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. 2020 May 6;128(5):055001. doi: 10.1289/EHP6240

Table 1.

Overview of the approaches and models for high-dimension analysis reviewed.

Name of approach Reference Assumptions, method, comment
Separate consideration of the potential mediators
 Successive tests of association of the potential mediators with the exposure followed by the Sobel mediation test Küpers et al. 2015 Approaches can be used to overcome the limited power of the Sobel test. Assumes lack of uncontrolled confounders and mutual influences between mediators.
 Causal inference test Liu et al. 2013 Assumes lack of uncontrolled confounders.
 Permutation test Boca et al. 2014; Sampson et al. 2018 Tests multiple putative mediators while controlling the family-wise error rate. Replacing Bonferroni correction with a permutation approach improves statistical power (MultiMed R package).
 Joint significance test Huang 2018 Separate tests of exposure–mediator and mediator–outcome associations.
 Test for a composite null hypothesis Huang 2019 Test statistic is derived by accounting for the composite nature of the null hypothesis. It is less conservative than the Sobel test.
Simultaneous consideration of the potential mediators
 Inverse probability weighting approach VanderWeele and Vansteelandt 2014 More efficient if exposure is categorical with a small number of categories. Can accommodate exposure–mediator and mediator–mediator interactions.
 R package HIMA dimension reduction approach Zhang et al. 2016 Uses variable selection to reduce the number of mediators (HIMA R package).
 Joint test of a group of mediators Huang and Pan 2016 Component-wise testing to evaluate several mediators en bloc rather than testing the marginal contribution of each individual mediator. Spectral decomposition of the mediators.
 Directions of mediations Chén et al. 2018 Builds linear combinations among the potential mediators to construct polymediators.
 Sparse principal component–based high-dimension mediation analysis Zhao et al. 2020 Dimension reduction of the potential mediators via sparse principal component analysis.
 Mediation analysis for composition data Sohn and Li 2019 Tests several mediators en bloc; well-suited for compositional data (i.e., proportions of a whole, as can be the case for microbiome data).
 Distance-based test for mediation analysis (applied to microbiome data) Zhang et al. 2018 Reduces multiple testing burden by using a distance-based approach in which all mediators are tested simultaneously. Implies the existence of a relevant distance that can be used between mediators.
 Global test for high‐dimension mediation Djordjilović et al. 2019 Global approach for mediation to test simultaneously a group of mediators.