Exposure† | Unadjusted‡ (N=17 840) | Minimally adjusted‡ (N=17 840) | Fully adjusted§ (N=17 840) | Adjusted & restricted to protocol 1§ (N=15 147) |
Three category fitness 1 | ||||
Low (<20th percentile) (N=3566) | Ref | Ref | Ref | Ref |
Moderate (20th to <80th percentile) (N=10 704) | 0.95 (0.77 to 1.18) | 0.94 (0.76 to 1.17) | 0.94 (0.76 to 1.16) | 1.03 (0.81 to 1.32) |
High (>80th percentile) (N=3570) | 0.75 (0.57 to 0.99)* | 0.74 (0.56 to 0.98)* | 0.73 (0.55 to 0.97)* | 0.79 (0.57 to 1.08) |
Low Fitness | ||||
No (N=14 274) | Ref | Ref | Ref | Ref |
Yes (N=3566) | 1.11 (0.90 to 1.36) | 1.12 (0.91 to 1.38) | 1.13 (0.91 to 1.39) | 1.03 (0.81 to 1.31) |
High fitness | ||||
No (N=14 720) | Ref | Ref | Ref | Ref |
Yes (N=3570) | 0.78 (0.62 to 0.98)* | 0.77 (0.61 to 0.98)* | 0.76 (0.60 to 0.97)* | 0.77 (0.60 to 0.99)* |
Fine and Gray regression analysis with other cancer, and all-cause mortality treated as competing risks was used to produce SDHRs. Age was used as a timescale to anchor findings to a clinically meaningful time point instead of arbitrary time point (ie, time since CRF assessment).
*Statistically significant (p<0.05).
†Sample sizes are based on the whole sample (ie, all those with an eCRF assessment using any of the three protocols).
‡Estimates adjusted for ethnicity (white, black, other), smoke status (never, current, previous), alcohol use frequency (never, special occasions only, 1–3 times a month, once or twice a week, 3 or 4 times a week, daily) and physical activity (categorised as <50th percentile vs >50th percentile of MET minutes per week).
§Estimates are adjusted for all variables in the minimally adjusted model and education (secondary, postsecondary, missing), family history of breast cancer, age at menarche (<or≥13 years of age), number of live births (nulliparous, 1, 2, 3 or more children) and protocol (1, 2, 3) if relevant.
BMI, body mass index; CI, confidence interval; eCRF, estimated cardiorespiratory fitness; SDHR, subdistribution HR.