Table 4.
The association between Helicobacter pylori infection and GC risk by BMI level in the case-cohort study within the KMCC, 1993-2004
GC development |
Non-cardia GC developmenta) |
|||||
---|---|---|---|---|---|---|
Person-year | No. | Stratification HR (95% CI)b) | Person-year | No. | Stratification HR (95% CI)b) | |
BMI < 23.0 kg/m2 | ||||||
Never infected | 2,017 | 12 | 1.00 | 2,017 | 12 | 1.00 |
Ever infected | 11,398 | 181 | 2.04 (1.13-3.70) | 11,366 | 174 | 1.99 (1.10-3.62) |
H. pylori+CagA+ | 10,886 | 174 | 2.06 (1.14-3.74) | 10,855 | 167 | 2.01 (1.11-3.65) |
CagA+VacA+ | 8,494 | 126 | 2.03 (1.11-3.72) | 8,468 | 120 | 1.97 (1.08-3.62) |
BMI 23.0-24.9 kg/m2 | ||||||
Never infected | 1,071 | 1 | 1.00 | 1,071 | 1 | 1.00 |
Ever infected | 6,137 | 61 | 10.52 (1.44-76.67) | 6,133 | 59 | 9.98 (1.37-72.78) |
H. pylori+CagA+ | 5,895 | 59 | 10.38 (1.42-75.70) | 5,891 | 57 | 9.84 (1.35-71.84) |
CagA+VacA+ | 4,866 | 41 | 12.17 (1.63-90.02) | 4,862 | 40 | 11.59 (1.55-86.69) |
BMI ≥ 25.0 kg/m2 | ||||||
Never infected | 1,358 | 7 | 1.00 | 1,345 | 6 | 1.00 |
Ever infected | 8,091 | 70 | 1.73 (0.78-3.82) | 8,082 | 69 | 2.02 (0.86-4.72) |
H. pylori+CagA+ | 7,762 | 68 | 1.80 (0.81-4.00) | 7,753 | 67 | 2.11 (0.90-4.94) |
CagA+VacA+ | 6,397 | 51 | 1.73 (0.76-3.93) | 6,388 | 50 | 2.03 (0.85-4.87) |
GC, gastric cancer; BMI, body mass index; KMCC, Korean Multicenter Cancer Cohort; HR, hazard ratio; CI, confidence interval; CagA+, cytotoxin-associated gene A (CagA)–secreting H. pylori infection; CagA+VacA+, both CagA-secreting H. pylori and vacuolating cytotoxin A (VacA)–secreting H. pylori infection.
Non-cardia GC including unspecified cases (9% of total GC cases). The results for cardia GC development were not presented due to non-estimation of parameter estimators and their 95% CIs by sparse cardia GC cases (n=14),
Adjusted for age, sex, year of recruitment, education years (< 12 years vs. ≥ 12 years), ever smoking more or equal to 400 cigarettes (yes vs. no), and alcohol drinking status (yes vs. no).