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. 2015 Jun 17;182(3):187–197. doi: 10.1093/aje/kwv041

Table 3.

Odds Ratios and 95% Confidence Intervals for Leptin Concentration and Pancreatic Cancer by Follow-up Time in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study (1985–2009), Cancer Prevention Study II Nutrition Cohort (1998–2006), and Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (1992–2010)

Follow-up Perioda
Overallb
<5 Years
5 to <10 Years
≥10 Yearsb
Cases Controls OR 95% CI Cases Controls OR 95% CI Cases Controls OR 95% CI Cases Controls OR 95% CI
Total Populationc
Crude OR
 Q1d 149 181 1.00 Referent 45 52 1.00 Referent 45 53 1.00 Referent 59 76 1.00 Referent
 Q2 138 181 0.96 0.70, 1.31 37 58 0.82 0.46, 1.48 43 55 0.98 0.55, 1.74 58 68 1.12 0.69, 1.81
 Q3 137 183 0.96 0.70, 1.32 45 52 1.05 0.58, 1.90 44 69 0.79 0.45, 1.39 48 62 1.00 0.60, 1.68
 Q4 160 181 1.17 0.86, 1.60 47 55 1.14 0.62, 2.07 49 81 0.76 0.45, 1.31 64 45 1.94 1.13, 3.33
 Q5 147 183 1.06 0.78, 1.45 46 81 0.70 0.40, 1.22 47 61 1.01 0.58, 1.76 54 41 1.72 1.00, 2.94
  Ptrende 0.60 0.10 0.69 0.03
  Per SDb,f 731 909 1.03 0.93, 1.13 220 298 0.86 0.72, 1.04 228 319 1.04 0.87, 1.23 283 292 1.22 1.01, 1.47
Adjusted OR
 Q1d 149 181 1.00 Referent 45 52 1.00 Referent 45 53 1.00 Referent 59 76 1.00 Referent
 Q2 138 181 0.95 0.68, 1.33 37 58 0.81 0.52, 2.12 43 55 0.98 0.52, 1.84 58 68 1.16 0.69, 1.95
 Q3 137 183 0.98 0.68, 1.40 45 52 1.05 0.52, 2.12 44 69 0.77 0.40, 1.47 48 62 1.05 0.58, 1.90
 Q4 160 181 1.20 0.84, 1.74 47 55 1.16 0.56, 2.40 49 81 0.77 0.40, 1.49 64 45 2.21 1.18, 4.13
 Q5 147 183 1.13 0.75, 1.71 46 81 0.65 0.30, 1.39 47 61 1.08 0.50, 2.33 54 41 2.55 1.23, 5.27
  Ptrende 0.38 0.07 0.36 0.004
  Per SDb,f 731 909 1.06 0.93, 1.22 220 298 0.79 0.61, 1.03 228 319 1.12 0.88, 1.42 283 292 1.44 1.11, 1.88
ATBC Cohort
Crude OR
 Q1d 87 91 1.00 Referent 22 14 1.00 Referent 23 16 1.00 Referent 42 61 1.00 Referent
 Q2 75 86 0.93 0.61, 1.43 14 18 0.51 0.18, 1.44 18 14 0.90 0.33, 2.46 43 54 1.24 0.71, 2.17
 Q3 60 65 0.99 0.62, 1.57 12 13 0.58 0.19, 1.81 13 12 0.77 0.28, 2.17 35 40 1.39 0.75, 2.58
 Q4 74 57 1.40 0.88, 2.23 11 13 0.59 0.18, 1.94 16 16 0.80 0.31, 2.03 47 28 2.75 1.42, 5.31
 Q5 56 53 1.13 0.69, 1.85 10 11 0.56 0.17, 1.85 4 16 0.18 0.05, 0.70 42 26 2.62 1.33, 5.19
  Ptrende 0.29 0.65 0.01 0.006
  Per SDb,f 352 352 1.09 0.93, 1.29 69 69 0.89 0.55, 1.46 74 74 0.59 0.37, 0.94 209 209 1.35 1.07, 1.71
 Adjusted OR
 Q1d 87 91 1.00 Referent 22 14 1.00 Referent 23 16 1.00 Referent 42 61 1.00 Referent
 Q2 75 86 0.89 0.57, 1.40 14 18 0.35 0.08, 1.41 18 14 0.81 0.28, 2.34 43 54 1.32 0.72, 2.42
 Q3 60 65 0.95 0.57, 1.59 12 13 0.37 0.09, 1.65 13 12 0.61 0.19, 2.01 35 40 1.47 0.72, 2.98
 Q4 74 57 1.50 0.87, 2.59 11 13 0.54 0.11, 2.71 16 16 0.62 0.18, 2.14 47 28 3.20 1.48, 6.94
 Q5 56 53 1.33 0.70, 2.52 10 11 0.39 0.07, 2.08 4 16 0.13 0.02, 0.70 42 26 4.71 1.80, 12.3
  Ptrende 0.15 0.69 0.006 0.001
  Per SDb,f 352 352 1.18 0.94, 1.49 69 69 0.87 0.43, 1.75 74 74 0.41 0.21, 0.83 209 209 1.67 1.19, 2.35
PLCO/CPS-IIg
Crude OR
 Q1d 62 90 1.00 Referent 23 38 1.00 Referent 22 37 1.00 Referent 17 15 1.00 Referent
 Q2 63 95 0.99 0.63, 1.57 23 40 1.07 0.51, 2.23 25 41 1.09 0.51, 2.29 15 14 0.85 0.31, 2.35
 Q3 77 118 0.93 0.60, 1.44 33 39 1.40 0.68, 2.86 31 57 0.89 0.44, 1.81 13 22 0.49 0.17, 1.36
 Q4 86 124 1.03 0.66, 1.59 36 42 1.51 0.73, 3.10 33 65 0.84 0.42, 1.69 17 17 0.86 0.31, 2.36
 Q5 91 130 1.01 0.67, 1.52 36 70 0.82 0.43, 1.58 43 45 1.64 0.83, 3.24 12 15 0.76 0.30, 1.97
  Ptrende 0.94 0.12 0.08 0.62
  Per SDb,f 379 557 1.09 0.93, 1.29 151 229 0.86 0.70, 1.04 154 245 1.19 0.98, 1.45 74 83 0.91 0.61, 1.34
Adjusted OR
 Q1d 62 90 1.00 Referent 23 38 1.00 Referent 22 37 1.00 Referent 17 15 1.00 Referent
 Q2 63 95 1.07 0.65, 1.78 23 40 1.27 0.55, 2.94 25 41 1.22 0.52, 2.85 15 14 1.08 0.31, 3.75
 Q3 77 118 1.02 0.61, 1.71 33 39 1.67 0.71, 3.89 31 57 0.99 0.42, 2.35 13 22 0.49 0.13, 1.86
 Q4 86 124 1.13 0.67, 1.89 36 42 1.71 0.71, 4.14 33 65 1.00 0.42, 2.37 17 17 1.59 0.45, 5.67
 Q5 91 130 1.08 0.62, 1.90 36 70 0.80 0.32, 2.00 43 45 2.39 0.87, 6.56 12 15 1.45 0.38, 5.58
  Ptrende 0.81 0.04 0.03 0.54
  Per SDb,f 379 557 1.02 0.86, 1.22 151 229 0.75 0.56, 1.00 154 245 1.36 1.03, 1.81 74 83 1.20 0.68, 2.11

