pressure-lowering medication (yes, no), diabetes (yes, no), and estimated glomerular filtration rate (mL/minute per 1.73 m2).
Further adjusted for smoking (never, former, current) and serum cotinine (log ng/mL).
Two-sided P value for linear trend across quintiles of cadmium were obtained by including blood- or creatinine-corrected medians corresponding to each quintile as continuous variables in the linear regression models.