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. 2024 Mar 11;15(3):897–906. doi: 10.1002/jcsm.13447

Table 2.

Mediating role of frailty in systemic inflammation and osteoporosis/fracture risk association

Outcome Systemic inflammation markers HR (95% CI) Proportion of mediation
Total effect Direct effect Indirect effect
OP SII 1.105 (1.085, 1.125) 1.096 (1.077, 1.116) 1.0074 (1.0065, 1.008) 7.39% (6.53%, 8.30%)
NLR 1.090 (1.070, 1.110) 1.084 (1.064, 1.104) 1.006 (1.005, 1.007) 6.65% (5.75%, 7.59%)
PLR 1.085 (1.066, 1.105) 1.083 (1.064, 1.103) 1.002 (1.001, 1.003) 2.21% (1.41%, 3.03%)
Fracture SII 1.065 (1.049, 1.081) 1.062 (1.046, 1.078) 1.003 (1.002, 1.004) 4.68% (3.78%, 5.63%)
NLR 1.057 (1.041, 1.073) 1.054 (1.039, 1.070) 1.002 (1.002, 1.003) 4.19% (3.35%, 5.09%)
PLR 1.072 (1.056, 1.088) 1.071 (1.055, 1.087) 1.001 (1.000, 1.001) 1.03% (0.62%, 1.47%)

Note: Models were adjusted for age, sex, ethnicity, body mass index, annual household income, Townsend deprivation index, education level, drinking status, smoking status and nutrient and mineral supplementation. Abbreviations: CI, confidence interval; HR, hazard ratio; NLR, neutrophil‐to‐lymphocyte ratio; OP, osteoporosis; PLR, platelet‐to‐lymphocyte ratio; SII, systemic immune‐inflammation index.