Research Article

Association of Visit-to-Visit Variability in Fasting Plasma Glucose with Digestive Cancer Risk

Table 3

Risks of site-specific digestive cancer according to quartiles of FPG variability assessed by SD.

VariablesHR (95% CI) according to quartiles of variability of FPG
Quartile 1Quartile 2Quartile 3Quartile 4

Gastric and esophageal
Events, 50 (0.2)47 (0.19)59 (0.24)69 (0.28)
IR0.20.190.240.28
Cox regression models
 Model 11 (reference)1.109 (0.744-1.652)1.310 (0.898-1.911)1.187 (0.824-1.711)
   value0.55180.61180.16030.3568
 Model 21 (reference)1.107 (0.743-1.649)1.310 (0.898-1.911)1.105 (0.785-1.686)
   value0.56620.61690.16100.4726
 Model 31 (reference)1.100 (0.738-1.639)1.300 (0.891-1.897)1.139 (0.776-1.670)
   value0.58770.64030.17320.5062
Liver
Events, 46 (0.19)55 (0.22)68 (0.28)74 (0.3)
IR0.190.220.280.30
Cox regression models
 Model 11 (reference)1.412 (0.954-2.091)1.689 (1.161-2.456)1.470 (1.016-2.127)
   value0.05170.08430.00620.0407
 Model 21 (reference)1.411 (0.953-2.089)1.680 (1.155-2.445)1.441 (0.984-2.111)
   value0.05810.08530.00670.0606
 Model 31 (reference)1.407 (0.95-2.082)1.682 (1.156-2.449)1.427 (0.973-2.092)
   value0.05850.08810.00660.0686
Pancreatic
Events, 11 (0.04)26 (0.11)17 (0.07)29 (0.12)
IR0.040.110.070.12
Cox regression models
 Model 11 (reference)2.741 (1.354-5.551)1.667 (0.78-3.562)2.207 (1.101-4.425)
   value0.03350.00510.18730.0257
 Model 21 (reference)2.741 (1.354-5.552)1.660 (0.776-3.549)2.090 (1.017-4.294)
   value0.03740.00510.19110.0449
 Model 31 (reference)2.743 (1.354-5.556)1.674 (0.783-3.579)2.105 (1.024-4.329)
   value0.03760.00510.18420.0430
Colorectal
Events, 82 (0.33)82 (0.33)120 (0.49)135 (0.55)
IR0.330.330.490.55
Cox regression models
 Model 11 (reference)1.165 (0.858-1.583)1.603 (1.210-2.124)1.433 (1.088-1.887)
   value0.00470.32850.00100.0105
 Model 21 (reference)1.166 (0.858-1.584)1.612 (1.217-2.136)1.443 (1.081-1.926)
   value0.00450.32690.00090.0128
 Model 31 (reference)1.164 (0.856-1.581)1.600 (1.207-2.121)1.432 (1.073-1.912)
   value0.00560.33240.00110.0149

IR (incidence rate) presented as per 1000 person-years. for trend. Model 1: adjusted for age and sex. Model 2: model 1 + LDL-C, baseline FPG, antihypertensive drugs, hypoglycemic drugs, hypertension, and diabetes mellitus. Model 3: model 2 + BMI, current smoking, current drinking, physical exercise, and family history of cancer. Abbreviations: CI: confidence interval; FPG: fasting plasma glucose; HR: hazard ratio; SD: standard deviation.