Table 2.
HRs and 95% CIs for the association between diet qualitya and disease progression (Gleason score upgrading) in localised prostate cancer patients on active surveillance
Range | N | Events | Base Modelb | Base + Clinical Characteristics Modelc | |||||
---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | P value | HR | 95% CI | P value | ||||
Baseline diet quality | |||||||||
Low | 34.81–63.30 | 137 | 29 | 1.00 | Ref. | Ref. | 1.00 | Ref. | Ref. |
Med | 63.32–72.73 | 137 | 28 | 0.90 | 0.53–1.53 | 0.70 | 0.90 | 0.52–1.53 | 0.69 |
High | 72.87–95.14 | 137 | 19 | 0.62 | 0.34–1.12 | 0.11 | 0.59 | 0.32–1.08 | 0.09 |
P trend d | 0.11 | 0.06 | |||||||
6-Month clinical follow-up diet quality | |||||||||
Low | 38.97–65.08 | 88 | 19 | 1.00 | Ref. | Ref. | 1.00 | Ref. | Ref. |
Med | 65.17–74.45 | 88 | 13 | 0.66 | 0.32–1.33 | 0.24 | 0.77 | 0.37–1.60 | 0.49 |
High | 74.66–93.84 | 87 | 19 | 0.99 | 0.52–1.89 | 0.98 | 1.05 | 0.54–2.04 | 0.90 |
P trend d | 0.94 | 0.67 | |||||||
Proportional change in diet quality from baseline to 6-month follow-up | |||||||||
Decline | −0.15% to −25.4% | 116 | 21 | 1.00 | Ref. | Ref. | 1.00 | Ref. | Ref. |
Improve | 0.02–29.6% | 147 | 30 | 1.10 | 0.59–2.05 | 0.76 | 1.18 | 0.62–2.25 | 0.62 |
BMI body mass index, HR hazard ratio, CI confidence interval, ANOVA analysis of variance, PSA prostate-specific antigen, HEI Healthy Eating Index
aBaseline diet quality was defined by baseline HEI-2015 assessed in all 411 patients; 6-month clinical follow-up diet quality was defined by post-diagnostic HEI-2015 in a subset of 263 patients; and proportional change in diet quality from baseline to 6-month follow-up was calculated as the HEI-2015 score change from baseline to 6 months (baseline–6 months)
bBase Model adjusted for age and total energy intake
cBase + Clinical Characteristics model additionally includes PSA and composite tumour length
dPtrend was calculated by using the median of each tertile as a continuous variable in the Cox proportional hazard model