From: The relationship between metabolic syndrome and the incidence of colorectal cancer
Characteristics | Category | No. of study population | No. of colorectal cancer | Cumulative incidence rate (per 1000) | Incidence density (per 10,000 person-years) | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Normal | Pre-MetS | MetS | Total | Normal | Pre-MetS | MetS | Total | Normal | Pre-MetS | MetS | p value | Total | p value | Normal | Pre-MetS | MetS | p value | Total | p value | ||
Total | 841,887 | 2,037,811 | 816,225 | 3,695,923 | 2174 | 7858 | 4517 | 14,549 | 2.6 | 3.9 | 5.5 | 3.9 | 2.8 | 4.2 | 6.0 | 4.2 | |||||
Age | 30–39 | 52,090 | 78,689 | 19,451 | 150,230 | 31 | 62 | 11 | 104 | 0.6 | 0.8 | 0.6 | < 0.001 | 0.7 | < 0.001 | 0.6 | 0.8 | 0.6 | < 0.001 | 0.7 | < 0.001 |
40–49 | 403,228 | 802,049 | 267,504 | 1,472,781 | 457 | 1066 | 422 | 1945 | 1.1 | 1.3 | 1.6 | < 0.001 | 1.3 | 1.2 | 1.4 | 1.7 | < 0.001 | 1.4 | |||
50–59 | 259,358 | 695,206 | 294,199 | 1,248,763 | 771 | 2722 | 1387 | 4880 | 3.0 | 3.9 | 4.7 | < 0.001 | 3.9 | 3.2 | 4.2 | 5.1 | < 0.001 | 4.2 | |||
60–69 | 127,211 | 461,867 | 235,071 | 824,149 | 915 | 4008 | 2697 | 7620 | 7.2 | 8.7 | 11.5 | < 0.001 | 9.2 | 7.8 | 9.4 | 12.5 | < 0.001 | 10.0 | |||
Smoking | Non-smoker | 254,976 | 551,062 | 198,274 | 1,004,312 | 599 | 1998 | 1098 | 3695 | 2.3 | 3.6 | 5.5 | < 0.001 | 3.7 | <0.001 | 2.5 | 3.9 | 6.0 | < 0.001 | 4.0 | < 0.001 |
Ex-smoker | 191,807 | 502,695 | 209,573 | 904,075 | 506 | 2112 | 1330 | 3948 | 2.6 | 4.2 | 6.3 | < 0.001 | 4.4 | 2.8 | 4.5 | 6.8 | < 0.001 | 4.7 | |||
Smoker | 390,833 | 975,701 | 405,252 | 1,771,786 | 1061 | 3718 | 2076 | 6855 | 2.7 | 3.8 | 5.1 | < 0.001 | 3.9 | 2.9 | 4.1 | 5.6 | < 0.001 | 4.2 | |||
Alcohol consumption | No drink | 266,110 | 561,954 | 205,282 | 1,033,346 | 722 | 2099 | 1121 | 3942 | 2.7 | 3.7 | 5.5 | < 0.001 | 3.8 | < 0.001 | 2.9 | 4.0 | 5.9 | < 0.001 | 4.1 | < 0.001 |
2–3/per month | 435,666 | 1,015,825 | 391,247 | 1,842,738 | 965 | 3469 | 1882 | 6316 | 2.2 | 3.4 | 4.8 | < 0.001 | 3.4 | 2.4 | 3.7 | 5.2 | < 0.001 | 3.7 | |||
1–4/per week | 100,885 | 330,563 | 157,013 | 588,461 | 309 | 1479 | 984 | 2772 | 3.1 | 4.5 | 6.3 | < 0.001 | 4.7 | 3.3 | 4.8 | 6.8 | < 0.001 | 5.1 | |||
5/per week | 29,429 | 110,628 | 56,183 | 196,240 | 149 | 745 | 503 | 1397 | 5.1 | 6.7 | 9.0 | < 0.001 | 7.1 | 5.5 | 7.3 | 9.8 | < 0.001 | 7.7 | |||
