Table 3.
Association of energy-adjusted dietary vitamin B6 intake with cause-specific mortality in SWHS (1997–2014)
Quintiles of dietary vitamin B6 intake |
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---|---|---|---|---|---|---|---|
Q1 | Q2 | Q3 | Q4 | Q5 | P for trend | Per Q | |
Median intake (mg/d) | 1.24 | 1.45 | 1.62 | 1.79 | 2.11 | ||
Person years | 229890 | 232273 | 233661 | 234814 | 235497 | ||
Total mortality | |||||||
No. of deaths | 2169 | 1698 | 1412 | 1239 | 1037 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.86 (0.81,0.92) | 0.81 (0.76,0.87) | 0.79 (0.74,0.85) | 0.74 (0.68,0.79) | <0.001 | 0.93 (0.91,0.94) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.90 (0.85,0.96) | 0.88 (0.82,0.94) | 0.88 (0.81,0.94) | 0.83 (0.77,0.90) | <0.001 | 0.96 (0.94,0.98) |
Cancer mortality | |||||||
No. of deaths | 816 | 670 | 594 | 572 | 496 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.91 (0.82,1.01) | 0.87 (0.79,0.97) | 0.90 (0.81,1.01) | 0.83 (0.74,0.92) | 0.002 | 0.96 (0.94,0.99) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.93 (0.84,1.03) | 0.91 (0.82,1.02) | 0.95 (0.85,1.06) | 0.88 (0.78,0.99) | 0.063 | 0.98 (0.95,1.00) |
CVD mortality | |||||||
No. of deaths | 781 | 549 | 452 | 392 | 312 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.79 (0.71,0.88) | 0.76 (0.68,0.85) | 0.76 (0.67,0.85) | 0.70 (0.61,0.80) | <0.001 | 0.92 (0.89,0.95) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.82 (0.73,0.91) | 0.83 (0.74,0.94) | 0.85 (0.75,0.96) | 0.80 (0.70,0.92) | 0.001 | 0.95 (0.92,0.98) |
Stroke mortality | |||||||
No. of deaths | 426 | 271 | 245 | 221 | 154 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.71 (0.61,0.83) | 0.75 (0.64,0.88) | 0.78 (0.66,0.91) | 0.63 (0.52,0.76) | <0.001 | 0.91 (0.88,0.95) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.75 (0.64,0.87) | 0.84 (0.71,0.98) | 0.87 (0.74,1.03) | 0.72 (0.59,0.86) | 0.006 | 0.94 (0.91,0.98) |
CHD mortality | |||||||
No. of deaths | 132 | 98 | 75 | 65 | 60 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.83 (0.64,1.08) | 0.75 (0.56,0.99) | 0.75 (0.55,1.01) | 0.81 (0.60,1.11) | 0.07 | 0.94 (0.87,1.01) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.85 (0.65,1.11) | 0.81 (0.61,1.08) | 0.83 (0.61,1.13) | 0.91 (0.66,1.24) | 0.351 | 0.97 (0.90,1.04) |
AMI mortality | |||||||
No. of deaths | 89 | 66 | 50 | 48 | 41 | ||
Crude HR (95%CIs) a | 1.00 (reference) | 0.85 (0.61,1.17) | 0.75 (0.53,1.07) | 0.82 (0.58,1.17) | 0.81 (0.56,1.18) | 0.200 | 0.95 (0.87,1.03) |
Multivariable HR (95%CIs) b | 1.00 (reference) | 0.88 (0.64,1.22) | 0.82 (0.58,1.17) | 0.92 (0.64,1.31) | 0.91 (0.62,1.33) | 0.589 | 0.98 (0.90,1.06) |
Abbreviation: Q, quintiles; SWHS, Shanghai Women’s Health Study; HR, hazards ratio; CI, confidence interval; CVD, cardiovascular disease; CHD, coronary artery heart disease; AMI, acute myocardial infarction.
Crude HR: Adjusted for age at baseline, energy intake.
Multivariable HR: Additionally adjusted for education, income, occupation, smoke, alcohol, body mass index, waist-hip ratio, physical activity, history of diabetes, hypertension, coronary heart disease and stroke, vitamin B supplements use, menopausal status, and hormone replacement therapy.