Table 3.
Relationship between estradiol, estrone, insulin, and endometrial cancer risk after stratification for BMI, WHR, diabetes, or hypertension using a logistic regression model in total, premenopausal and postmenopausal women, respectively.
Estrone |
Estradiol |
Insulin |
||||||||
---|---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value | ||
Total women | BMI | |||||||||
<24 | 1.487 | 0.972–2.273 | 0.067 | 1.032 | 0.675–1.577 | 0.885 | 2.748 | 1.706–4.427 | 0.000 | |
≥24 | 2.406 | 1.748–3.312 | 0.000 | 0.896 | 0.655–1.224 | 0.489 | 2.304 | 1.660–3.196 | 0.000 | |
WHR | ||||||||||
<0.85 | 1.130 | 0.661–1.931 | 0.655 | 0.616 | 0.357–1.064 | 0.083 | 2.921 | 1.621–5.265 | 0.000 | |
≥0.85 | 2.504 | 1.856–3.378 | 0.000 | 1.088 | 0.813–1.456 | 0.571 | 2.219 | 1.578–2.872 | 0.000 | |
Diabetes | ||||||||||
No | 2.006 | 1.521–2.644 | 0.000 | 0.891 | 0.679–1.170 | 0.407 | 2.581 | 1.951–3.414 | 0.000 | |
Yes | 2.718 | 1.219–6.060 | 0.015 | 2.057 | 0.936–4.524 | 0.073 | 1.851 | 0.823–4.165 | 0.137 | |
Hypertension | ||||||||||
No | 1.837 | 1.342–2.515 | 0.000 | 1.045 | 0.766–1.426 | 0.779 | 2.918 | 2.112–4.032 | 0.000 | |
Yes | 2.669 | 1.690–4.215 | 0.000 | 0.985 | 0.634–1.532 | 0.947 | 1.683 | 1.059–2.675 | 0.028 | |
Premenopausal women | BMI | |||||||||
<24 | 1.549 | 0.697–3.445 | 0.283 | 0.83 | 0.376–1.830 | 0.644 | 3.5 | 1.468–8.343 | 0.005 | |
≥24 | 0.967 | 0.544–1.718 | 0.908 | 0.541 | 0.303–0.968 | 0.038 | 2.571 | 1.392–4.746 | 0.003 | |
WHR | ||||||||||
<0.85 | 0.771 | 0.287–2.077 | 0.608 | 0.727 | 0.269–1.965 | 0.53 | 2.756 | 0.973–7.810 | 0.056 | |
≥0.85 | 1.258 | 0.724–2.186 | 0.415 | 0.588 | 0.337–1.024 | 0.061 | 2.806 | 1.580–4.983 | 0.000 | |
Diabetes | ||||||||||
No | 0.94 | 0.576–1.532 | 0.803 | 0.537 | 0.327–0.881 | 0.014 | 3.778 | 2.255–6.328 | 0.000 | |
Yes | 1.939E8 | – | 0.998 | 1.419 | 0.121–16.644 | 0.780 | 5.571 | 0.468–66.325 | 0.174 | |
Hypertension | ||||||||||
No | 1.276 | 0.764–2.129 | 0.352 | 0.518 | 0.309–0.868 | 0.013 | 4.76 | 2.754–8.227 | 0.000 | |
Yes | 0.917 | 0.322–2.612 | 0.871 | 0.794 | 0.281–2.238 | 0.662 | 1.167 | 0.381–3.573 | 0.786 | |
Postmenopausal women | BMI | |||||||||
<24 | 1.613 | 0.960–2.710 | 0.071 | 0.989 | 0.589–1.661 | 0.968 | 2.429 | 1.371–4.305 | 0.002 | |
≥24 | 2.401 | 1.640–3.516 | 0.000 | 0.769 | 0.529–1.119 | 0.170 | 2.096 | 1.424–3.086 | 0.000 | |
WHR | ||||||||||
<0.85 | 1.341 | 0.697–2.583 | 0.380 | 0.706 | 0.362–1.376 | 0.307 | 3.253 | 1.545–6.849 | 0.002 | |
≥0.85 | 2.426 | 1.705–3.452 | 0.000 | 0.876 | 0.620-1.236 | 0.45 | 1.837 | 1.293–2.609 | 0.001 | |
Diabetes | ||||||||||
No | 2.282 | 1.632–3.193 | 0.000 | 0.875 | 0.630–1.216 | 0.428 | 2.11 | 1.509–2.950 | 0.000 | |
Yes | 1.535 | 0.662–3.558 | 0.318 | 1.071 | 0.464–2.475 | 0.872 | 1.842 | 0.739–4.589 | 0.190 | |
Hypertension | ||||||||||
No | 1.738 | 1.168–2.586 | 0.006 | 0.782 | 0.527–1.160 | 0.222 | 2.188 | 1.459–3.281 | 0.000 | |
Yes | 2.357 | 1.424–3.900 | 0.001 | 0.912 | 0.557–1.495 | 0.715 | 1.751 | 1.048–2.925 | 0.032 |
The cut-off points for serum estradiol concentrations were 21.01, 50.18, and 18.36 pg/mL in total, premenopausal, and postmenopausal women, respectively.
The cut-off points for serum estrone concentrations were 42.70, 58.53, and 37.51 pg/mL in total, premenopausal, and postmenopausal women, respectively.
The cut-off points for serum insulin concentrations were 8.82, 8.74, and 8.90 mIU/mL in total, premenopausal, and postmenopausal women, respectively.
CI, confidence interval; OR, odds ratio; BMI, body mass index; WHR, waist-to-hip ratio.
Red text: Statistically significant.