Physical exercise, per week | No exercise | 343,189 | 841,263 | 346,095 | 1,530,547 | 897 | 3244 | 1948 | 6089 | 2.6 | 3.9 | 5.6 | < 0.001 | 4.0 | < 0.001 | 2.8 | 4.2 | 6.1 | < 0.001 | 4.3 | < 0.001 |
1–4/per week | 177,100 | 419,415 | 167,585 | 764,100 | 452 | 1489 | 854 | 2795 | 2.6 | 3.6 | 5.1 | < 0.001 | 3.7 | 2.7 | 3.8 | 5.5 | < 0.001 | 3.9 | |||
5/per week | 314,767 | 762,500 | 297,226 | 1,374,493 | 807 | 3072 | 1694 | 5573 | 2.6 | 4.0 | 5.7 | < 0.001 | 4.1 | 2.7 | 4.3 | 6.2 | < 0.001 | 4.4 | |||
FHx of cancer | No | 494,125 | 1,199,780 | 486,757 | 2,180,662 | 1,176 | 4376 | 2520 | 8072 | 2.4 | 3.6 | 5.2 | < 0.001 | 3.7 | < 0.001 | 2.6 | 3.9 | 5.6 | < 0.001 | 4.0 | < 0.001 |
Yes | 95,222 | 217,852 | 83,206 | 396,280 | 234 | 816 | 467 | 1517 | 2.5 | 3.7 | 5.6 | < 0.001 | 3.8 | 2.6 | 4.0 | 6.1 | < 0.001 | 4.1 | |||
Height (cm) | < 167 | 239,064 | 636,453 | 236,248 | 1,111,765 | 822 | 3205 | 1723 | 5750 | 3.4 | 5.0 | 7.3 | < 0.001 | 5.2 | < 0.001 | 3.7 | 5.4 | 7.2 | < 0.001 | 5.6 | < 0.001 |
167–171 | 220,547 | 534,838 | 209,648 | 965,033 | 588 | 2131 | 1193 | 3912 | 2.7 | 4.0 | 5.7 | < 0.001 | 4.1 | 2.9 | 4.3 | 5.6 | < 0.001 | 4.4 | |||
172-174 | 204,006 | 469,535 | 192,522 | 866,063 | 435 | 1485 | 950 | 2870 | 2.1 | 3.2 | 4.9 | < 0.001 | 3.3 | 2.3 | 3.4 | 4.8 | < 0.001 | 3.6 | |||
≥ 175 | 178,270 | 396,985 | 177,807 | 753,062 | 329 | 1037 | 651 | 2017 | 1.8 | 2.6 | 3.7 | < 0.001 | 2.7 | 2.0 | 2.8 | 3.6 | < 0.001 | 2.9 | |||
Weight (kg) | < 64 | 372,420 | 572,899 | 83,536 | 1,028,855 | 1,106 | 2,672 | 646 | 4,424 | 3.0 | 4.7 | 7.7 | < 0.001 | 4.3 | < 0.001 | 3.2 | 5.0 | 8.5 | < 0.001 | 4.6 | < 0.001 |
64-69 | 235,461 | 530,335 | 128,262 | 894,058 | 555 | 2157 | 871 | 3583 | 2.4 | 4.1 | 6.8 | < 0.001 | 4.0 | 2.5 | 4.4 | 7.4 | < 0.001 | 4.3 | |||
70–76 | 171,877 | 534,264 | 213,956 | 920,097 | 397 | 1852 | 1277 | 3526 | 2.3 | 3.5 | 6.0 | < 0.001 | 3.8 | 2.5 | 3.7 | 6.4 | < 0.001 | 4.1 | |||
≥ 77 | 62,129 | 400,313 | 390,471 | 852,913 | 116 | 1177 | 1723 | 3016 | 1.9 | 2.9 | 4.4 | < 0.001 | 3.5 | 2.0 | 3.2 | 4.8 | < 0.001 | 3.8 | |||
BMI (kg/m2) | < 18.5 | 33,171 | 29,275 | 1,844 | 64,290 | 76 | 144 | 21 | 241 | 2.3 | 4.9 | 11.4 | < 0.001 | 3.7 | < 0.001 | 2.5 | 5.4 | 13.1 | < 0.001 | 4.1 | < 0.001 |
18.5–22.9 | 445,140 | 656,729 | 83,735 | 1,185,604 | 1,138 | 2617 | 572 | 4327 | 2.6 | 4.0 | 6.8 | < 0.001 | 3.6 | 2.7 | 4.3 | 7.4 | < 0.001 | 3.9 | |||
