Table 5. Adjusted coefficients examining direct effects of prepubertal risk factors on menarcheal age; direct effects of prepubertal risk factors and menarcheal age on the adulthood CMR composite; and mediated effects of prepubertal risk factors on the adulthood CMR composite via menarcheal age.
Prepubertal risk factors, pubertal timing (menarcheal age), and adulthood cardiometabolic risk |
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---|---|---|---|---|---|---|
Direct Effects: Prepubertal risk factors → pubertal timing (menarcheal age) |
Direct Effects: Prepubertal risk factors and pubertal timing (menarcheal age) → CMR composite |
Mediated Effects: Prepubertal risk factors → pubertal timing (menarcheal age) → CMR composite |
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DV: Menarcheal Age | DV: CMR Composite | DV: CMR Composite | ||||
Effect Estimate |
95% CI | Effect Estimate |
95% CI | Effect Estimate |
95% CI | |
PREDICTORS: | ||||||
Prepubertal risk factors: | ||||||
Maternal menarcheal age | 0.268**** | 0.208, 0.328 | 0.032 | -0.042, 0.106 | -0.039** | -0.067, -0.013 |
Black (vs. White) | -0.426* | -0.754, -0.098 | 0.016 | -0.289, 0.321 | 0.062** | 0.009, 0.136 |
Latina (vs. White) | -0.263 | -0.668, 0.141 | -0.176 | -0.655, 0.303 | - | - |
Asian/PI (vs. White) | -0.745* | -1.412, -0.079 | -0.425 | -1.277, 0.427 | 0.108* | 0.007, 0.251 |
Other (vs. White) | -0.061 | -0.590, 0.467 | -0.282 | -0.833, 0.269 | - | - |
General health rating | -0.040 | -0.186, 0.107 | 0.002 | -0.151, 0.156 | - | - |
BMI percentile | -0.005** | -0.009, -0.001 | 0.006** | 0.002, 0.010 | 0.001** | 0.0001, 0.002 |
Child SES | 0.193** | 0.076, 0.310 | -0.141† | -0.296, 0.015 | -0.028** | -0.057, -0.007 |
Mother-child attachment | 0.010 | -0.325, 0.346 | 0.046 | -0.336, 0.428 | - | - |
Maternal sensitivity | -0.001 | -0.126, 0.125 | -0.120 | -0.269, 0.028 | - | - |
Negative life events | -0.024 | -0.151, 0.103 | 0.016 | -0.143, 0.175 | - | - |
Pubertal timing indicator: | ||||||
Menarcheal age | - | - | -0.145** | -0.239, -0.051 | - | - |
†p < .10
*p< .05
**p< .01
***p< .001
****p< .0001.