Table 4.
Multivariable-adjusted HRs and 95% CI for the relation between nut and peanut butter intake and the risk of molecular subtypes of CRC in women; NLCS, 1986–1993, excluding the first 2.3 years of follow-up
Total nuts (g/day) | Tree nuts (g/day) | Peanuts (g/day) | Peanut butter (g/day) | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0.0 | 0.1–<5/0.1+ | 5+ | P-trend/FDR- adjusted P-trendb | Per 5 g/day increment | 0.0 | 0.1+ | P-trend/FDR- adjusted P-trendb | Per 5 g/day increment | 0.0 | 0.1–<5/0.1+ | 5+ | P-trend/FDR- adjusted P-trendb | Per 5 g/day increment | 0.0 | 0.1–<5/0.1+ | 5+ | P-trend/FDR- adjusted P-trendb | Per 5 g/day increment | |
Person-years in subcohort | 3641 | 3295/5443 | 2149 | 6378 | 2706 | 4287 | 3360/4797 | 1437 | 6643 | 1599/2441 | 842 | ||||||||
Total CRC | |||||||||||||||||||
N cases | 110 | 104 | 48 | 194 | 68 | 125 | 104 | 33 | 194 | 48 | 20 | ||||||||
HRa | 1 | 1.15 | 0.87 | 0.339/ | 0.97 | 1 | 0.89 | 0.487/ | 0.95 | 1 | 1.19 | 0.92 | 0.658/ | 0.98 | 1 | 1.13 | 0.95 | 0.882/ | 0.92 |
95% CI | ref | 0.85–1.56 | 0.59–1.28 | 0.875 | 0.86–1.10 | ref | 0.65–1.22 | 0.875 | 0.73–1.23 | ref | 0.89–1.61 | 0.60–1.42 | 0.922 | 0.86–1.11 | ref | 0.80–1.60 | 0.57–1.59 | 0.970 | 0.73–1.16 |
APC wild-type | |||||||||||||||||||
N cases | 77 | 68 | 35 | 135 | 45 | 86 | 94 | 129 | 51 | ||||||||||
HRa | 1 | 1.10 | 0.94 | 0.716/ | 1.00 | 1 | 0.88 | 0.483/ | 0.94 | 1 | 1.15 | 0.397/ | 1.02 | 1 | 1.28 | 0.165/ | 1.07 | ||
95% CI | ref | 0.77–1.57 | 0.60–1.49 | 0.922 | 0.87–1.16 | ref | 0.61–1.27 | 0.875 | 0.65–1.35 | ref | 0.83–1.60 | 0.875 | 0.89–1.17 | ref | 0.90–1.83 | 0.875 | 0.85–1.34 | ||
Truncating APC mutation | |||||||||||||||||||
N cases | 33 | 36 | 13 | 59 | 23 | 39 | 43 | 65 | 17 | ||||||||||
HRa | 1 | 1.27 | 0.73 | 0.238/ | 0.91 | 1 | 0.94 | 0.827/ | 0.97 | 1 | 1.08 | 0.766/ | 0.88 | 1 | 0.68 | 0.187/ | 0.44 | ||
95% CI | ref | 0.76–2.12 | 0.36–1.46 | 0.875 | 0.75–1.12 | ref | 0.54–1.64 | 0.958 | 0.68–1.37 | ref | 0.66–1.75 | 0.922 | 0.68–1.14 | ref | 0.38–1.21 | 0.875 | 0.22–0.90 | ||
P-hetero-geneity | 0.630 | 0.612 | 0.967 | 0.193 | |||||||||||||||
KRAS wild-type | |||||||||||||||||||
N cases | 73 | 70 | 33 | 131 | 45 | 83 | 70 | 23 | 131 | 45 | |||||||||
HRa | 1 | 1.19 | 0.95 | 0.672/ | 0.94 | 1 | 0.91 | 0.633/ | 0.72 | 1 | 1.22 | 1.02 | 0.987/ | 0.97 | 1 | 1.07 | 0.733/ | 0.93 | |
95% CI | ref | 0.84–1.71 | 0.60–1.52 | 0.922 | 0.82–1.07 | ref | 0.62–1.34 | 0.922 | 0.44–1.17 | ref | 0.86–1.74 | 0.61–1.71 | 0.987 | 0.85–1.11 | ref | 0.74–1.55 | 0.922 | 0.70–1.24 | |
Activating KRAS mutation | |||||||||||||||||||
N cases | 37 | 34 | 15 | 63 | 23 | 42 | 34 | 10 | 63 | 23 | |||||||||
HRa | 1 | 1.07 | 0.72 | 0.265/ | 1.02 | 1 | 0.88 | 0.588/ | 1.08 | 1 | 1.15 | 0.76 | 0.409/ | 0.98 | 1 | 1.08 | 0.775/ | 0.88 | |
95% CI | ref | 0.65–1.77 | 0.38–1.39 | 0.875 | 0.83–1.24 | ref | 0.54–1.41 | 0.922 | 0.94–1.25 | ref | 0.69–1.89 | 0.37–1.56 | 0.875 | 0.76–1.27 | ref | 0.65–1.77 | 0.922 | 0.60–1.30 | |
P-hetero-geneity | 0.956 | 0.837 | 0.947 | 0.847 | |||||||||||||||
No p53 over-expression | |||||||||||||||||||
