Table 3.
Trends of hazard ratios of head and neck cancers for increasing waist-to-hip ratio and body mass index (BMI) at different ages in the NIH-AARP Diet and health Study1
| Total head and neck cancers | Oral cavity cancer | Oro- and hypopharynx cancer | Laryngeal cancer | ||
|---|---|---|---|---|---|
|
|
|||||
| Per 5 unit increase in baseline BMI (kg/m2) | All | 0.89 (0.79–0.99) | 0.87 (0.74–1.03) | 0.71 (0.53–0.95) | 0.98 (0.81–1.18) |
| Never-smokers | 0.98 (0.76–1.26) | 0.95 (0.69–1.32) | 0.63 (0.29–1.36) | 1.54 (0.86–2.75) | |
| Former smokers | 0.94 (0.80–1.10) | 0.91 (0.72–1.16) | 0.92 (0.63–1.34) | 1.02 (0.78–1.35) | |
| Current smokers | 0.76 (0.63–0.93) | 0.70 (0.50–0.98) | 0.44 (0.26–0.76) | 0.90 (0.67–1.21) | |
| Interaction p value | 0.04 | 0.06 | 0.21 | 0.16 | |
| Per 0.1 unit increase in waist-to-hip ratio | All | 1.16 (1.03–1.31) | 1.40 (1.17–1.67) | 0.87 (0.63–1.20) | 1.10 (0.89–1.35) |
| Never-smokers | 1.08 (0.79–1.47) | 1.31 (0.89–1.92) | 0.38 (0.16–0.94) | 0.90 (0.42–1.93) | |
| Former smokers | 1.14 (0.95–1.37) | 1.57 (1.22–2.01) | 0.58 (0.36–0.91) | 1.09 (0.80–1.51) | |
| Current smokers | 1.25 (1.02–1.54) | 1.25 (0.89–1.75) | 1.96 (1.22–3.16) | 1.16 (0.84–1.59) | |
| Interaction p value | 0.80 | 0.40 | 0.05 | 0.27 | |
BMI = body mass index; WHR = waist-to-hip ratio.
Cox proportional hazards regression was used to estimate hazard ratios (HR) and 95% confidence intervals (95%CI). Risk estimates adjusted for age, sex, marital status, cigarette smoking, education, ethnicity, alcohol consumption, physical activity, and fruit and vegetable intake.