Table 3. Odds Ratios of Coronary Heart Disease for Tertiles of Serum Levels of Total, Bioavailable, and Percent Free Estradiol, SHBG, and Estrone in Postmenopausal Women (NYUWHS, 1985-1994).
n | OR for CHD (95% CI) | ||||
---|---|---|---|---|---|
Control | Case | Model 1 1 | Model 2 2 | Model 3 3 | |
Estrone, pg/mL | |||||
5-17 | 67 | 35 | 1.00 | 1.00 | 1.00 |
18-27 | 73 | 21 | 0.51 (0.26-1.02) | 0.41 (0.19-0.88) | 0.32 (0.14-0.73) |
28-86 | 57 | 42 | 1.34 (0.74-2.43) | 0.86 (0.43-1.71) | 0.76 (0.37-1.55) |
P for trend | 0.48 | 0.40 | 0.22 | ||
Continuous scale (log2) | 1.11 (0.83-1.48) | 0.87 (0.62-1.21) | 0.80 (0.56-1.14) | ||
Total estradiol, pg/mL | |||||
1-4 | 67 | 27 | 1.00 | 1.00 | 1.00 |
5-7 | 69 | 24 | 1.28 (0.67-2.44) | 0.78 (0.39-1.58) | 0.73 (0.35-1.52) |
8-74 | 62 | 48 | 1.84 (1.00-3.38) | 1.20 (0.58-2.49) | 1.20 (0.57-2.55) |
P for trend | 0.09 | 0.81 | 0.70 | ||
Continuous scale (log2) | 1.27 (0.96-1.69) | 0.96 (0.69-1.34) | 0.93 (0.66-1.32) | ||
SHBG, nmol/L | |||||
7.9-43.0 | 60 | 39 | 1.00 | 1.00 | 1.00 |
43.1-63.4 | 61 | 36 | 0.88 (0.49-1.56) | 1.44 (0.72-2.88) | 1.40 (0.68-2.91) |
63.5-178.0 | 77 | 24 | 0.50 (0.28-0.92) | 1.13 (0.51-2.50) | 1.08 (0.48-2.44) |
P for trend | <0.01 | 0.55 | 0.46 | ||
Continuous scale (log2) | 0.59 (0.42-0.83) | 0.88 (0.57-1.35) | 0.85 (0.54-1.32) | ||
Percent free estradiol | |||||
0.70-1.07 | 77 | 30 | 1.00 | 1.00 | 1.00 |
1.08-1.21 | 60 | 31 | 1.32 (0.73-2.40) | 0.82 (0.42-1.62) | 0.82 (0.40-1.68) |
1.22-1.81 | 61 | 38 | 1.58 (0.89-2.82) | 0.87 (0.42-1.81) | 0.85 (0.40-1.83) |
P for trend | 0.13 | 0.41 | 0.35 | ||
Continuous scale (log2) | 2.20 (0.78-6.21) | 0.55 (0.13-2.29) | 0.48 (0.10-2.24) | ||
Bioavailable estradiol (pg/mL) | |||||
0.53-2.88 | 71 | 28 | 1.00 | 1.00 | 1.00 |
2.89-4.84 | 72 | 26 | 0.99 (0.53-1.88) | 0.68 (0.33-1.37) | 0.62 (0.30-1.30) |
4.85-41.63 | 55 | 45 | 2.10 (1.13-3.90) | 1.09 (0.51-2.30) | 1.03 (0.47-2.24) |
P for trend | 0.03 | 0.79 | 0.71 | ||
Continuous scale (log2) | 1.32 (1.02-1.72) | 0.96 (0.69-1.33) | 0.94 (0.67-1.32) |
ORs adjusted for matching factors.
ORs additionally adjusted for baseline hypertension status, BMI, and serum total and HDL cholesterol.
ORs adjusted for variables in models 1 and 2 and for smoking status (current vs. past or never), family history of MI, physical activity, and alcohol consumption.