| (c) | |||||||
| Total Events | Mortality | ||||||
| CVD | CHD | Stroke | CVD | Cancer | Other | Total | |
| HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
| A. Unadjusted | |||||||
| <3.6% 22-carbon (n = 508) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 3.6%–4.3% (n = 508) | 1.37 (0.88, 2.12) | 1.24 (0.63, 2.43) | 1.25 (0.62, 2.53) | 0.93 (0.42, 2.03) | 0.86 (0.52, 1.42) | 1.11 (0.64, 1.93) | 0.96 (0.69, 1.31) |
| 4.3%–4.7% (n = 500) | 1.73 (1.14, 2.62) ** | 2.43 (1.34, 4.42) ** | 1.36 (0.71, 2.61) | 0.81 (0.35, 1.83) | 0.65 (0.38, 1.13) | 0.96 (0.53, 1.73) | 0.80 (0.57, 1.13) |
| 4.7%–5.3% (n = 509) | 1.46 (0.96, 2.22) | 1.61 (0.86, 3.03) | 1.58 (0.83, 2.98) | 1.16 (0.54, 2.49) | 0.78 (0.46, 1.31) | 1.27 (0.72, 2.26) | 1.04 (0.75, 1.45) |
| >5.3% (n = 469) | 1.73 (1.12, 2.68) * | 2.25 (1.22, 4.16) ** | 1.48 (0.74, 2.98) | 0.63 (0.24, 1.67) | 1.18 (0.71, 1.95) | 1.43 (0.82, 2.50) | 1.10 (0.77, 1.56) |
| p-value for linear trend | 0.02 * | 0.006 ** | 0.18 | 0.57 | 0.74 | 0.17 | 0.48 |
| B. Adjusted for demos | |||||||
| <3.6% 22-carbon (n = 508) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 3.6%–4.3% (n = 508) | 1.20 (0.75, 1.93) | 1.05 (0.50, 2.20) | 1.39 (0.62, 3.13) | 0.83 (0.28, 2.41) | 0.94 (0.56, 1.60) | 1.06 (0.60, 1.88) | 1.01 (0.71, 1.44) |
| 4.3%–4.7% (n = 500) | 1.74 (1.13, 2.67) * | 2.38 (1.26,4.48) ** | 1.73 (0.85, 3.55) | 0.65 (0.26, 1.62) | 0.74 (0.41, 1.32) | 0.85 (0.41, 1.76) | 0.85 (0.58, 1.25) |
| 4.7%–5.3% (n = 509) | 1.36 (0.87, 2.13) | 1.51 (0.76, 2.99) | 1.89 (0.92, 3.87) | 1.28 (0.62, 2.62) | 0.74 (0.41, 1.31) | 1.31 (0.68, 2.51) | 1.11 (0.78, 1.59) |
| >5.3% (n = 469) | 1.66 (1.02, 2.69) * | 1.91 (0.95, 3.83) | 2.01 (0.92, 4.42) | 0.60 (0.18, 2.01) | 1.21 (0.71, 2.07) | 1.53 (0.85, 2.74) | 1.17 (0.81, 1.71) |
| p-value for linear trend | 0.031 * | 0.04 * | 0.04 * | 0.80 | 0.91 | 0.10 | 0.32 |
| C. Adjusted for demos and O3I | |||||||
| <3.6% 22-carbon (n = 508) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 3.6%–4.3% (n = 508) | 1.11 (0.69, 1.79) | 0.99 (0.48, 2.05) | 1.20 (0.53, 2.69) | 0.62 (0.20, 1.95) | 0.93 (0.54, 1.60) | 0.89 (0.48, 1.63) | 0.89 (0.62, 1.29) |
| 4.3%–4.7% (n = 500) | 1.52 (0.96, 2.39) | 2.09 (1.07, 4.06) * | 1.35 (0.65, 2.80) | 0.42 (0.17, 1.06) | 0.72 (0.38, 1.36) | 0.67 (0.32, 1.42) | 0.69 (0.45, 1.05) |
| 4.7%–5.3% (n = 509) | 1.14 (0.70, 1.86) | 1.25 (0.60, 2.62) | 1.37 (0.64, 2.97) | 0.69 (0.27, 1.76) | 0.71 (0.38, 1.34) | 0.97 (0.48, 1.94) | 0.87 (0.58, 1.30) |
| >5.3% (n = 469) | 1.33 (0.77, 2.28) | 1.51 (0.69, 3.30) | 1.38 (0.60, 3.18) | 0.30 (0.07, 1.26) | 1.15 (0.57, 2.33) | 0.98 (0.48, 1.98) | 0.85 (0.54, 1.34) |
| p-value for linear trend | 0.42 | 0.34 | 0.44 | 0.14 | 0.97 | 0.88 | 0.57 |
| p-value for omega-3 | 0.09 | 0.22 | 0.049 * | 0.034 * | 0.92 | 0.03 * | 0.021 * |
CVD, cardiovascular disease; CHD, coronary heart disease; CI, confidence interval; HR, hazard ratio; O3I, Omega-3 Index. * p < 0.05; ** p < 0.01. All significant hazard ratios/p-values are shown in bold italics. A. Unadjusted model, B. Adjusted for all variables in Table 1 except history of CVD, C. Adjusted for omega-3 index and all variables in Table 1 except history of CVD. Quintiles for 18-carbon n-6 fatty acids are shown in the left-most column. For example, 3.6%–4.3% means that the second quintile for RBC 22-carbon n-6 fatty acids are individuals for whom between 3.6 and 4.3% of all RBC fatty acids are 22-carbon n-6 fatty acids.