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. 2023 Oct 5;33(10):514–520. doi: 10.2188/jea.JE20210476

Table 4. Direct and indirect effects of obesity on ASCVD using difference method in men and women: exposure in binary and mediators in binary.

  ASCVD Stroke IHD

  All Ischemic Hemorrhagic All AMI Angina

Parameter (B) Parameter (B) Parameter (B) Parameter (B) Parameter (B) Parameter (B) Parameter (B)
Men
 Total effect (TE) 0.23 0.20 0.28 0.12 0.22 0.17 0.20
 Direct effect (DE) 0.16 0.10 0.17 −0.02 0.18 0.11 0.17
 Indirect effect (TE-DE) 0.07 0.10 0.11 0.14 0.04 0.05 0.04
 % mediated 30.7 48.8 39.5 NE 18.5 32.6 17.5
 
Women
 Total effect (TE) 0.36 0.16 0.21 0.10 0.53 0.68 0.62
 Direct effect (DE) 0.20 0.05 0.08 −0.03 0.39 0.48 0.49
 Indirect effect (TE-DE) 0.16 0.11 0.14 0.12 0.14 0.21 0.13
 % mediated 43.9 66.5 63.1 NE 26.2 30.0 21.0

AMI, acute myocardial infarction; ASCVD, atherosclerotic cardiovascular disease; IHD, ischemic heart disease; NE, not estimated due to small sample or insignificant results.

Total effect: adjusted for age, smoking, alcohol, exercise, systolic blood pressure (SBP), fasting glucose, and total cholesterol at baseline (’92 and ’94); Direct effect: adjusted for age, smoking, alcohol, exercise, SBP, fasting glucose, and total cholesterol at baseline plus mediators (hypertension, diabetes, and dyslipidemia) (’02 and ’04); % mediated: (TE-DE)/TE * 100.