Table 3.
Risk of Pituitary Adenoma in NHS, NHSII, and HPFS by Measures of Body Habitus, Stratified by Sex
| Women (n = 325) | Men (n = 62) | ||||||
|---|---|---|---|---|---|---|---|
| Casesa | MV HRbc | 95%CI | Casesa | MV HRb | 95%CI | ||
| BMI | <25 | 185 | Ref. | 15 | Ref. | ||
| 25–29.9 | 82 | 1.45 | 1.11–1.89 | 40 | 2.25 | 1.24–4.09 | |
| ≥30 | 58 | 1.77 | 1.33–2.34 | 6 | 1.45 | 0.56–3.78 | |
| Per 5 kg/m2 | 325 | 1.27 | 1.17–1.37 | 61 | 1.22 | 0.90–1.66 | |
| Maximum BMI | <25 | 130 | Ref. | 12 | Ref. | ||
| 25–29.9 | 103 | 1.55 | 1.19–2.03 | 42 | 2.46 | 1.29–4.70 | |
| ≥30 | 92 | 1.77 | 1.34–2.35 | 7 | 1.56 | 0.60–4.01 | |
| Per 5 kg/m2 | 325 | 1.24 | 1.15–1.34 | 61 | 1.17 | 0.86–1.59 | |
| Waist circumference | Quintile 1 | 18 | Ref. | 1 | Ref. | ||
| Quintile 2 | 26 | 0.96 | 0.50–1.83 | 5 | 4.69 | 0.55–40.24 | |
| Quintile 3 | 22 | 1.16 | 0.61–2.20 | 11 | 13.18 | 1.69–102.62 | |
| Quintile 4 | 27 | 1.43 | 0.78–2.62 | 15 | 13.20 | 1.73–100.62 | |
| Quintile 5 | 38 | 2.06 | 1.17–33.64 | 10 | 9.89 | 1.26–77.78 | |
| Per inch | 131 | 1.06 | 1.03–1.09 | 42 | 1.09 | 1.01–1.17 | |
| Baseline BMId | <25 | 212 | Ref. | 16 | Ref. | ||
| 25–29.9 | 71 | 1.31 | 1.00–1.72 | 41 | 2.49 | 1.39–4.44 | |
| ≥30 | 42 | 1.49 | 1.07–2.08 | 2 | 0.66 | 0.15–2.88 | |
| Per 5 kg/m2 | 325 | 1.22 | 1.10–1.34 | 59 | 1.08 | 0.75–1.56 | |
| Height | Quintile 1 | 56 | Ref. | 8 | Ref. | ||
| Quintile 2 | 63 | 1.09 | 0.76–1.58 | 15 | 1.28 | 0.54–3.04 | |
| Quintile 3 | 67 | 1.25 | 0.88–1.79 | 13 | 1.46 | .60–3.55 | |
| Quintile 4 | 70 | 1.24 | 0.87–1.77 | 15 | 1.02 | 0.43–2.43 | |
| Quintile 5 | 69 | 1.42 | 1.00–2.02 | 11 | 1.19 | 0.47–2.98 | |
| Per inch | 325 | 1.05 | 1.00–1.09 | 62 | 1.05 | 0.95–1.15 | |
| Young adult BMIe | <25 | 248 | Ref. | 47 | Ref. | ||
| 25–29.9 | 30 | 1.40 | 0.96–2.05 | 11 | 0.78 | 0.40–1.51 | |
| ≥30 | 15 | 2.65 | 1.56–4.49 | 0 | - | ||
| Per 5 kg/m2 | 293 | 1.32 | 1.14–1.52 | 58 | 0.81 | 0.51–1.30 | |
| Age 20 somatotype | 1–2 | 85 | Ref. | 12 | Ref. | ||
| 3–5 | 159 | 0.97 | 0.74–1.27 | 17 | 0.59 | 0.28–1.25 | |
| 6–9 | 17 | 2.30 | 1.35–3.91 | 1 | 0.55 | 0.07–4.31 | |
| Age 10 somatotype | 1–2 | 131 | Ref. | 18 | Ref. | ||
| 3–5 | 119 | 1.04 | 0.81–1.33 | 9 | 0.75 | 0.34–1.68 | |
| 6–9 | 9 | 1.18 | 0.60–2.32 | 3 | 0.87 | 0.25–3.01 | |
| Age 5 somatotype | 1–2 | 149 | Ref. | 19 | Ref. | ||
| 3–5 | 106 | 1.05 | 0.82–1.35 | 8 | 0.74 | 0.32–1.69 | |
| 6–9 | 3 | 0.71 | 0.22–2.22 | 3 | 1.59 | 0.46–5.47 | |
| Birthweight | <7 lbs. | 58 | Ref. | 1 | Ref. | ||
| 7–8.5 lbs. | 88 | 1.27 | 0.91–1.76 | 7 | 3.75 | 0.46–30.65 | |
| >8.5 lbs. | 30 | 1.51 | 0.97–2.35 | 4 | 4.24 | 0.47–38.31 | |
| Smoking status | Never | 192 | Ref. | 22 | Ref. | ||
| Past | 85 | 0.94 | 0.72–1.23 | 37 | 1.81 | 1.06–3.09 | |
| Current | 34 | 0.77 | 0.53–1.14 | 3 | 0.81 | 0.24–2.71 |
Abbreviations: BMI, body mass index; HPFS, Health Professionals Follow-Up Study; HR, hazard ratio; MV, multivariable; NHS, Nurses’ Health Study; NHSII, Nurses’ Health Study II.
aCases may not sum to total due to missing values.
bAdjusted for age and smoking status (never vs. past vs. current).
cCalculated by fixed effect meta-analysis of NHS and NHSII.
dBaseline is 1986 in HPFS, 1976 in NHS, and 1989 in NHSII.
eAge 18 in NHS and NHSII, age 21 in HPFS.