Table 3.
Sex‐specific associations of serum leptin and C‐reactive protein (CRP) with cancer death in the NHANES III, stratified by obesity status. All models were adjusted for age, race/ethnicity, poverty‐to‐income ratio (PIR), tobacco smoking, alcohol consumption, and vigorous physical activity
General obesitya | Abdominal obesityb | |||
---|---|---|---|---|
Not obese | Obese | Not obese | Obese | |
Men | ||||
N cancer death/N total | 145/2177 | 43/582 | 114/1965 | 74/794 |
Leptin (μg/L) | ||||
Low | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) |
Moderate | 0.85 (0.50–1.44) | 1.18 (0.22–6.40) | 0.91 (0.47–1.76) | 4.09 (0.88–19.10) |
High | 0.61 (0.24–1.53) | 1.56 (0.35–6.94) | 0.64 (0.20–1.99) | 2.71 (0.64–11.45) |
P trend | 0.28 | 0.56 | 0.49 | 0.59 |
P interaction leptin and obesity | 0.52 | 0.43 | ||
CRP (mg/L) | ||||
Low | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) |
Moderate | 0.99 (0.52–1.89) | 1.48 (0.41–5.40) | 1.06 (0.57–1.97) | 1.33 (0.63–2.79) |
High | 3.62 (1.86–7.04) | 0.59 (0.13–2.72) | 2.22 (0.97–5.05) | 3.43 (1.03–11.48) |
P trend | 0.004 | 0.89 | 0.17 | 0.07 |
P interaction CRP and obesity | 0.29 | 0.64 | ||
P interaction leptin and CRP | 0.39 | 0.09 | 0.11 | 0.08 |
Women | ||||
N cancer death/N total | 112/2235 | 67/963 | 52/1438 | 127/1760 |
Leptin (μg/L) | ||||
Low | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) |
Moderate | 0.76 (0.44–1.32) | 1.77 (0.20–16.16) | 1.06 (0.49–2.30) | 1.24 (0.64–2.41) |
High | 0.30 (0.14–0.65) | 0.65 (0.08–5.08) | N/A | 1.07 (0.55–2.07) |
P trend | 0.003 | 0.01 | 0.15 | 0.09 |
P interaction leptin and obesity | 0.63 | 0.41 | ||
CRP (mg/L) | ||||
Low | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) | 1.0 (Reference) |
Moderate | 1.32 (0.66–2.63) | 0.89 (0.33–2.36) | 1.00 (0.47–2.11) | 1.29 (0.70–2.36) |
High | 0.65 (0.25–1.68) | 0.92 (0.43–1.94) | N/A | 1.14 (0.62–2.07) |
P trend | 0.78 | 0.89 | 0.40 | 0.63 |
P interaction CRP and obesity | 0.83 | 0.35 | ||
P interaction leptin and CRP | 0.77 | 0.37 | 0.92 | 0.46 |
Adjusted for waist circumference (continuous).
Adjusted for body mass index (continuous).