N cases | 40 | 49 | 27 | 78 | 38 | 48 | 49 | 19 | 78 | 28 | 10 | ||||||||
HRa | 1 | 1.54 | 1.33 | 0.517/ | 1.06 | 1 | 1.26 | 0.278/ | 1.09 | 1 | 1.52 | 1.35 | 0.391/ | 1.06 | 1 | 1.66 | 1.21 | 0.499/ | 1.04 |
95% CI | ref | 0.98–2.42 | 0.78–2.27 | 0.875 | 0.95–1.20 | ref | 0.83–1.90 | 0.875 | 0.96–1.22 | ref | 0.98–2.37 | 0.76–2.41 | 0.875 | 0.93–1.21 | Ref | 1.05–2.64 | 0.58–2.53 | 0.875 | 0.79–1.37 |
p53 over-expression | |||||||||||||||||||
N cases | 68 | 55 | 21 | 114 | 30 | 75 | 55 | 14 | 115 | 19 | 10 | ||||||||
HRa | 1 | 0.97 | 0.62 | 0.084/ | 0.82 | 1 | 0.67 | 0.083/ | 0.54 | 1 | 1.04 | 0.68 | 0.209/ | 0.86 | 1 | 0.75 | 0.78 | 0.444/ | 0.78 |
95% CI | ref | 0.66–1.42 | 0.36–1.09 | 0.875 | 0.68–1.00 | ref | 0.43–1.05 | 0.875 | 0.25–1.18 | ref | 0.71–1.51 | 0.36–1.26 | 0.875 | 0.69–1.06 | ref | 0.45–1.24 | 0.39–1.56 | 0.875 | 0.53–1.14 |
P-hetero-geneity | 0.069 | 0.028 | 0.166 | 0.063 | |||||||||||||||
BRAF wild-type | |||||||||||||||||||
N cases | 86 | 77 | 38 | 151 | 50 | 97 | 104 | 150 | 51 | ||||||||||
HRa | 1 | 1.09 | 0.88 | 0.491/ | 0.99 | 1 | 0.84 | 0.339/ | 0.99 | 1 | 1.10 | 0.562/ | 0.99 | 1 | 1.02 | 0.933/ | 0.86 | ||
95% CI | ref | 0.78–1.53 | 0.57–1.37 | 0.875 | 0.87–1.13 | ref | 0.59–1.20 | 0.875 | 0.78–1.25 | ref | 0.80–1.50 | 0.916 | 0.86–1.14 | ref | 0.72–1.44 | 0.977 | 0.66–1.12 | ||
BRAF mutation | |||||||||||||||||||
N cases | 17 | 23 | 10 | 33 | 17 | 21 | 29 | 37 | 13 | ||||||||||
HRa | 1 | 1.70 | 1.20 | 0.931/ | 0.98 | 1 | 1.36 | 0.350/ | 0.87 | 1 | 1.47 | 0.222/ | 1.00 | 1 | 1.20 | 0.609/ | 1.08 | ||
95% CI | ref | 0.88–3.28 | 0.53–2.74 | 0.977 | 0.79–1.20 | ref | 0.71–2.60 | 0.875 | 0.42–1.83 | ref | 0.79–2.71 | 0.875 | 0.82–1.20 | ref | 0.60–2.38 | 0.922 | 0.63–1.85 | ||
P-hetero-geneity | 0.510 | 0.216 | 0.436 | 0.932 | |||||||||||||||
MSS | |||||||||||||||||||
N cases | 88 | 116 | 154 | 50 | 100 | 104 | 154 | 50 | |||||||||||
HRa | 1 | 0.99 | 0.974/ | 0.99 | 1 | 0.81 | 0.239/ | 1.01 | 1 | 1.05 | 0.754/ | 0.98 | 1 | 0.97 | 0.853/ | 0.91 | |||
95% CI | ref | 0.73–1.36 | 0.987 | 0.86–1.13 | ref | 0.57–1.15 | 0.875 | 0.84–1.22 | ref | 0.77–1.43 | 0.922 | 0.84–1.14 | ref | 0.68–1.37 | 0.962 | 0.70–1.20 | |||
MSI | |||||||||||||||||||
N cases | 13 | 25 | 23 | 15 | 16 | 22 | 27 | 11 | |||||||||||
HRa | 1 | 1.74 | 0.136/ | 0.87 | 1 | 1.96 | 0.064/ | 0.52 | 1 | 1.72 | 0.134/ | 0.94 | 1 | 1.46 | 0.326/ | 0.85 | |||
95% CI | ref | 0.84–3.61 | 0.875 | 0.67–1.14 | ref | 0.96–4.01 | 0.875 | 0.28–0.95 | ref | 0.85–3.50 | 0.875 | 0.74–1.20 | ref | 0.69–3.11 | 0.875 | 0.52–1.38 | |||
P-hetero-geneity | 0.298 | 0.069 | 0.431 | 0.575 |
aAdjusted for age (years; continuous), cigarette smoking [status (never/former/current), frequency (n/day; continuous, centered) and duration (years; continuous, centered)], BMI (kg/m2; continuous), non-occupational physical activity (≤30/>30–≤60/>60–≤90/>90 min/day), educational level (low/medium/high), family history of CRC (no/yes), total energy intake (kcal/day; continuous) and alcohol consumption (g/day; continuous).
bFDR-adjusted P-trends are calculated with adjustment for 44 tests.