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