Abbreviations: ATBC, Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study; CI, confidence interval; CPS-II, Cancer Prevention Study Nutrition Cohort; OR, odds ratio; PLCO, Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial; Q, quintile; SD, standard deviation.

a P value for interaction with follow-up time (continuous measure) in overall models was 0.003. P value was based on a −2 log-likelihood test using a continuous leptin measure.

b Pheterogeneity by cohort was 0.87 overall and 0.12 for >10 years. Pheterogeneity was based on a −2 log-likelihood test with 2 df comparing a model with an interaction term for cohort and continuous leptin with a model without any interaction term.

c Conditional logistic regression. Crude models were conditioned on age, sex, race, cohort, and date of blood draw. Multivariable model was additionally adjusted for age, smoking, body mass index (8 categories), and diabetes.

d Sex-specific quintiles were <2.89, 2.89 to <4.80, 4.80 to <7.22, 7.22 to <11.67, and ≥11.67 ng/mL for men and <10.82, 10.82 to <17.43, 17.43 to <26.55, 26.55 to <40.78, and ≥40.78 ng/mL for women.

e Ptrend was based on a −2 log-likelihood test comparing a model with a continuous leptin measure (standard deviation) with a model without a continuous measure.

f Standard deviations were 7.34 ng/mL for men and 23.12 ng/mL for women.

g Analyses combine the 2 US cohorts (PLCO and CPS-II) that were similar in demographics and calendar era.