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. 2020 Jun 26;3(6):e206628. doi: 10.1001/jamanetworkopen.2020.6628

Table 2. Associations of 2 Nutritional Supplementations With Gastric Cancer Incidence and Mortality, Stratified by Lifestyle Factors.

Factor Gastric cancer incidence Gastric cancer mortality
No./total No. (%)a OR (95% CI)b P value for interactionc No./total No. (%)a HR (95% CI)d P value for interactionc
Placebo Active Placebo Active
Vitamin supplementation
Overall 89/1627 (5.5) 58/1610 (3.6) 0.64 (0.46-0.91) NA 61/1627 (3.7) 29/1610 (1.8) 0.48 (0.31-0.75) NA
Smoking
Ever 58/713 (8.1) 39/698 (5.6) 0.66 (0.43-1.01) .82 43/713 (6.0) 22/698 (3.2) 0.52 (0.31-0.87) .50
Never 31/914 (3.4) 19/912 (2.1) 0.60 (0.34-1.08) 18/914 (2.0) 7/912 (0.8) 0.35 (0.15-0.85)
Alcohol
Ever 55/741 (7.4) 35/747 (4.7) 0.61 (0.39-0.96) .72 41/741 (5.5) 18/747 (2.4) 0.44 (0.25-0.76) .54
Never 34/886 (3.8) 23/863 (2.7) 0.70 (0.40-1.20) 20/886 (2.3) 11/863 (1.3) 0.58 (0.28-1.21)
Grain, kg/ye
<225 36/700 (5.1) 26/732 (3.6) 0.68 (0.40-1.15) .69 27/700 (3.9) 9/732 (1.2) 0.31 (0.15-0.67) .24
≥225 51/890 (5.7) 30/846 (3.5) 0.58 (0.36-0.94) 34/890 (3.8) 18/846 (2.1) 0.56 (0.32-0.99)
Meat, kg/ye
<8 43/776 (5.5) 29/801 (3.6) 0.61 (0.37-1.01) .84 30/776 (3.9) 12/801 (1.5) 0.39 (0.20-0.76) .49
≥8 44/814 (5.4) 27/777 (3.5) 0.67 (0.40-1.10) 31/814 (3.8) 15/777 (1.9) 0.53 (0.28-0.98)
Total vegetables and fruits, kg/ye
<92 47/785 (6.0) 28/796 (3.5) 0.58 (0.36-0.96) .70 31/785 (3.9) 12/796 (1.5) 0.37 (0.19-0.73) .50
≥92 40/805 (5.0) 28/782 (3.7) 0.68 (0.41-1.14) 30/805 (3.7) 15/782 (1.9) 0.51 (0.27-0.95)
Total fresh vegetables and fruits, kg/ye
<81 47/789 (6.0) 26/788 (3.3) 0.55 (0.34-0.92) .49 31/789 (3.9) 13/788 (1.6) 0.41 (0.22-0.79) .79
≥81 40/801 (5.0) 30/790 (3.8) 0.72 (0.44-1.18) 30/801 (3.7) 14/790 (1.7) 0.47 (0.25-0.89)
Garlic supplementation
Overall 81/1631 (5.0) 66/1606 (4.1) 0.81 (0.57-1.13) NA 54/1631 (3.3) 36/1606 (2.2) 0.66 (0.43-0.999) NA
Smoking
Ever 54/711 (7.6) 43/700 (6.1) 0.78 (0.51-1.20) .84 38/711 (5.3) 27/700 (3.9) 0.70 (0.43-1.15) .58
Never 27/920 (2.9) 23/906 (2.5) 0.86 (0.49-1.52) 16/920 (1.7) 9/906 (1.0) 0.51 (0.23-1.17)
Alcohol
Ever 46/756 (6.1) 44/732 (6.0) 0.99 (0.64-1.54) .16 31/756 (4.1) 28/732 (3.8) 0.92 (0.55-1.54) .03
Never 35/875 (4.0) 22/874 (2.5) 0.62 (0.36-1.07) 23/875 (2.6) 8/874 (0.9) 0.33 (0.15-0.75)
Grain, kg/ye
<225 31/731 (4.2) 31/701 (4.4) 1.05 (0.62-1.76) .31 21/731 (2.9) 15/701 (2.1) 0.71 (0.36-1.39) .82
≥225 47/859 (5.5) 34/877 (3.9) 0.72 (0.45-1.15) 32/859 (3.7) 20/877 (2.3) 0.64 (0.37-1.12)
Meat, kg/ye
<8 39/797 (4.9) 33/780 (4.2) 0.85 (0.52-1.38) .92 25/797 (3.1) 17/780 (2.2) 0.68 (0.36-1.26) .84
≥8 39/793 (4.9) 32/798 (4.0) 0.81 (0.49-1.32) 28/793 (3.5) 18/798 (2.3) 0.62 (0.34-1.13)
Total vegetables and fruits, kg/ye
<92 43/796 (5.4) 32/785 (4.1) 0.76 (0.47-1.22) .63 28/796 (3.5) 15/785 (1.9) 0.53 (0.28-1.00) .41
≥92 35/794 (4.4) 33/793 (4.2) 0.88 (0.53-1.45) 25/794 (3.1) 20/793 (2.5) 0.78 (0.43-1.40)
Total fresh vegetables and fruits, kg/ye
<81 42/795 (5.3) 31/782 (4) 0.75 (0.46-1.22) .64 29/795 (3.6) 15/782 (1.9) 0.52 (0.28-0.96) .34
≥81 36/795 (4.5) 34/796 (4.3) 0.88 (0.54-1.43) 24/795 (3) 20/796 (2.5) 0.80 (0.44-1.45)

Abbreviations: HR, hazard ratio; NA, not applicable; OR, odds ratio.

a

Number of participants with an event divided by total number of participants. Those with missing data on the examined independent factor or other covariates were excluded from the multivariable models.

b

Logistic regression adjusted for baseline histology, age, sex, history of ever using alcohol, and history of ever smoking.

c

P values for interactions were calculated by adding the interaction term between 2 items in the regression models in addition to the indicators of the 2 items being analyzed.

d

Cox regression adjusted for baseline histology, age, sex, history of ever using alcohol, and history of ever smoking.

e

Levels correspond to median distribution of intake between 2 groups.