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. 2021 Aug 18;11:16718. doi: 10.1038/s41598-021-95773-2

Table 3.

Hazard ratios (HR) and confidence intervals (95% CI) of postmenopausal breast cancer by quintiles of dietary indices.

Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5 Ptrendc Pbetween-studies heterogeneityd
mNordic Dietary Index
Index points, median (SD) 7 (1.5) 10 (0.7) 12 (0.7) 14 (0.7) 17 (1.4)
Breast cancer cases, n 56 54 57 62 45
Age-adjusted 1.00 0.97 (0.67–1.41) 1.03 (0.71–1.49) 1.08 (0.75–1.55) 0.76 (0.51–1.13) 0.35 0.15
Multivariablea 1.00 0.95 (0.65–1.38) 1.03 (0.71–1.49) 1.05 (0.72–1.51) 0.67 (0.48–1.01) 0.18 0.14
Multivariableb 1.00 1.19 (0.78–1.82) 1.17 (0.76–1.79) 1.18 (0.77–1.80) 0.83 (0.52–1.33) 0.50 0.31
mMediterranean Dietary Index
Index points, median (SD) 2 (0.7) 3 (0.5) 4 (0.5) 5 (0.5) 7 (0.8)
Breast cancer cases, n 59 56 47 50 62
Age-adjusted 1.00 0.94 (0.65–1.35) 0.77 (0.52–1.12) 0.82 (0.56–1.20) 1.03 (0.72–1.47) 0.88 0.29
Multivariablea 1.00 0.89 (0.61–1.28) 0.72 (0.49–1.07) 0.69 (0.46–1.02) 0.88 (0.59–1.30) 0.27 0.24
Multivariableb 1.00 0.91 (0.61–1.36) 0.63 (0.40–0.99) 0.69 (0.45–1.06) 0.87 (0.56–1.34) 0.27 0.23
mAlternative Healthy Eating Index
Index points, median (SD) 16 (1.9) 19 (0.9) 22 (0.8) 25 (0.9) 28 (2.0)
Breast cancer cases, n 54 58 57 52 53
Age-adjusted 1.00 1.01 (0.70–1.47) 1.05 (0.72–1.52) 0.95 (0.65–1.39) 0.96 (0.65–1.40) 0.73 0.31
Multivariablea 1.00 1.02 (0.71–1.49) 1.00 (0.69–1.46) 0.93 (0.63–1.38) 0.89 (0.60–1.32) 0.47 0.29
Multivariableb 1.00 1.17 (0.76–1.78) 1.21 (0.79–1.85) 0.99 (0.63–1.55) 1.03 (0.66–1.61) 0.80 0.21

aMultivariable model was adjusted for age (years), education (tertiles by birth year), smoking (never, former, current smokers), height (cm, continuous), body mass index (kg/m2, continuous), leisure time exercise (passive, somewhat active, active), parity (never, ever), hormone replacement therapy (never, ever), energy intake (kJ/day, continuous) and cohort.

bExcluding cases diagnosed during the first two years of follow-up: Finnish Mobile Clinic Follow-up Survey (n = 5), Health 2000 (n = 19), Helsinki Birth Cohort (n = 8), FINRISK 2007 (n = 8) and FINRISK 2012 (n = 13).

cPtrend value, two-sided test calculated using a continuous variable based on the median in each quintile.

dMultivariable modela excluding ‘cohort’ as a confounding factor.