23.0–24.9 | 234,677 | 621,458 | 159,332 | 1,015,467 | 631 | 2384 | 977 | 3992 | 2.7 | 3.8 | 6.1 | < 0.001 | 3.9 | 2.9 | 4.1 | 6.6 | < 0.001 | 4.2 | |||
25.0–29.9 | 128,038 | 690,021 | 477,677 | 1,295,736 | 327 | 2580 | 2537 | 5444 | 2.6 | 3.7 | 5.3 | < 0.001 | 4.2 | 2.7 | 4.0 | 5.7 | < 0.001 | 4.5 | |||
≥ 30.0 | 861 | 40,328 | 93,637 | 134,826 | 2 | 133 | 410 | 545 | 2.3 | 3.3 | 4.4 | < 0.001 | 4.0 | 2.5 | 3.6 | 4.7 | < 0.001 | 4.4 | |||
Total cholesterol (mg/dL) | < 173 | 287,648 | 499,111 | 154,244 | 941,003 | 650 | 1819 | 886 | 3355 | 2.3 | 3.6 | 5.7 | < 0.001 | 3.6 | < 0.001 | 2.4 | 3.9 | 6.2 | < 0.001 | 3.8 | < 0.001 |
173–194 | 239,234 | 504,393 | 176,051 | 919,678 | 615 | 1886 | 961 | 3462 | 2.6 | 3.7 | 5.5 | < 0.001 | 3.8 | 2.8 | 4.0 | 5.9 | < 0.001 | 4.1 | |||
195–218 | 189,771 | 516,797 | 210,313 | 916,881 | 530 | 2,044 | 1,159 | 3,733 | 2.8 | 4.0 | 5.5 | < 0.001 | 4.1 | 3.0 | 4.3 | 6.0 | < 0.001 | 4.4 | |||
≥ 219 | 125,234 | 517,510 | 275,617 | 918,361 | 379 | 2,109 | 1,511 | 3,999 | 3.0 | 4.1 | 5.5 | < 0.001 | 4.4 | 3.3 | 4.4 | 5.9 | < 0.001 | 4.7 | |||
ALT (IU/L) | < 18 | 354,952 | 530,427 | 94,775 | 980,154 | 880 | 2,154 | 628 | 3,662 | 2.5 | 4.1 | 6.6 | < 0.001 | 3.7 | < 0.001 | 2.7 | 4.4 | 7.2 | < 0.001 | 4.0 | < 0.001 |
18–24 | 241,797 | 549,667 | 159,960 | 951,424 | 648 | 2,144 | 948 | 3,740 | 2.7 | 3.9 | 5.9 | < 0.001 | 3.9 | 2.9 | 4.2 | 6.4 | < 0.001 | 4.2 | |||
25–35 | 154,775 | 500,574 | 221,678 | 877,027 | 417 | 1967 | 1277 | 3661 | 2.7 | 3.9 | 5.8 | < 0.001 | 4.2 | 2.9 | 4.2 | 6.2 | < 0.001 | 4.5 | |||
≥ 36 | 90,363 | 457,143 | 339,812 | 887,318 | 229 | 1593 | 1664 | 3486 | 2.5 | 3.5 | 4.9 | < 0.001 | 3.9 | 2.7 | 3.8 | 5.3 | < 0.001 | 4.2 | |||
Hemoglobin (g/dL) | > 12 | 836,812 | 2,025,415 | 811,497 | 3,673,724 | 2,153 | 7,772 | 4,476 | 14,401 | 2.6 | 3.8 | 5.5 | < 0.001 | 3.9 | < 0.001 | 2.8 | 4.1 | 6.0 | < 0.001 | 4.2 | < 0.001 |
10–12 | 4,173 | 9,967 | 3,769 | 17,909 | 15 | 64 | 31 | 110 | 3.6 | 6.4 | 8.2 | < 0.001 | 6.1 | 3.9 | 7.2 | 9.4 | < 0.001 | 6.9 | |||
< 10 | 624 | 1,624 | 623 | 2,871 | 5 | 17 | 6 | 28 | 8.0 | 10.5 | 9.6 | < 0.001 | 9.8 | 8.8 | 11.9 | 11.2 | < 0.001 | 11.1 | |||
Serum creatinine (mg/dL) | ≤ 1.5 | 815,023 | 1,962,815 | 783,300 | 3,561,138 | 2,112 | 7599 | 4339 | 14,050 | 2.6 | 3.9 | 5.5 | < 0.001 | 3.9 | < 0.001 | 2.8 | 4.2 | 6.0 | < 0.001 | 4.3 | < 0.001 |
> 1.5 | 26,813 | 74,886 | 32,883 | 134,582 | 61 | 259 | 178 | 498 | 2.3 | 3.5 | 5.4 | < 0.001 | 3.7 | 2.4 | 3.7 | 5.8 | < 0.001 | 4.0 |