Table 3. Relative risk of CRC according to plasma inflammatory markers.
|
Quartilea |
|
|||
---|---|---|---|---|---|
Analyte | 1 | 2 | 3 | 4 | Ptrendb |
CRP | |||||
Median (mg l−1) | 0.38 | 0.79 | 1.49 | 3.44 | |
No. of cases/controls | 62/131 | 53/133 | 73/135 | 86/133 | |
Crude RR (95% CI)c | 1.00 (reference) | 0.86 (0.55–1.33) | 1.14 (0.75–1.73) | 1.38 (0.90–2.09) | 0.04 |
Multivariate RR (95% CI)d | 1.00 (reference) | 0.80 (0.51–1.26) | 1.07 (0.69–1.64) | 1.24 (0.80–1.93) | 0.11 |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 0.78 (0.50–1.24) | 0.91 (0.58–1.41) | 1.17 (0.74–1.83) | 0.18 |
Within 2 years of follow-up | |||||
No. of cases/controls | 7/24 | 3/11 | 8/20 | 24/27 | |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 1.18 (0.21–6.67) | 1.04 (0.23–4.65) | 4.73 (1.31–17.1) | 0.005 |
After 2 years of follow-up | |||||
No. of cases/controls | 55/107 | 50/122 | 65/115 | 62/106 | |
Multivariate RR (95% CI)d+BMI (kg m−2) |
1.00 (reference) |
0.76 (0.47–1.23) |
0.87 (0.53–1.40) |
0.90 (0.54–1.52) |
0.91 |
IL-6 | |||||
Median (pg ml−1) | 0.73 | 1.15 | 1.64 | 3.42 | |
No. of cases/controls | 54/133 | 57/132 | 74/134 | 89/133 | |
Crude RR (95% CI)c | 1.00 (reference) | 1.10 (0.71–1.73) | 1.44 (0.93–2.23) | 1.70 (1.12–2.59) | 0.01 |
Multivariate RR (95% CI)d | 1.00 (reference) | 1.06 (0.67–1.68) | 1.34 (0.85–2.11) | 1.62 (1.05–2.50) | 0.02 |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 0.99 (0.61–1.59) | 1.17 (0.74–1.87) | 1.54 (0.99–2.40) | 0.02 |
Within 2 years of follow-up | |||||
No. of cases/controls | 3/16 | 5/23 | 15/22 | 19/21 | |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 1.30 (0.22–7.65) | 6.27 (1.21–32.63) | 6.78 (1.36–33.8) | 0.01 |
After 2 years of follow-up | |||||
No. of cases/controls | 51/117 | 52/109 | 59/112 | 70/112 | |
Multivariate RR (95% CI)d+BMI (kg m−2) |
1.00 (reference) |
0.96 (0.58–1.59) |
0.94 (0.57–1.56) |
1.26 (0.78–2.05) |
0.21 |
sTNFR-2 | |||||
Median (pg ml−1) | 2108 | 2535 | 2999 | 3765 | |
No. of cases/controls | 68/133 | 66/133 | 78/133 | 62/133 | |
Crude RR (95% CI)c | 1.00 (reference) | 1.01 (0.66–1.53) | 1.15 (0.76–1.76) | 0.91 (0.58–1.45) | 0.77 |
Multivariate RR (95% CI)d | 1.00 (reference) | 1.01 (0.66–1.56) | 1.15 (0.74–1.79) | 0.97 (0.60–1.57) | 0.97 |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 0.92 (0.59–1.43) | 1.07 (0.68–1.68) | 0.87 (0.54–1.43) | 0.69 |
Within 2 years of follow-up | |||||
No. of cases/controls | 5/15 | 14/16 | 14/26 | 9/25 | |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 3.00 (0.67–13.48) | 1.96 (0.45–8.61) | 1.69 (0.29–9.77) | 0.96 |
After 2 years of follow-up | |||||
No. of cases/controls | 63/118 | 52/117 | 64/107 | 53/108 | |
Multivariate RR (95% CI)d+BMI (kg m−2) | 1.00 (reference) | 0.80 (0.49–1.29) | 1.00 (0.62–1.63) | 0.89 (0.52–1.51) | 0.83 |
Abbreviations: BMI=body mass index; CI=confidence interval; CRC=colorectal cancer; CRP=C-reactive protein; IL-6=interleukin-6; RR=relative risk; sTNFR-2=soluble tumour necrosis factor receptor 2.
Quartiles of plasma inflammatory markers were based on the distribution among the control participants.
Tests for linear trend were conducted using the median values for each quartile of analyte.
Results were based on conditional logistic regression. Controls were matched to cases on age and date of blood collection.
Results were based on conditional logistic regression (matched for age and date of blood collection) with adjustment for CRC in parent or sibling (yes or no), prior lower gastrointestinal endoscopy (yes or no), pack-years of smoking (continuous), alcohol consumption (continuous, g per day), physical activity (continuous, MET hours per week), regular aspirin/NSAID use (yes or no, ⩾2 tablets per week), regular use of multivitamins (yes or no), energy-adjusted intake of folate (including supplements, μg per day, continuous), calcium (including supplements, mg per day, continuous) and total fiber (continuous, g per day), and red meat intake (continuous, serving per day).