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Table 5 Hazard ratios and 95% confidence intervals (CI) for the association between calcium and risk of GI cancer, stratified by overweight (BMI</≥25 kg/m 2 ) in sub-cohort with baseline measurements of BMI

From: Serum calcium and risk of gastrointestinal cancer in the Swedish AMORIS study

Not Overweight (N = 24,511)

      
 

Oesophageal cancer

Stomach cancer

Colon cancer

Rectal cancer

Colorectal cancer

 

n

HR (95% CI)

n

HR (95% CI)

n

HR (95% CI)

n

HR (95% CI)

n

HR (95% CI)

Calcium (SD: 0.10 mmol/L)

2.02 (1.33-3.07)

 

0.81 (0.57-1.14)

 

1.01 (0.84-1.21)

 

1.10 (0.88-1.38)

 

1.04 (0.91-1.21)

Quartiles of calcium

          

  < 2.32

3

1.00 (Ref)

13

1.00 (Ref)

34

1.00 (Ref)

18

1.00 (Ref)

52

1.00 (Ref)

  2.32-2.38

3

1.04 (0.20-5.30)

11

0.67 (0.28-1.51)

42

1.08 (0.68-1.71)

28

1.72 (0.72-2.38)

70

1.05 (0.91-1.21)

  2.38-2.45

4

1.86 (0.39-8.87)

7

0.53 (0.20-1.37)

33

1.07 (0.65-1.75)

30

1.74 (0.95-3.20

63

1.15 (0.87-1.52)

  ≥ 2.45

7

3.28 (0.73-14.71)

9

0.58 (0.23-1.47)

32

0.91 (0.54-1.55)

20

1.03 (0.52-2.04)

52

0.57 (0.34-0.96)

P-value for trend

 

0.07

 

0.21

 

0.73

 

0.74

 

0.95

Albumin-corrected calcium 1

1.93 (1.32-2.82)

 

1.03 (0.61-1.14)

 

1.02 (0.86-1.21)

 

1.10 (0.90-1.35)

 

1.05 (0.93-1.20)

  (SD: 0.09 mmol/L)

          

Quartiles of albumin-corrected calcium 1

        

  < 2.27

2

1.00 (Ref)

8

1.00 (Ref)

23

1.00 (Ref)

16

1.00 (Ref)

39

1.00 (Ref)

  2.27-2.33

2

0.90 (0.13-6.84)

10

1.08 (0.42-2.73)

31

1.20 (0.70-2.05)

19

1.03 (0.53-2.00)

50

1.13 (0.74-1.71)

  2.33-2.39

3

1.06 (0.18-6.37)

12

1.04 (0.42-2.55)

42

1.30 (0.78-2.16)

29

1.26 (0.68-2.33)

71

1.28 (0.87-1.90)

  ≥ 2.39

10

2.94 (0.64-13.65)

10

0.71 (0.28-1.80)

45

1.12 (0.67-1.86)

32

1.14 (0.62-2.09)

87

1.13 (0.76-1.66)

P-value for trend

 

0.07

 

0.42

 

0.72

 

0.58

 

0.53

Overweight (N = 38,517)

         

Calcium (SD: 0.10 mmol/L)

0.69 (0.38-1.28)

 

1.04 (0.74-1.46)

 

0.97 (0.81-1.16)

 

0.98 (0.77-1.25)

 

0.97 (0.84-1.13)

Quartiles of calcium

          

  < 2.31

5

1.00 (Ref)

11

1.00 (Ref)

35

1.00 (Ref)

18

1.00 (Ref)

53

1.00 (Ref)

  2.31-2.37

3

0.61 (0.14-2.61)

8

0.66 (0.26-1.65)

35

0.85 (0.53-1.37)

22

1.01 (0.54-1.90)

57

0.91 (0.60-1.32)

  2.37-2.44

1

0.27 (0.03-2.36)

11

1.08 (0.45-2.58)

39

1.09 (0.68-1.75)

16

0.82 (0.41-1.64)

55

0.99 (0.67-1.47)

  ≥ 2.44

3

1.00 (0.21-4.78)

9

1.00 (0.38-2.60)

28

0.83 (0.48-1.42)

21

1.09 (0.55-2.17)

49

0.92 (0.61-1.41)

P-value for trend

 

0.72

 

0.52

 

0.76

 

0.94

 

0.85

Albumin-corrected calcium 1

         

  (SD: 0.09 mmol/L)

 

0.77 (0.44-1.35)

 

1.06 (0.78-1.45)

 

0.99 (0.84-1.17)

 

0.99 (0.79-1.23)

 

0.99 (0.86-1.13)

Quartiles of albumin-corrected calcium 1

        

  < 2.27

3

1.00 (Ref)

8

1.00 (Ref)

24

1.00 (Ref)

15

1.00 (Ref)

39

1.00 (Ref)

  2.27-2.33

3

0.77 (0.15-3.82)

7

0.65 (0.24-1.79)

31

0.94 (0.55-1.60)

15

0.72 (0.35-1.48)

46

0.85 (0.56-1.31)

  2.33-2.39

3

0.73 (0.15-3.65)

9

0.81 (0.31-2.10)

43

1.26 (0.76-2.08)

23

1.08 (0.56-2.08)

66

1/13 (0.80-1.77)

  ≥ 2.39

3

0.65 (0.13-3.29)

15

1.15 (0.48-2.75)

39

0.95 (0.57-1.59)

24

0.92 (0.48-1.77)

63

0.94 (0.63-1.41)

P-value for trend

 

0.62

 

0.52

 

0.90

 

0.84

 

0.83

  1. All models are adjusted for age, sex, SES, albumin (continuous), and Charlson Comorbidity Index.
  2. 1 Not adjusted for albumin.