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. 2020 Jul 13;180(9):1–12. doi: 10.1001/jamainternmed.2020.2790

Table 3. Risk of Overall and Cause-Specific Mortality Associated With Daily Dietary Plant Protein Intake Among 179 068 Women.

Cause of death Per 1 SD Per 10 g/1000 kcal increment
ARD, % (95% CI)a HR (95% CI) P value ARD, % (95% CI)a HR (95% CI) P value
Overall
Age adjustedb −1.0 (−1.1 to −0.95) 0.85 (0.83 to 0.86) <.001 −2.5 (−2.8 to −2.4) 0.63 (0.61 to 0.66) <.001
Multivariablec −0.33 (−0.48 to −0.21) 0.95 (0.93 to 0.96) <.001d −0.86 (−1.3 to −0.55) 0.86 (0.82 to 0.90) <.001d
Cancer
Age adjustedb −0.38 (−0.46 to −0.33) 0.87 (0.85 to 0.89) <.001 −0.96 (−1.1 to −0.84) 0.68 (0.65 to 0.73) <.001
Multivariablec −0.092 (−0.19 to −0.012) 0.97 (0.94 to 1.00) .04 −0.24 (−0.49 to −0.035) 0.91 (0.84 to 0.99) .04
CVD
Age adjustedb −0.32 (−0.38 to −0.27) 0.85 (0.83 to 0.87) <.001 −0.78 (−0.93 to −0.68) 0.65 (0.60 to 0.69) <.001
Multivariablec −0.13 (−0.22 to −0.053) 0.93 (0.90 to 0.97) <.001d −0.35 (−0.57 to −0.15) 0.83 (0.75 to 0.92) <.001
Heart disease
Age adjustedb −0.24 (−0.29 to −0.19) 0.86 (0.83 to 0.88) <.001 −0.59 (−0.72 to −0.49) 0.66 (0.61 to 0.71) <.001
Multivariablec −0.070 (−0.14 to 0.0028) 0.96 (0.92 to 1.00) .04 −0.18 (−0.37 to 0.0032) 0.89 (0.79 to 0.99) .04
Stroke
Age adjustedb −0.079 (−0.11 to −0.049) 0.85 (0.80 to 0.89) <.001 −0.19 (−0.26 to −0.13) 0.64 (0.55 to 0.74) <.001
Multivariablec −0.060 (−0.10 to −0.019) 0.88 (0.81 to 0.96) .003d −0.15 (−0.25 to −0.052) 0.71 (0.57 to 0.89) .003d
Respiratory disease
Age adjustedb −0.28 (−0.32 to −0.24) 0.68 (0.65 to 0.71) <.001 −0.60 (−0.69 to −0.55) 0.35 (0.31 to 0.39) <.001
Multivariablec −0.037 (−0.097 to 0.017) 0.95 (0.89 to 1.01) .12 −0.097 (−0.25 to 0.043) 0.87 (0.73 to 1.04) .12
Infection
Age adjustedb −0.072 (−0.098 to −0.049) 0.81 (0.76 to 0.86) <.001 −0.17 (−0.23 to −0.12) 0.56 (0.47 to 0.67) <.001
Multivariablec −0.042 (−0.081 to −0.0035) 0.89 (0.81 to 0.98) .02 −0.10 (−0.20 to −0.013) 0.73 (0.56 to 0.94) .02
Injury and accident
Age adjustedb −0.016 (−0.036 to 0.0051) 0.93 (0.86 to 1.00) .06 −0.042 (−0.090 to 0.012) 0.82 (0.66 to 1.01) .06
Multivariablec −0.013 (−0.042 to 0.018) 0.94 (0.84 to 1.06) .32 −0.035 (−0.11 to 0.045) 0.85 (0.62 to 1.17) .32
Other causes
Age adjustedb −0.22 (−0.28 to −0.18) 0.87 (0.85 to 0.90) <.001 −0.55 (−0.69 to −0.45) 0.69 (0.64 to 0.74) <.001
Multivariablec −0.11 (−0.21 to −0.039) 0.93 (0.90 to 0.97) <.001d −0.29 (−0.53 to −0.11) 0.83 (0.74 to 0.93) <.001d

Abbreviations: ARD, absolute risk difference; CVD, cardiovascular disease; HR, hazard ratio.

a

Calculated as a difference of 1-SD or 10 g/1000 kcal increment per day in plant protein intake during the follow-up of 16 years. The 95% CIs were estimated from 100 bootstrap samples.

b

For age at entry, total energy intake, and animal protein intake.

c

Adjusted as indicated in note c of Table 2, and further adjusted for hormone replacement therapy (yes vs no).

d

Achieved Bonferroni-corrected threshold (.05/18 = .0028).