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. 2019 Jul 24;2(7):e197337. doi: 10.1001/jamanetworkopen.2019.7337

Table 5. Stratified Analyses for the Association of Baseline Body Mass Index and WC Status With Cancer Mortalitya,b.

Characteristic HR (95% CI) P Value for Interaction
Normal Weight Overweight Obesity
Normal WC High WC Normal WC High WC Normal WC High WC
Age, y
<65 1 [Reference] 1.54 (1.02-2.33) 0.94 (0.84-1.06) 1.22 (1.06-1.40) 0.95 (0.75-1.20) 1.22 (1.09-1.36) .31
≥65 1 [Reference] 1.15 (0.95-1.39) 0.97 (0.92-1.03) 1.18 (1.11-1.26) 0.96 (0.84-1.10) 1.27 (1.20-1.35)
Race
White 1 [Reference] 1.17 (0.97-1.40) 0.98 (0.92-1.03) 1.19 (1.12-1.27) 0.90 (0.78-1.03) 1.27 (1.21-1.34) .27
Nonwhite 1 [Reference] 1.54 (0.96-2.48) 0.89 (0.77-1.03) 1.15 (0.97-1.36) 1.08 (0.86-1.36) 1.19 (1.04-1.36)
Smoking status
Never smoked 1 [Reference] 1.44 (1.09-1.92) 0.98 (0.91-1.06) 1.24 (1.13-1.37) 0.99 (0.83-1.18) 1.37 (1.27-1.49) .17
Ever smoked 1 [Reference] 1.10 (0.88-1.37) 0.91 (0.85-0.98) 1.13 (1.04-1.21) 0.85 (0.72-1.01) 1.09 (1.02-1.16)
Physical activity, MET-h/wk
<10 1 [Reference] 1.29 (1.03-1.61) 0.94 (0.87-1.01) 1.14 (1.05-1.23) 0.93 (0.79-1.09) 1.21 (1.14-1.30) .046
≥10 1 [Reference] 0.98 (0.72-1.32) 0.97 (0.90-1.05) 1.23 (1.13-1.35) 0.98 (0.82-1.18) 1.32 (1.22-1.43)
Unopposed estrogen use
Never used 1 [Reference] 1.16 (0.93-1.45) 0.95 (0.89-1.01) 1.18 (1.09-1.27) 0.97 (0.84-1.12) 1.25 (1.17-1.32) .90
Ever used 1 [Reference] 1.29 (0.98-1.70) 1.00 (0.91-1.08) 1.22 (1.11-1.34) 0.94 (0.76-1.15) 1.32 (1.21-1.43)
Estrogen plus progesterone use
Never used 1 [Reference] 1.26 (1.04-1.53) 0.96 (0.90-1.02) 1.21 (1.14-1.30) 0.97 (0.85-1.11) 1.26 (1.19-1.33) .35
Ever used 1 [Reference] 0.98 (0.64-1.49) 0.98 (0.89-1.09) 1.10 (0.96-1.25) 0.92 (0.71-1.19) 1.30 (1.17-1.44)
AHEI-2010 score
≤50 1 [Reference] 1.11 (0.87-1.42) 0.90 (0.83-0.97) 1.13 (1.05-1.23) 0.91 (0.77-1.07) 1.19 (1.11-1.27) .02
>50 1 [Reference] 1.24 (0.96-1.60) 1.04 (0.96-1.11) 1.26 (1.16-1.38) 1.04 (0.87-1.23) 1.37 (1.27-1.48)
NSES
≤75 1 [Reference] 1.54 (1.18-2.01) 1.01 (0.93-1.11) 1.11 (0.99-1.23) 0.97 (0.81-1.17) 1.27 (1.17-1.38) .02
>75 1 [Reference] 1.02 (0.80-1.32) 0.94 (0.88-1.01) 1.23 (1.14-1.33) 0.91 (0.77-1.08) 1.25 (1.17-1.34)

Abbreviations: AHEI, Alternative Healthy Eating Index; HR, hazard ratio; MET-h, metabolic equivalent of task hours; NSES, neighborhood socioeconomic status; WC, waist circumference.

a

Based on model 3, ie, adjusted for age at baseline, race/ethnicity, education, income, NSES, component of Women’s Health Initiative (ie, randomized clinical trial or observational study), unopposed estrogen usage status, estrogen plus progesterone usage status, smoking status, physical activity, total energy intake, and AHEI-2010 score.

b

Body mass index calculated as weight in kilograms divided by height in meters squared and categorized as normal weight (18.5-24.9), overweight (25.0-29.9), and obesity (≥30). Waist circumference categorized as normal (≤88 cm) and high (>88 cm).