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. Author manuscript; available in PMC: 2019 Aug 1.
Published in final edited form as: Amyotroph Lateral Scler Frontotemporal Degener. 2018 Apr 16;19(5-6):396–406. doi: 10.1080/21678421.2018.1452944

Table 3:

Yearly Rate of Weight (kg) Gain from Early Adulthood to Enrollment by Cohort and Risk of ALS Death

Cohort Continuous yearly weight gain per 1kg
Increment
Quartile 1
Median (10th–90th percentile)
RR (95% CI)
Quartile 2
Median (10th–90th percentile)
RR (95% CI)
Quartile 3
Median (10th–90th percentile)
RR (95% CI)
Quartile 4
Median (10th–90th percentile)
RR (95% CI)
Women
IWHS RR=0.29
(95% CI: 0.12, 0.71), p=0.007
0.03 (−1.17, 0.13)
Ref
0.21 (0.15, 0.27)
RR=0.82 (95% CI:0.49, 1.39)
0.37 (0.30, 0.45)
RR=0.51 (95% CI:0.28, 0.93)
0.63 (0.50, 0.96)
RR=0.43 (95% CI:0.21, 0.80)
MCCS RR=0.51
(95% CI: 0.06, 4.35), p=0.54
0.04 (−0.18, 0.13)
Ref
0.24 (0.17, 0.31)
RR=1.63 (95% CI:0.43, 6.13)
0.42 (0.35, 0.51)
RR=1.30 (95% CI:0.29, 5.83)
0.74 (0.57, 1.18)
RR=0.47 (95% CI:0.05, 4.68)
NLCS RR=0.36
(95% CI: 0.06, 2.11), p=0.260
0 (−0.21, 0.08)
Ref
0.16 (0.11, 0.21)
RR=0.49 (95% CI:0.22, 1.07)
0.29 (0.23, 0.35)
RR=0.29 (95% CI:0.12, 0.70)
0.49 (0.38, 0.73)
RR=0.58 (95% CI:0.25, 1.35)
PLCO RR=0.47
(95% CI: 0.10, 2.18), p=0.333
0.06 (−0.11, 0.14)
Ref
0.23 (0.17, 0.29)
RR=1.32 (95% CI:0.51, 3.14)
0.40 (0.32, 0.48)
RR=0.67 (95% CI:0.21, 2.13)
0.68 (0.53, 1.07)
RR=0.64 (95% CI:0.18, 2.25)
SMC RR=0.47
(95% CI: 0.10, 2.26), p=0.344
0.03 (−0.61, 0.11)
Ref
0.20 (0.14, 0.25)
RR=1.21 (95% CI:0.50, 2.92)
0.34 (0.28, 0.42)
RR=1.20 (95% CI:0.47, 3.04)
0.57 (0.45, 0.89)
RR=0.70 (95% CI:0.23, 2.19)
WLHS RR=0.55
(95% CI: 0.11, 2.77), p=0.467
0 (−0.38, 0.11)
Ref
0.23 (0.16, 0.31)
RR=1.75 (95% CI: 0.42, 7.27)
0.43 (0.35, 0.53)
RR=1.95 (95% CI: 0.47, 1.21)
0.78 (0.60, 1.33)
RR=0.34 (95% CI: 0.03, 3.45)

Pooled

RR=0.38
(95% CI: 0.21, 0.68), p=0.001

Ref

RR=0.91 (95% CI:0.65, 1.28), p=0.59
P for heterogeneity=0.4

RR=0.70 (95% CI:0.41, 1.21), p=0.20
P for heterogeneity=0.13

RR=0.51 (95% CI:0.33–0.78), p=0.002
P for heterogeneity=0.92
           
Men
COSM RR=0.65
(95% CI: 0.20, 2.18), p=0.487
0.04 (−0.12, 0.12)
Ref
0.20 (0.15, 0.26)
RR=0.74 (95% CI:0.37, 1.46)
0.35 (0.29, 0.43)
RR=0.57 (95% CI:0.26, 1.25)
0.60 (0.47, 0.92)
RR=1.03 (95%CI: 0.49, 2.16)
MCCS RR=0.04
(95% CI: 0.00, 0.52), p=0.013
0.06 (−0.13, 0.15)
Ref
0.26 (0.19, 0.33)
RR=1.11 (95% CI: 0.34, 3.66)
0.44 (0.36, 0.53)
RR=0.15 (95% CI: 0.02, 1.38)
0.74 (0.58, 1.13)
RR=0.17 (95% CI:0.02, 1.71)
NLCS RR=0.43
(95% CI: 0.09, 2.12), p=0.303
0 (−0.15, 0.08)
Ref
0.16 (0.11, 0.21)
RR=0.67 (95% CI:0.32, 1.43)
0.28 (0.23, 0.33)
RR=0.74 (95% CI:0.33, 1.66)
0.49 (0.38, 0.71)
RR=0.66 (95% CI:0.25, 1.74)
PLCO RR=0.23
(95% CI: 0.05, 1.13), p=0.070
0.05 (−0.13, 0.13)
Ref
0.22 (0.16, 0.28)
RR=0.86 (95% CI:0.36, 2.03)
0.38 (0.31, 0.45)
RR=0.49 (95% CI:0.18, 1.39)
0.63 (0.50, 0.97)
RR=0.35 (95% CI:0.10, 1.17)

Pooled

RR=0.32
(95% CI: 0.13, 0.83), p=0.018

Ref

RR=0.78 (95% CI:0.52, 1.18), p=0.24
P for heterogeneity=0.91

RR=0.56 (95% CI:0.34, 0.90), p=0.017
P for heterogeneity=0.59

RR=0.63 (95% CI:0.37, 1.09), p=0.10
P for heterogeneity=0.37
           

All pooled

RR=0.37
(95% CI: 0.23, 0.59), p<0.001

Ref

RR=0.85 (95% CI:0.66, 1.11), p=0.24
P for heterogeneity=0.75

RR=0.62 (95% CI:0.44, 0.86), p=0.005
P for heterogeneity=0.30

RR=0.56 (95% CI:0.40, 0.78), p=0.001
P for heterogeneity=0.86

Multivariable RRs were adjusted for smoking status (ever smoking and smoking pack years <10, 10–<20, 20–<30, 30–<40, 40+), level of education attained (<high-school, high-school, >high-school), physical activity (low, moderate, high), and race (if appropriate to the cohort); age in years and year of questionnaire return were included as stratification variables.