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Table 2 Association of BMI (categorized) and serum lipid level (by quartiles) with lymph node metastasis

From: Obesity promotes lipid accumulation in lymph node metastasis of gastric cancer: a retrospective case‒control study

Variables

Univariate logistic analysis

Multivariate logistic analysis

OR (95% CI)

P value

OR (95% CI)

P value

P for trend

TC (mmol/L)

    

0.949

 Q1 (≤ 3.82)

1.00 (ref)

 

1.00 (ref)

  

 Q2 (3.83–4.43)

0.77 (0.55–1.08)

0.131

1.48 (0.69–3.18)

0.310

 

 Q3 (4.44–5.07)

0.88(0.63–1.24)

0.463

1.17 (0.46–2.99)

0.741

 

 Q4 (≥ 5.08)

0.63 (0.45–0.89)

0.009

0.88 (0.26–2.91)

0.831

 

TG (mmol/L)

 Q1 (≤ 0.87)

1.00 (ref)

    

 Q2 (0.88–1.18)

1.05 (0.75–1.47)

0.794

   

 Q3 (1.19–1.65)

1.11 (0.79–1.57)

0.542

   

 Q4 (≥ 1.66)

1.09 (0.78–1.54)

0.603

   

HDL-C (mmol/L)

    

0.174

 Q1 (≤ 0.92)

1.00 (ref)

 

1.00 (ref)

  

 Q2 (0.93–1.08)

0.71 (0.51–1.00)

0.050

0.78 (0.45–1.36)

0.381

 

 Q3 (1.09–1.27)

0.62 (0.44–0.88)

0.007

0.75 (0.40–1.43)

0.385

 

 Q4 (≥ 1.28)

0.39 (0.27–0.56)

 < 0.001

0.60 (0.27–1.30)

0.196

 

LDL-C (mmol/L)

    

0.905

 Q1 (≤ 2.28)

1.00 (ref)

 

1.00 (ref)

  

 Q2 (2.29–2.76)

0.79 (0.56–1.11)

0.182

0.71 (0.34–1.47)

0.351

 

 Q3 (2.77–3.22)

0.90 (0.64–1.26)

0.524

1.08 (0.44–2.69)

0.864

 

 Q4 (≥ 3.23)

0.73 (0.52–1.02)

0.069

1.11 (0.36–3.41)

0.858

 

LP (a) (mg/L)

    

0.356

 Q1 (≤ 84)

1.00 (ref)

 

1.00 (ref)

  

 Q2 (85–161)

1.33 (0.95–1.87)

0.100

1.08 (0.71–1.97)

0.513

 

 Q3 (162–314)

1.20 (0.85–1.69)

0.303

0.71 (0.42–1.18)

0.187

 

 Q4 (≥ 315)

1.42 (1.01–1.99)

0.046

1.34 (0.79–2.27)

0.277

 

THR

    

0.977

 Q1 (≤ 0.74)

1.00 (ref)

 

1.00 (ref)

  

 Q2 (0.75–1.12)

1.34 (0.95–1.89)

0.091

1.03 (0.60–1.75)

0.921

 

 Q3 (1.13–1.66)

1.33 (0.95–1.88)

0.101

0.74 (0.40–1.37)

0.338

 

 Q4 (≥ 1.67)

1.72 (1.22–2.42)

0.002

0.78 (0.39–1.56)

0.482

 

BMI (kg/m2)

    

0.006

 < 23

1.00 (ref)

 

1.00 (ref)

  

 23–24.9

1.49 (1.11–2.00)

0.008

2.02 (1.26–3.23)

0.003

 

 ≥ 25

1.77 (1.32–2.36)

 < 0.001

1.83 (1.15–2.91)

0.011

 

Sex

 Male

1.00 (ref)

    

 Female

1.04 (0.80–1.35)

0.788

   

Age (years)

 ≤ 65

1.00 (ref)

    

 > 65

1.22 (0.95–1.56)

0.116

   

Location

 Upper

1.00 (ref)

 

1.00 (ref)

  

 Middle

1.16 (0.86–1.57)

0.325

1.48 (0.92–2.37)

0.106

 

 Lower

1.38 (1.02–1.87)

0.036

2.06 (1.28–3.31)

0.003

 

Grade

 G1/G1-2

1.00 (ref)

 

1.00 (ref)

  

 G2

13.60 (3.25–56.89)

 < 0.001

3.96 (0.51–30.65)

0.187

 

 G2-3

60.18 (14.46–250.44)

 < 0.001

5.44 (0.69–42.95)

0.108

 

 G3

58.94 (14.26–243.62)

 < 0.001

5.35 (0.65–43.82)

0.118

 

Tumor size (cm)

 ≤ 2.5

1.00 (ref)

 

1.00 (ref)

  

 > 2.5

5.41 (4.14–7.06)

 < 0.001

1.47 (0.97–2.20)

0.066

 

T stage

 T1

1.00 (ref)

 

1.00 (ref)

  

 T2

4.37 (2.93–6.51)

 < 0.001

1.94 (1.16–3.250

0.012

 

 T3

15.26 (10.68–21.81)

 < 0.001

4.88 (2.85–8.34)

 < 0.001

 

 T4

33.12 (19.07–57.53)

 < 0.001

8.43 (4.06–17.48)

 < 0.001

 

PNI

 Absent

1.00 (ref)

 

1.00 (ref)

  

 Present

7.63 (5.67–10.27)

 < 0.001

2.18 (1.39–3.43)

0.001

 

LVI

 Absent

1.00 (ref)

 

1.00 (ref)

  

 Present

11.10 (8.03–15.36)

 < 0.001

4.45 (2.92–6.79)

 < 0.001

 

Lauren §

 Intestinal

1.00 (ref)

 

1.00 (ref)

  

 Diffuse

2.43 (1.72–3.41)

 < 0.001

1.22 (0.60–2.48)

0.585

 

 Mixed

3.83 (2.79–5.25)

 < 0.001

2.59 (1.51–4.42)

0.001

 

ELN

1.02 (1.01–1.03)

0.001

1.01 (1.00–1.03)

0.119

 
  1. Abbreviations: OR Odds ratio, CI confidence interval, Q quartile, TC total cholesterol, TG triglyceride, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol, LP (a) lipoprotein (a), THR TG/HDL-C, BMI body mass index, PNI perineural invasion, LVI lymphovascular invasion, ELN examined lymph nodes
  2. Adjusted for TC, HDL-C, LDL-C, LP (a), THR, BMI, location, grade, T stage, tumor size, PNI, LVI, Lauren classification, and ELN
  3. Missing values for 19 patients
  4. § Missing values for 142 patients
  5. The significant results are in bold