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Table 3 Hazard Ratios and 95% CIs of Incident Colorectal Cancer in the PLCO Cohort, by Quartiles of Paleolithic Diet score

From: Adherence to the Paleolithic diet and Paleolithic-like lifestyle reduce the risk of colorectal cancer in the United States: a prospective cohort study

Model

Paleolithic Diet score, HR (95% CI)

P for trenda

Quartile 1 (lowest)

Quartile 2

Quartile 3

Quartile 4 (highest)

Colorectal cancerb

 Cases

200

148

179

167

NA

 Person-years

157688

136768

193197

199074

NA

 Incidence rate (95% CI)c

1.27 (1.10, 1.46)

1.08 (0.92, 1.27)

0.93 (0.8, 1.07)

0.84 (0.72, 0.98)

NA

 Unadjusted

1.00 (reference)

0.85 (0.69, 1.06)

0.73 (0.6, 0.89)

0.66 (0.54, 0.81)

 < 0.001

 Model 1d

1.00 (reference)

0.87 (0.71, 1.08)

0.77 (0.62, 0.94)

0.72 (0.58, 0.90)

0.002

 Model 2e

1.00 (reference)

0.88 (0.71, 1.09)

0.79 (0.64, 0.97)

0.76 (0.61, 0.95)

0.009

Proximal colon cancer

 Cases

117

94

109

100

NA

 Incidence rate (95% CI) c

0.74 (0.62, 0.89)

0.69 (0.56, 0.84)

0.56 (0.47, 0.68)

0.50 (0.41, 0.61)

NA

 Unadjusted

1.00 (reference)

0.93 (0.71, 1.21)

0.76 (0.59, 0.99)

0.68 (0.52, 0.88)

0.002

 Model 1d

1.00 (reference)

0.93 (0.71, 1.22)

0.77 (0.59, 1.00)

0.70 (0.52, 0.92)

0.006

 Model 2e

1.00 (reference)

0.94 (0.71, 1.23)

0.78 (0.60, 1.02)

0.73 (0.55, 0.97)

0.02

Distal CRC

 Cases

82

54

69

67

NA

 Incidence rate (95% CI)c

0.52 (0.42, 0.65)

0.39 (0.30, 0.52)

0.36 (0.28, 0.45)

0.34 (0.27, 0.43)

NA

 Unadjusted

1.00 (reference)

0.76 (0.54, 1.07)

0.69 (0.50, 0.95)

0.65 (0.47, 0.89)

0.008

 Model 1d

1.00 (reference)

0.80 (0.57, 1.13)

0.77 (0.55, 1.06)

0.78 (0.55, 1.10)

0.15

 Model 2e

1.00 (reference)

0.81 (0.58, 1.15)

0.79 (0.57, 1.09)

0.82 (0.58, 1.16)

0.25

  1. a: Trend test was performed using median value of each diet score quintile as a continuous variable
  2. b: Including 420 proximal colon cancer cases, 272 distal CRC (that is, distal colon and rectal cancer) cases, and 2 CRC cases with an unknown site
  3. c: Incidence rate was calculated per 1000 person-years
  4. d: Model 1 was controlled with age (continuous), sex (male, female), race (white, no-white), education levels (high-school graduate or less, some college or college graduate)
  5. e: Model 2 was additionally controlled with family history of colorectal cancer (no, yes or possibly), history of colon comorbidity (no, yes), history of diverticulitis or diverticulosis (no, yes), history of colorectal polyp (no, yes), history of diabetes (no, yes), history of aspirin use (no, yes), total energy intake (continuous), BMI at baseline (continuous), smoking status (never, current, former), and physical activity level (continuous)
  6. HR hazard ratio, CI confidence interval, NA not applicable