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. 2017 Aug 28;71(10):961–969. doi: 10.1136/jech-2016-208606

Table 2.

Logistic regression estimates of colon outcomes according to quartiles of total dietary, soluble and insoluble fibres and measures of non-steroidal anti-inflammatory drug use (nfibre=2194; nNSAID=2548)

Polyps High-risk adenomatous polyps
Controls Cases Crude
OR (95% CI)
Adjusted*
OR (95% CI)
Controls Cases Crude
OR (95% CI)
Adjusted*
OR (95% CI)
Total dietary fibre†
 Q1 (low) 320 228 1.0 (ref.) 1.0 (ref.) 506 42 1.0 (ref.) 1.0 (ref.)
 Q2 330 215 0.91 (0.72 to 1.16) 0.88 (0.68 to 1.14) 509 36 0.85 (0.54 to 1.35) 0.82 (0.50 to 1.34)
 Q3 334 215 0.90 (0.71 to 1.15) 0.86 (0.65 to 1.13) 510 39 0.92 (0.59 to 1.45) 0.93 (0.53 to 1.51)
 Q4 (high) 347 205 0.83 (0.65 to 1.06) 0.77 (0.56 to 1.07) 529 23 0.52 (0.31 to 0.88) 0.46 (0.23 to 0.93)
Ptrend=0.14 Ptrend=0.14 Ptrend=0.03 Ptrend=0.08
Soluble fibre‡
 Q1 (low) 314 233 1.0 (ref.) 1.0 (ref.) 506 41 1.0 (ref.) 1.0 (ref.)
 Q2 341 210 0.83 (0.65 to 1.06) 0.76 (0.59 to 0.99) 517 34 0.81 (0.51 to 1.30) 0.75 (0.45 to 1.25)
 Q3 321 224 0.94 (0.74 to 1.20) 0.83 (0.63 to 1.09) 503 42 1.03 (0.66 to 1.61) 0.96 (0.57 to 1.63)
 Q4 (high) 355 196 0.74 (0.58 to 0.95) 0.62 (0.44 to 0.88) 528 23 0.54 (0.32 to 0.91) 0.48 (0.23 to 0.98)
Ptrend=0.05 Ptrend=0.02 Ptrend=0.07 Ptrend=0.16
Insoluble fibre§
 Q1 (low) 320 227 1.0 (ref.) 1.0 (ref.) 503 44 1.0 (ref.) 1.0 (ref.)
 Q2 333 212 0.90 (0.70 to 1.14) 0.89 (0.68 to 1.15) 510 35 0.78 (0.49 to 1.24) 0.80 (0.49 to 1.31)
 Q3 327 221 0.95 (0.75 to 1.21) 0.94 (0.71 to 1.23) 511 37 0.83 (0.53 to 1.30) 0.84 (0.50 to 1.41)
 Q4 (high) 351 203 0.82 (0.64 to 1.04) 0.77 (0.56 to 1.07) 530 24 0.52 (0.31 to 0.86) 0.48 (0.25 to 0.93)
Ptrend=0.16 Ptrend=0.19 Ptrend=0.02 Ptrend=0.06
Ever used NSAIDs
 No 513 433 1.0 (ref.) 1.0 (ref.) 850 96 1.0 (ref.) 1.0 (ref.)
 Yes 937 665 0.84 (0.72 to 0.99) 0.98 (0.83 to 1.16) 1509 93 0.55 (0.41 to 0.73) 0.65 (0.47 to 0.89)
NSAID daily dose-years¶
 None 513 433 1.0 (ref.) 1.0 (ref.) 850 96 1.0 (ref.) 1.0 (ref.)
 T1 246 221 0.76 (0.61 to 0.94) 0.87 (0.69 to 1.09) 536 31 0.51 (0.34 to 0.78) 0.60 (0.39 to 0.92)
 T2 279 224 0.95 (0.77 to 1.18) 1.12 (0.89 to 1.41) 469 34 0.64 (0.43 to 0.96) 0.76 (0.50 to 1.17)
 T3 (high) 312 220 0.84 (0.67 to 1.04) 0.99 (0.79 to 1.25) 504 28 0.49 (0.32 to 0.76) 0.63 (0.40 to 1.00)
Ptrend=0.21 Ptrend=0.58 Ptrend<0.01 Ptrend=0.03
NSAID use frequency
 No regular use 513 433 1.0 (ref.) 1.0 (ref.) 850 96 1.0 (ref.) 1.0 (ref.)
 Monthly 245 161 0.79 (0.64 to 0.99) 1.00 (0.79 to 1.26) 383 23 0.47 (0.30 to 0.74) 0.60 (0.37 to 0.95)
 Weekly 162 130 0.89 (0.70 to 1.15) 1.06 (0.81 to 1.38) 273 19 0.56 (0.35 to 0.92) 0.72 (0.43 to 1.20)
 Daily 272 193 0.84 (0.67 to 1.05) 0.91 (0.71 to 1.15) 442 23 0.46 (0.29 to 0.74) 0.53 (0.32 to 0.86)
Ptrend=0.18 Ptrend=0.70 Ptrend<0.01 Ptrend=0.01

*Multivariate models adjusted for age, sex, BMI, smoking status (never, former and current), reason for colonoscopy (average risk, FOBT/FIT+ and family history) and family history of polyps (yes, no). Dietary fibre intake analyses additionally adjusted for total daily caloric intake.

†Quartile cut-offs for total dietary fibre intake were: ≤14.3, 14.31–19.14, 19.15–25.51 and ≥25.52 g/day.

‡Quartile cut-offs for dietary soluble fibre intake were: ≤4.83, 4.84–6.42, 6.43–8.44 and ≥8.45 g/day.

§Quartile cut-offs for dietary insoluble fibre intake were: ≤9.36, 9.37–12.72, 12.73–16.96 and ≥16.98 g/day.

¶Tertile cut-offs for NSAID use were: 4.5×10−5–00.164, 0.165–0.894 and ≥0.904 daily dose-years.

NSAID, non-steroidal anti-inflammatory drug; Ref., reference group.