Table 3.
Hazard Ratios for Incident Colon and Rectal Cancer in Relation to Body Mass Index Women in the National Institutes of Health-AARP Diet and Health Study Cohort, 1995–1996
Colon Cancera |
Rectal Cancera |
|||||||
---|---|---|---|---|---|---|---|---|
No. of Cases | MVHRb | 95% CI | P for Trendc | No. of Cases | MVHRb | 95% CI | P for Trendc | |
BMId at baseline | 0.20 | 0.45 | ||||||
<18.5 | 14 | 1.33 | 0.76, 2.30 | 6 | 1.94 | 0.82, 4.58 | ||
18.5–21.9 | 148 | 1.00 | Referent | 43 | 1.00 | Referent | ||
22.0–22.9 | 68 | 1.00 | 0.75, 1.34 | 22 | 1.15 | 0.68, 1.93 | ||
23.0–24.9 | 176 | 1.08 | 0.87, 1.35 | 50 | 1.07 | 0.71, 1.63 | ||
25.0–27.4 | 207 | 1.11 | 0.89, 1.38 | 64 | 1.21 | 0.82, 1.81 | ||
27.5–29.9 | 127 | 1.15 | 0.90, 1.47 | 32 | 1.01 | 0.63, 1.61 | ||
30.0–32.4 | 82 | 1.00 | 0.76, 1.32 | 20 | 0.85 | 0.49, 1.47 | ||
32.5–34.9 | 54 | 1.07 | 0.78, 1.48 | 20 | 1.45 | 0.84, 2.51 | ||
≥35 | 86 | 1.23 | 0.93, 1.64 | 25 | 1.28 | 0.76, 2.16 | ||
HRc per 5 kg/m2 | 1.05 | 0.98, 1.12 | 1.05 | 0.92, 1.19 | ||||
BMId at 50 years of age | 0.002 | 0.96 | ||||||
<18.5 | 18 | 1.52 | 0.94, 2.46 | 2 | 0.45 | 0.11, 1.84 | ||
18.5–21.9 | 220 | 1.00 | Referent | 79 | 1.00 | Referent | ||
22.0–22.9 | 102 | 1.06 | 0.84, 1.34 | 24 | 0.70 | 0.44, 1.10 | ||
23.0–24.9 | 234 | 1.15 | 0.96, 1.39 | 69 | 0.93 | 0.67, 1.30 | ||
25.0–27.4 | 194 | 1.19 | 0.98, 1.45 | 58 | 0.97 | 0.69, 1.37 | ||
27.5–29.9 | 69 | 1.08 | 0.82, 1.42 | 19 | 0.70 | 0.41, 1.21 | ||
30.0–32.4 | 52 | 1.24 | 0.91, 1.70 | 11 | 0.73 | 0.39, 1.38 | ||
32.5–34.9 | 25 | 1.14 | 0.74, 1.74 | 11 | 1.40 | 0.74, 2.66 | ||
≥35 | 48 | 1.82 | 1.31, 2.52 | 9 | 0.93 | 0.46, 1.89 | ||
HRc per 5 kg/m2 | 1.13 | 1.05, 1.23 | 1.00 | 0.85, 1.16 | ||||
BMId at 35 years of age | 0.01 | 0.69 | ||||||
<18.5 | 29 | 0.91 | 0.62, 1.35 | 14 | 1.40 | 0.81, 2.43 | ||
18.5–21.9 | 416 | 1.00 | Referent | 137 | 1.00 | Referent | ||
22.0–22.9 | 143 | 1.17 | 0.97, 1.42 | 34 | 0.86 | 0.59, 1.25 | ||
23.0–24.9 | 190 | 1.06 | 0.89, 1.26 | 49 | 0.81 | 0.58, 1.13 | ||
25.0–27.4 | 106 | 1.15 | 0.92, 1.43 | 27 | 0.87 | 0.57, 1.34 | ||
27.5–29.9 | 36 | 1.38 | 0.98, 1.94 | 9 | 1.05 | 0.53, 2.06 | ||
30.0–32.4 | 23 | 1.41 | 0.92, 2.15 | 3 | 0.37 | 0.09, 1.51 | ||
≥32.5 | 19 | 1.48 | 0.92, 2.38 | 9 | 2.24 | 1.13, 4.43 | ||
HRc per 5 kg/m2 | 1.16 | 1.04, 1.30 | 1.05 | 0.84, 1.30 | ||||
BMId at 18 years of age | 0.14 | 0.46 | ||||||
<18.5 | 150 | 0.97 | 0.81, 1.16 | 49 | 1.09 | 0.79, 1.50 | ||
18.5–21.9 | 553 | 1.00 | Referent | 168 | 1.00 | Referent | ||
22.0–22.9 | 87 | 1.06 | 0.85, 1.33 | 24 | 0.94 | 0.61, 1.46 | ||
23.0–24.9 | 89 | 0.89 | 0.71, 1.12 | 22 | 0.74 | 0.47, 1.16 | ||
25.0–27.4 | 50 | 1.17 | 0.88, 1.57 | 13 | 0.96 | 0.54, 1.73 | ||
27.5–29.9 | 17 | 1.44 | 0.89, 2.34 | 3 | 0.86 | 0.27, 2.69 | ||
≥30.0 | 16 | 1.39 | 0.89, 2.33 | 3 | 0.92 | 0.29, 2.88 | ||
HRc per 5 kg/m2 | 1.11 | 0.96, 1.29 | 0.89 | 0.66, 1.21 |
Abbreviations: BMI, body mass index; CI, confidence interval; HR, hazard ratio; MVHR, multivariable hazard ratio.
a There were 4 women with synchronous colon and rectal cancers.
b Calculated using PROC PHREG in SAS, version 9.1. We took relative risk (used in the text) to be equivalent to HR. All analyses were adjusted for age (in the baseline hazard of the Cox regression) and the following covariates: race/ethnicity, educational level, physical activity level, smoking status, alcohol consumption, and use of menopausal hormone therapy.
c Calculated after excluding subjects whose BMI at a given age was less than 18.5.
d Weight (kg)/height (m)2.