Table 4. Summary risk estimates of the association between dietary cholesterol intake and endometrial cancer risk, dose-response analysis (per 100 mg/day increment).
No. of study | Summary OR (95% CI) | I2 value (%) | Ph* | Ph** | |
---|---|---|---|---|---|
Overall | 10 | 1.06 (1.00–1.12) | 64.2 | < 0.01 | |
Study design | 0.43 | ||||
Cohort study | 1 | 1.00 (0.95–1.05) | N/A | N/A | |
Case-control study | 9 | 1.07 (1.01–1.13) | 59.5 | 0.01 | |
Type of control subjects | 0.55 | ||||
Population-based | 4 | 1.05 (0.95–1.15) | 70.6 | 0.02 | |
Hospital-based | 5 | 1.09 (1.01–1.18) | 45.4 | 0.12 | |
Geographic location | 0.64 | ||||
North America | 7 | 1.05 (0.98–1.11) | 50.1 | 0.06 | |
Europe | 3 | 1.08 (0.96–1.22) | 84.8 | < 0.01 | |
Validated FFQ | 0.31 | ||||
Yes | 6 | 1.03 (0.96–1.11) | 77.0 | < 0.01 | |
No | 4 | 1.10 (1.03–1.18) | 0 | 0.69 | |
Number of cases | 0.55 | ||||
≥ 450 | 5 | 1.07 (1.01–1.14) | 70.8 | < 0.01 | |
< 450 | 5 | 1.04 (0.92–1.17) | 61.8 | 0.03 | |
Adjustment for potential confounders | |||||
Total energy intake | 0.98 | ||||
Yes | 9 | 1.06 (1.00–1.12) | 68.2 | < 0.01 | |
No | 1 | 1.06 (0.94–1.21) | N/A | N/A | |
Body mass index | 0.69 | ||||
Yes | 8 | 1.05 (0.99–1.12) | 71.4 | < 0.01 | |
No | 2 | 1.08 (0.98–1.20) | 0 | 0.57 | |
Cigarette smoking | 0.33 | ||||
Yes | 7 | 1.04 (0.99–1.10) | 55.3 | 0.04 | |
No | 3 | 1.10 (0.97–1.25) | 57.9 | 0.09 | |
Parity | 0.84 | ||||
Yes | 8 | 1.05 (0.99–1.13) | 71.8 | < 0.01 | |
No | 2 | 1.07 (0.99–1.16) | 0 | 0.82 | |
Oral contraceptive use | 0.62 | ||||
Yes | 7 | 1.07 (1.00–1.14) | 75.0 | < 0.01 | |
No | 3 | 1.04 (0.97–1.12) | 0 | 0.59 | |
Menopausal status | 0.86 | ||||
Yes | 7 | 1.06 (0.99–1.13) | 74.8 | < 0.01 | |
No | 3 | 1.06 (0.98–1.15) | 0 | 0.51 | |
Hormone replacement therapy use | 0.65 | ||||
Yes | 8 | 1.06 (1.00–1.13) | 70.9 | < 0.01 | |
No | 2 | 1.03 (0.91–1.17) | 5.9 | 0.30 |
CI, confidence interval; FFQ, food frequency questionnaire; N/A, not available; OR, odds ratio.
P-value for heterogeneity within each subgroup.
P-value for heterogeneity between subgroups with meta-regression analysis.