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. 2019 Aug 1;366:l4410. doi: 10.1136/bmj.l4410

Table 3.

Mendelian randomisation results for effect of serum calcium on estimated bone mineral density (eBMD) and fracture risk

Method Main analysis Sensitivity Analyses
6 serum calcium associated SNPs Including rs17711722 (VKORC1L1) Excluding rs1801725 (CASR)
Mean eBMD (95% CI) P value Fracture odds ratio (95% CI) P value Mean eBMD (95% CI) P value Fracture odds ratio (95% CI) P value Mean eBMD P value Fracture odds ratio (95% CI) P value
IVW 0.003 (−0.059 to 0.066) 0.92− 1.01 (0.89 to 1.15) 0.85   0.011 (−0.05 to 0.073) 0.72− 1.01 (0.90 to 1.13) 0.91   −0.049 (−0.144 to 0.047) 0.32− 1.12 (0.92 to 1.36) 0.25
Simple median 0.009 (−0.052 to 0.070) −0.76 1.11 (0.93 to 1.33) 0.24   0.023 (−0.035 to 0.081) 0.44− 1.10 (0.91 to 1.32) 0.32   −0.004 (−0.093 to 0.085) 0.93− 1.13 (0.89 to 1.42) 0.32
Weighted median 0.030 (−0.006 to 0.067) −0.10 0.99 (0.89 to 1.11) 0.91   0.031 (−0.005 to 0.068) 0.09− 0.98 (0.88 to 1.10) 0.76   −0.009 (−0.093 to 0.076) 0.84− 1.12 (0.90 to 1.41) 0.31
MR-Egger intercept −0.003 (−0.006 to 0.001) −0.11 1.00 (1.00 to 1.01) 0.39   −0.001 (−0.005 to 0.002) 0.49− 1.00 (1.00 to 1.01) 0.52   −0.005 (−0.019 to 0.008) 0.45− 0.98 (0.96 to 1.01) 0.14

Results are expressed per one standard deviation (0.51 mg/dL or 0.13 mmol/L) increase in serum calcium concentration. Estimated bone mineral density (eBMD) is expressed in g/cm2.

IVW=inverse-variance weighted meta-analysis