Table 4.
Risk (HR, 95% CI) of clinical vertebral fracture by sex hormone level
| Q1 | Q2 | Q3 | Q4 | Per SD increase | ||
|---|---|---|---|---|---|---|
| SHBG | < 35.7 nmol/liter | ≥35.7–<46.5 nmol/liter | ≥46.5–<59.3 nmol/liter | ≥59.3 nmol/liter | p trend | |
| N with outcome | 8 (2.2) in 363 | 10 (2.7) in 371 | 10 (2.7) in 367 | 17 (4.6) in 368 | SD=19.78 | |
| Minimally Adjusted | 0.55 (0.23, 1.31) | 0.65 (0.29, 1.44) | 0.61 (0.28, 1.35) | 1.0 (ref) | 0.176 | 1.19 (0.92, 1.53) |
| Multivariate Adjusted | 0.53 (0.21, 1.31) | 0.65 (0.29, 1.45) | 0.60 (0.27, 1.32) | 1.0 (ref) | 0.167 | 1.19 (0.91, 1.55) |
| Multivariate Adjusted + BMD | 0.55 (0.22, 1.37) | 0.63 (0.28, 1.44) | 0.63 (0.29, 1.41) | 1.0 (ref) | 0.179 | 1.14 (0.88, 1.48) |
| E2 | < 17.2 pg/ml | ≥17.2–<21.7 pg/ml | ≥21.7–<26.9 pg/ml | ≥26.9 pg/ml | SD=7.86 | |
| N with outcome | 13 (3.6) in 361 | 8 (2.2) in 369 | 13 (3.5) in 368 | 11 (3.0) in 371 | ||
| Minimally Adjusted | 1.34 (0.60, 3.01) | 0.82 (0.33, 2.05) | 1.27 (0.57, 2.85) | 1.0 (ref) | 0.693 | 0.89 (0.66, 1.19) |
| Multivariate Adjusted | 1.40 (0.62, 3.14) | 0.86 (0.34, 2.16) | 1.36 (0.60, 3.05) | 1.0 (ref) | 0.631 | 0.88 (0.66, 1.17) |
| Multivariate Adjusted + BMD | 1.19 (0.53, 2.71) | 0.81 (0.32, 2.06) | 1.26 (0.56, 2.86) | 1.0 (ref) | 0.893 | 0.92 (0.69, 1.23) |
| T | < 298.0 ng/dl | ≥298.0–<388.0 ng/dl | ≥388.0–<488.0 ng/dl | ≥488.0 ng/dl | SD=161.31 | |
| N with outcome | 12 (3.3) in 366 | 11 (3.0) in 368 | 11 (3.0) in 365 | 11 (3.0) in 370 | ||
| Minimally Adjusted | 1.08 (0.47, 2.45) | 0.93 (0.40, 2.16) | 0.96 (0.42, 2.23) | 1.0 (ref) | 0.880 | 1.08 (0.82, 1.43) |
| Multivariate Adjusted | 1.11 (0.47, 2.64) | 0.94 (0.40, 2.23) | 0.99 (0.42, 2.31) | 1.0 (ref) | 0.844 | 1.08 (0.81, 1.44) |
| Multivariate Adjusted + BMD | 1.06 (0.44, 2.53) | 0.93 (0.39, 2.23) | 1.05 (0.45, 2.46) | 1.0 (ref) | 0.962 | 1.07 (0.81, 1.41) |
| BioE | < 11.3 pg/ml | ≥11.3–<14.0 pg/ml | ≥14.0–<17.0 pg/ml | ≥17.0 pg/ml | SD=4.80 | |
| N with outcome | 14 (3.8) in 367 | 15 (4.1) in 367 | 7 (1.9) in 367 | 9 (2.5) in 368 | ||
| Minimally Adjusted | 1.60 (0.69, 3.71) | 1.63 (0.71, 3.72) | 0.78 (0.29, 2.09) | 1.0 (ref) | 0.117 | 0.80 (0.59, 1.09) |
| Multivariate Adjusted | 1.69 (0.72, 3.97) | 1.69 (0.73, 3.94) | 0.84 (0.31, 2.26) | 1.0 (ref) | 0.102 | 0.79 (0.59, 1.07) |
| Multivariate Adjusted + BMD | 1.40 (0.59, 3.36) | 1.50 (0.63, 3.58) | 0.78 (0.28, 2.13) | 1.0 (ref) | 0.240 | 0.85 (0.62, 1.16) |
| BioT | < 165.4 ng/dl | ≥165.4–<201.5 ng/dl | ≥201.5–<241.9 ng/dl | ≥241.9 ng/dl | SD=64.89 | |
| N with outcome | 14 (3.8) in 367 | 10 (2.7) in 367 | 12 (3.3) in 367 | 9 (2.5) in 368 | ||
| Minimally Adjusted | 1.40 (0.60, 3.30) | 1.12 (0.45, 2.77) | 1.22 (0.51, 2.92) | 1.0 (ref) | 0.494 | 0.99 (0.73, 1.34) |
| Multivariate Adjusted | 1.46 (0.60, 3.57) | 1.20 (0.48, 3.02) | 1.26 (0.52, 3.05) | 1.0 (ref) | 0.453 | 0.98 (0.72, 1.34) |
| Multivariate Adjusted + BMD | 1.28 (0.52, 3.16) | 1.18 (0.47, 3.00) | 1.24 (0.51, 3.00) | 1.0 (ref) | 0.640 | 1.02 (0.75, 1.39) |