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. 2021 Mar 3;10(4):378–386. doi: 10.1530/EC-21-0006

Table 3.

Mediation of bone turnover markers on the association between 25(OH)D and blood lead levels.

Effect P1NP β-CTX N-MID osteocalcin
Men
a (exposure→mediator) −0.128 (−0.186, −0.070) −0.123 (−0.189, −0.057) −0.114 (−0.167, −0.061)
b (mediator→outcome) 0.111 (0.032, 0.191) 0.148 (0.078, 0.217) 0.138 (0.050, 0.225)
c (total effect) −0.022 (−0.119, 0.075) −0.022 (−0.119, 0.075) −0.022 (−0.119, 0.075)
c’(direct effect) −0.008 (−0.105, 0.090) −0.004 (−0.101, 0.094) −0.006 (−0.104, 0.091)
ab (mediated effect) −0.014 (−0.029, −0.003) −0.018 (−0.034, −0.006) −0.016 (−0.032, −0.004)
Postmenopausal women
a (exposure→mediator) −0.144 (−0.200, −0.088) −0.149 (−0.210, −0.087) −0.125 (−0.175, −0.075)
b (mediator→outcome) 0.129 (0.052, 0.206) −0.104 (0.033, 0.175) 0.105 (0.019, 0.192)
c (total effect) −0.078 (−0.174, 0.018) −0.078 (−0.174, 0.018) −0.078 (−0.174, 0.018)
c’(direct effect) −0.060 (−0.157, 0.036) −0.063 (0.160, 0.033) −0.066 (−0.162, 0.031)
ab (mediated effect) −0.019 (−0.036, −0.005) −0.016 (−0.030, −0.005) −0.013 (−0.029, −0.001)

The model was adjusted for current smoking habits, vitamin D intake, BMI, dyslipidemia, hypertension, estimated glomerular filtration rate, duration of diabetes and use of anti-osteoporosis medication. 25(OH)D, blood lead level, P1NP, N-MID osteocalcin and β-CTX were natural logarithm-transformed. The bold indicates P < 0.05.

25(OH)D, 25-hydroxy vitamin D; CTX, collagen type 1 C-telopeptide; and P1NP, procollagen type 1 N-terminal propeptide.