Table 4.
Meta-analysis for the interaction effects between smoking status (ever vs. never) and variables possible or established risk factors of colorectal cancer
Risk factor of colorectal cancer | Case | Control | OR (95% C.I.) 2 | I2, % | P value for multiplicative interaction b,c | RERI (95% CI) b,d | I2, % | P value for additive interaction b,d |
---|---|---|---|---|---|---|---|---|
BMI<25 | 2375 | 3137 | 1.14 (1.10, 1.27) | 0 | 0.210 | 0.15 (−0.01, 0.31) | 0 | 0.06 |
BMI≥25 | 4293 | 4472 | 1.24 (1.13, 1.35) | 0 | ||||
Male a | 2341 | 2454 | 1.23 (1.09, 1.38) | 0 | 0.496 | −0.05 (−0.25, 0.16) | 0 | 0.66 |
Female | 2202 | 2164 | 1.18 (1.08, 1.29) | 0 | ||||
Fruit consumption (<median) | 3114 | 3404 | 1.27 (1.14, 1.41) | 0 | 0.112 | 0.16 (0.01, 0.30) | 0 | 0.04 |
Fruit consumption (≥median) | 3272 | 3951 | 1.13 (1.03, 1.25) | 0 | ||||
Vegetables consumption (<median) | 2825 | 3156 | 1.18 (1.06, 1.32) | 0 | 0.492 | −0.02 (−0.19, 0.15) | 0 | 0.81 |
Vegetables consumption (≥median) | 3618 | 4235 | 1.21 (1.10, 1.34) | 8 | ||||
Any NSAID usage (Yes) | 2201 | 3195 | 1.23 (1.09, 1.39) | 0 | 0.900 | 0.14 (−0.04, 0.32) | 0 | 0.14 |
Any NSAID usage (No) | 4539 | 4492 | 1.21 (1.11, 1.32) | 0 |
: In interaction analysis with sex, studies only including one sex were excluded (HPFS, NHS, and WHI);
: Adjusted for age, sex, BMI (<25, 25–<30), ≥30 kg/m2), education (high school graduate or less, some college or technical school, and college graduate or higher), alcohol intake (0–1 g/day, 1<−28 g/day, >28 g/day, when available), and study site (if applicable).
: Multiplicative interaction effects were evaluated by use of logistic regression models with interactive terms.
: Additive interaction effects were examined by use of linear odds ratio models with interactive terms; in the calculation of RERI, the reference groups are nerve smoker, BMI (<25 kg/m2), male, fruit consumption (≥ sex, study specific median [servings/day]), vegetables consumption (≥ sex, study specific median [servings/day]), any NSAID use (Yes), and alcohol intake (≤1 g/day).