Table 3.
Follow-up Perioda |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overallb |
<5 Years |
5 to <10 Years |
≥10 Yearsb |
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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.