Table 3.
Odds ratios and 95% confidence intervals for the association between metabolic syndrome and endometrial cancer subtype, SEER-Medicare.
| Metabolic conditions | Endometrioid Grade 1–2 (n=5,516) | Endometrioid Grade 3 (n=1,478) | Adenocarcinoma (n=5,219) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | ORa | 95% CI | n | % | ORa | 95% CI | n | % | ORa | 95% CI | |
|
|
||||||||||||
| Overweight/obesity | 435 | 7.9 | 2.08 | 1.86 – 2.34 | 106 | 7.2 | 1.93 | 1.56 – 2.38 | 277 | 5.3 | 1.89 | 1.64 – 2.17 |
| Impaired fasting glucose | 1,551 | 28.1 | 1.36 | 1.27 – 1.46 | 400 | 27.1 | 1.28 | 1.14 – 1.45 | 1,160 | 22.2 | 1.33 | 1.24 – 1.44 |
| High blood pressure | 3,877 | 70.3 | 1.33 | 1.25 – 1.42 | 1,055 | 71.4 | 1.37 | 1.22 – 1.55 | 3,349 | 64.2 | 1.40 | 1.31 – 1.50 |
| High triglycerides | 2,431 | 44.1 | 1.20 | 1.13 – 1.28 | 608 | 41.1 | 1.11 | 0.99 – 1.24 | 1,558 | 29.9 | 1.22 | 1.14 – 1.31 |
| Metabolic syndromeb | ||||||||||||
| NCEP-III | 987 | 17.9 | 1.42 | 1.31 – 1.53 | 260 | 17.6 | 1.40 | 1.21 – 1.61 | 561 | 10.8 | 1.41 | 1.27 – 1.56 |
| IDF | 303 | 5.5 | 2.09 | 1.83 – 2.40 | 73 | 4.9 | 2.02 | 1.57 – 2.59 | 165 | 3.2 | 1.99 | 1.67 – 2.38 |
| Metabolic conditions | Serous (n=1,111) | Clear cell (n=291) | Mucinous (n=206) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | ORa | 95% CI | n | % | ORa | 95% CI | n | % | ORa | 95% CI | |
|
|
||||||||||||
| Overweight/obesity | 76 | 6.8 | 1.85 | 1.45 – 2.36 | 17 | 5.8 | 1.68 | 1.01 – 2.77 | 17 | 8.3 | 2.71 | 1.63 – 4.49 |
| Impaired fasting glucose | 336 | 30.2 | 1.45 | 1.27 – 1.67 | 86 | 29.6 | 1.39 | 1.07 – 1.81 | 48 | 23.3 | 1.21 | 0.87 – 1.69 |
| High blood pressure | 744 | 67.0 | 1.12c | 0.98 – 1.28 | 210 | 72.2 | 1.42 | 1.09 – 1.85 | 149 | 72.3 | 1.74 | 1.27 – 2.38 |
| High triglycerides | 439 | 39.5 | 1.19 | 1.05 – 1.36 | 104 | 35.7 | 1.06 | 0.82 – 1.38 | 80 | 38.8 | 1.42 | 1.05 – 1.92 |
| Metabolic syndromeb | ||||||||||||
| NCEP-III | 192 | 17.3 | 1.41 | 1.19 – 1.67 | 50 | 17.2 | 1.46 | 1.06 – 2.02 | 33 | 16.0 | 1.69 | 1.14 – 2.50 |
| IDF | 61 | 5.5 | 2.29 | 1.74 – 3.01 | 13 | 4.5 | 2.03 | 1.15 – 3.60 | 15 | 7.3 | 4.06c | 2.36 – 6.99 |
| Metabolic conditions | Carcinosarcoma (n=912) | Sarcoma (n=237) | Other (n=816) | p-het | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | ORa | 95% CI | n | % | ORa | 95% CI | n | % | ORa | 95% CI | ||
|
|
|||||||||||||
| Overweight/obesity | 64 | 7.0 | 1.87 | 1.43 – 2.45 | 17 | 7.2 | 1.89 | 1.14 – 3.13 | 64 | 7.8 | 2.07 | 1.58 – 2.71 | 0.82 |
| Impaired fasting glucose | 245 | 26.9 | 1.20 | 1.03 – 1.40 | 59 | 24.9 | 1.16 | 0.85 – 1.57 | 255 | 31.3 | 1.43 | 1.23 – 1.67 | 0.35 |
| High blood pressure | 638 | 70.0 | 1.23 | 1.06 – 1.43 | 165 | 69.6 | 1.33 | 1.00 – 1.78 | 571 | 70.0 | 1.09 | 0.93 – 1.28 | 0.12 |
| High triglycerides | 311 | 34.1 | 0.89c | 0.76 – 1.03 | 84 | 35.4 | 0.92 | 0.69 – 1.22 | 322 | 39.5 | 0.93c | 0.80 – 1.08 | < 0.01 |
| Metabolic syndromeb | |||||||||||||
| NCEP-III | 137 | 15.0 | 1.14 | 0.94 – 1.38 | 39 | 16.5 | 1.34 | 0.94 – 1.92 | 151 | 18.5 | 1.31 | 1.08 – 1.58 | 0.82 |
| IDF | 37 | 4.1 | 1.58 | 1.12 – 2.24 | 13 | 5.5 | 2.17 | 1.22 – 3.85 | 49 | 6.0 | 2.34 | 1.72 – 3.17 | 0.31 |
ORs adjusted for diagnosis date, age, race/ethnicity, registry area, and tobacco use.
NCEP-III: US National Cholesterol Education Program Adult Treatment Panel III defines metabolic syndrome as the presence of at least three of the following conditions: central adiposity/elevated waist circumference, hypertension, high triglycerides, low HDL cholesterol, and impaired fasting glucose; IDF: International Diabetes Foundation defines metabolic syndrome as the presence of central adiposity/elevated waist circumference plus any 2 of the other factors (impaired fasting glucose, hypertension, low HDL cholesterol, high triglycerides).
p-value <0.05 for pairwise comparison with low grade (1 or 2) endometrioid type tumors.