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. 2021 Jul 27;115(1):189–198. doi: 10.1093/ajcn/nqab266

TABLE 1.

Regression coefficients (and 95% SIs) for the effect of sugars on fasting plasma glucose estimated using 4 different causal estimand scenarios and adjustment approaches1

Model number Model Model name Estimand True estimate Model estimate (95% SI), no confounding Model estimate (95% SI), with confounding
0 Inline graphic The unadjusted model Total causal effect 5.002 5.002 (3.80, 6.21) 8.222 (7.09, 9.35)
1 Inline graphic The energy partition model Total causal effect 5.002 5.002 (3.95, 6.06) 5.492 (4.53, 6.45)
2 Inline graphic The standard model Average relative causal effect 2.002 1.942 (0.83, 3.04) 2.282 (1.22, 3.34)
3a Inline graphic The nutrient density model Obscure3 0.404 0.144 (0.11, 0.40) 0.474,5 (0.16, 0.75)
3b Inline graphic The multivariable nutrient density model Obscure3 0.404 0.354 (0.14, 0.56) 0.394,5 (0.18, 0.58)
4 Inline graphic The residual model Average relative causal effect 2.002 1.942 (0.83, 3.04) 2.282 (1.22, 3.34)
5 Inline graphic The all-components model Total causal effect (Inline graphic 5.002 5.002 (3.95, 6.05) 5.002 (3.95, 6.05)
Average relative causal effect (Inline graphic) 2.002 2.002 (0.87, 3.13) 2.002 (0.88, 3.11)
1

PRO, proteinSI, simulation interval.

2

Values are expressed as mg/dL/100 kcal.

3

The nutrient density model evaluates an obscure estimand, but it is conceptually closest to the average relative causal effect rescaled as a proportion of total energy.

4

Values are expressed as mg/dL/1%.

5

The confounded estimates are closer to the true estimates than expected by chance because of the direction of confounding.