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. 2025 Sep 26;25:666. doi: 10.1186/s12876-025-04230-1

Table 2.

Association between water hardness and prevalent UC and CD in the cross-sectional study

CD UC
Cases Model 1 OR (95% CI) P Model 2 OR (95% CI) P Model 3 OR (95% CI) P Cases Model 1 OR (95% CI) P Model 2 OR (95% CI) P Model 3 OR (95% CI) P
Water hardness (USGS, mg/l) 0–60 695 ref ref ref 1459 ref ref ref
60–120 347 0.90 (0.79–1.02) 0.096 0.91 (0.80–1.04) 0.158 0.91 (0.80–1.04) 0.151 762 0.93 (0.86–1.02) 0.130 0.94 (0.86–1.02) 0.153 0.95 (0.87–1.04) 0.236
120–180 107 0.92 (0.75–1.13) 0.450 0.96 (0.78–1.18) 0.683 0.95 (0.77–1.17) 0.620 232 0.96 (0.84–1.11) 0.583 0.97 (0.85–1.12) 0.694 0.98 (0.85–1.13) 0.797
 > 180 654 0.87 (0.78–0.97) 0.011 0.90 (0.81–1.00) 0.058 0.88 (0.79–0.99) 0.027 1295 0.83 (0.77–0.89)  < 0.001 0.84 (0.78–0.91)  < 0.001 0.86 (0.80–0.93)  < 0.001
P for trend 0.016 0.081 0.039  < 0.001  < 0.001  < 0.001
Water hardness (WHO, mg/l)  < 200 1163 ref ref ref 2474 ref ref ref
 ≥ 200 640 0.90 (0.82–0.99) 0.029 0.92 (0.83–1.02) 0.098 0.90 (0.82–1.00) 0.048 1274 0.85 (0.79–0.91)  < 0.001 0.86 (0.80–0.92)  < 0.001 0.88 (0.82–0.94)  < 0.001
CaCO3 concentration (per SD) 0.94 (0.89–0.98) 0.007 0.95 (0.91–1.00) 0.041 0.94 (0.90–0.99) 0.017 0.92 (0.89–0.95)  < 0.001 0.92 (0.89–0.96)  < 0.001 0.93 (0.90–0.96)  < 0.001
Ca concentration (per SD) 0.92 (0.88–0.97) 0.001 0.93 (0.89–0.98) 0.008 0.93 (0.88–0.97) 0.002 0.93 (0.90–0.97)  < 0.001 0.94 (0.91–0.98)  < 0.001 0.95 (0.92–0.98) 0.003
Mg concentration (per SD) 0.99 (0.95–1.04) 0.814 1.00 (0.95–1.05) 0.985 1.00 (0.95–1.05) 0.918 0.99 (0.96–1.03) 0.624 0.99 (0.96–1.03) 0.626 1.00 (0.96–1.03) 0.895

Abbreviations: USGS United States Geological Survey, WHO World Health Organization, OR odds ratio, P p-values

Model 1: adjusted for age and sex

Model 2: adjusted for age, sex, CCI scores, BMI, IPAQ physical activity, alcohol consumption, smoking status, ethnicity, TDI and diet quality scores

Model 3: adjusted for age, sex, CCI scores, BMI, IPAQ physical activity, alcohol consumption, smoking status, ethnicity, TDI, diet quality scores, the first five principal components of ancestry genetics and PRS scores

Bold font for USGS and WHO water hardness groups indicates p < 0.025, while bold font for other variables indicates p < 0.05