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. 2021 Jan 8;106(4):1591–1602. doi: 10.1210/clinem/dgaa987

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.