Table 5.
Hazard ratios (HRs) and 95% confidence intervals (CIs) of colorectal cancer, overall and by subsite, according to intake of marine ω-3 polyunsaturated fatty acids with variable latency periods in the Health Professionals Follow-up Study1
No. of cases | HR (95% CI)
|
P for trend | ||||
---|---|---|---|---|---|---|
<0.16 g/d | ≥0.16 to <0.27 g/d | ≥0.27 to <0.41 g/d | ≥0.41 g/d | |||
Colorectal cancer | ||||||
0-4-year lag | 847 | 1.00 (referent) | 1.03 (0.84-1.26) | 1.21 (1.00-1.46) | 1.06 (0.87-1.30) | 0.53 |
4-8-year lag | 569 | 1.00 (referent) | 1.05 (0.81-1.35) | 1.09 (0.87-1.37) | 0.92 (0.71-1.18) | 0.46 |
8-12-year lag | 363 | 1.00 (referent) | 1.05 (0.78-1.41) | 0.96 (0.71-1.28) | 0.90 (0.66-1.24) | 0.48 |
12-16-year lag | 253 | 1.00 (referent) | 0.85 (0.60-1.20) | 0.86 (0.61-1.20) | 0.76 (0.52-1.10) | 0.15 |
Proximal colon cancer | ||||||
0-4-year lag | 307 | 1.00 (referent) | 0.86 (0.60-1.21) | 1.20 (0.88-1.63) | 1.12 (0.80-1.56) | 0.38 |
4-8-year lag | 200 | 1.00 (referent) | 0.81 (0.52-1.25) | 0.89 (0.61-1.31) | 0.81 (0.54-1.23) | 0.39 |
8-12-year lag | 133 | 1.00 (referent) | 0.78 (0.48-1.28) | 0.62 (0.37-1.02) | 0.72 (0.43-1.20) | 0.17 |
12-16-year lag | 94 | 1.00 (referent) | 1.00 (0.57-1.75) | 0.86 (0.49-1.51) | 0.69 (0.35-1.33) | 0.25 |
Distal colon cancer | ||||||
0-4-year lag | 263 | 1.00 (referent) | 1.24 (0.87-1.76) | 1.30 (0.93-1.82) | 1.02 (0.70-1.49) | 0.96 |
4-8-year lag | 187 | 1.00 (referent) | 1.21 (0.78-1.89) | 1.61 (1.09-2.39) | 0.79 (0.49-1.28) | 0.34 |
8-12-year lag | 113 | 1.00 (referent) | 1.94 (1.13-3.33) | 1.80 (1.06-3.06) | 1.35 (0.73-2.48) | 0.43 |
12-16-year lag | 72 | 1.00 (referent) | 0.68 (0.33-1.40) | 1.07 (0.58-1.94) | 0.80 (0.39-1.65) | 0.71 |
Rectal cancer | ||||||
0-4-year lag | 186 | 1.00 (referent) | 0.98 (0.63-1.52) | 1.17 (0.78-1.75) | 1.04 (0.68-1.59) | 0.82 |
4-8-year lag | 121 | 1.00 (referent) | 1.18 (0.69-2.01) | 0.96 (0.58-1.61) | 0.99 (0.58-1.69) | 0.87 |
8-12-year lag | 85 | 1.00 (referent) | 0.91 (0.49-1.68) | 0.90 (0.50-1.62) | 0.69 (0.35-1.35) | 0.28 |
12-16-year lag | 65 | 1.00 (referent) | 1.06 (0.54-2.06) | 0.79 (0.39-1.61) | 0.68 (0.33-1.43) | 0.27 |
Cox proportional hazards models were used and adjusted for the same sets of covariates as in Table 3.