Table 4.
Sensitivity analyses for the estimated effect of weight loss a on risk of coronary heart disease, Nurses’ Health Study (1982–2008) using a minimum latent period of 6 years
| Sensitivity analysis | Cumulative risk under no intervention (%) |
Cumulative risk under intervention (%) |
Population risk ratio |
Cumulative percent intervened on b |
Average percent intervened on c |
|---|---|---|---|---|---|
| Including only women <49 years old at baseline |
2.7 (2.4, 2.9) | 2.7 (2.4, 2.9) | 1.02 (0.99, 1.04) | 54 | 39 |
| Including only never smokers | 3.7 (3.4, 3.9) | 3.7 (3.4, 3.9) | 1.00 (0.99, 1.01) | 46 | 37 |
| Including only those with intentional weight loss in 1992 |
4.2 (3.9, 4.5) | 4.2 (3.9, 4.5) | 1.00 (1.00, 1.01) | 38 | 30 |
| Changing the definition of frailty to >65 year old instead of >70 |
5.1 (4.9, 5.4) | 5.1 (4.9, 5.4) | 1.00 (1.00, 1.00) | 33 | 25 |
| Starting the follow-up in 1978 and ending in 2010 d |
6.0 (5.7, 6.1) | 6.0 (5.7, 6.2) | 1.00 (0.98, 1.02) | 81e | 54 |
| Using only the first 16 years of follow-up |
2.2 (2.1, 2.4) | 2.3 (2.1, 2.4) | 1.01 (1.00, 1.02) | 39 | 31 |
| Modeling BMI as the last variable in the set of models |
5.1 (4.9, 5.3) | 5.1 (4.9, 5.3) | 1.00 (1.00, 1.01) | 44 | 34 |
| Effect of weight gain (gain 5% of BMI each period if below 30kg/m2) |
4.6 (4.4, 4.8) | 4.6 (4.4, 4.8) | 1.00 (0.98, 1.01) | 69 | 63 |
| Assigning a shorter lag time (of 2 years) for diabetes, versus 6 years for other chronic diseases |
3.7 (3.6, 3.9) | 3.8 (3.6, 3.9) | 1.00 (1.00, 1.01) | 41 | 31 |
Lose 5% of BMI every 2 years if above 25 kg/m2 and not intractably confounded, as defined in footnote d of Table 2.
The proportion of individuals that were intervened on in any period
The average proportion of individuals intervened on in each 2-year period, averaged over follow-up
This analysis only included models for CHD and death and one model for time-varying BMI which included baseline covariates (see eTable 1) as information for other time-varying covariates are not available in 1978.
This model has a much higher proportion of participants intervened in as the intervention cannot be restricted to those without intractable confounding.