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. 2022 May 25;12(5):e051486. doi: 10.1136/bmjopen-2021-051486

Table 6.

Mediation effect of obesity on the relationship between age at menarche and blood pressure in women (N=4513)

Path Model 1* Model 2† Model 3‡ Model 4§ Model 5¶
β B (95% CI) P value β B (95% CI) P value β B (95% CI) P value β B (95% CI) P value β B (95% CI) P value
1 Menarche age→BMI −0.1080 −0.2045 (−0.2595 to −0.1496) <0.001 −0.0725 −0.1374 (−0.1930 to −0.0818) <0.001 −0.0707 −0.1339 (−0.1892 to −0.0786) <0.001 −0.0705 −0.1334 (−0.1880 to −0.0788) <0.001 −0.0468 −0.0885 (−0.1409 to −0.0361) <0.001
Menarche age→DBP −0.0367 −0.2096 (−0.3731 to −0.0461) 0.0120 −0.0454 −0.2596 (−0.4268 to −0.0924) 0.0024 −0.0433 −0.2475 (−0.4145 to −0.0806) 0.0037 −0.0447 −0.2542 (−0.4213 to −0.0872) 0.0029 −0.0379 −0.2154 (−0.3833 to −0.0474) 0.0120
BMI→DBP 0.2171 0.6545 (0.5682 to 0.7408) <0.001 0.2241 0.6757 (0.5881 to 0.7634) <0.001 0.2276 0.6835 (0.5955 to 0.7715) <0.001 0.2208 0.6643 (0.5746 to 0.7541) <0.001 0.1986 0.5973 (0.5026 to 0.6921) <0.001
Total effect −0.0601 −0.3435 (−0.5099 to −0.177) <0.001 −0.0617 −0.3524 (−0.5234 to −0.1815) <0.001 −0.0593 −0.3390 (−0.5098 to −0.1683) <0.001 −0.0602 −0.3429 (−0.5133 to −0.1724) <0.001 −0.0471 −0.2682 (−0.4388 to −0.0976) 0.0021
2 Menarche age→BMI 0.1085 −0.2051 (−0.2601 to −0.1502) <0.001 −0.0731 −0.1381 (−0.1936 to −0.0826) <0.001 −0.0712 −0.1346 (−0.1898 to −0.0793) <0.001 −0.0711 −0.1342 (−0.1887 to −0.0797) <0.001 −0.0473 −0.0892 (−0.1416 to −0.0369) <0.001
Menarche age→SBP −0.0004 −0.0046 (−0.3619 to 0.3526) 0.9797 −0.0477 −0.585 (−0.9350 to −0.2351) 0.0011 −0.0466 −0.5711 (−0.9209 to −0.2213) 0.0014 −0.0486 −0.5957 (−0.9468 to −0.2446) <0.001 −0.0446 −0.5479 (−0.9025 to −0.1932) 0.0025
BMI→SBP 0.1289 0.8359 (0.6469 to 1.0249) <0.001 0.1685 1.0927 (0.9088 to 1.2766) <0.001 0.1682 1.0905 (0.9058 to 1.2753) <0.001 0.1585 1.0286 (0.8395 to 1.2176) <0.001 0.1441 0.9366 (0.7361 to 1.1371) <0.001
Total effect −0.0144 −0.1761 (−0.5342 to 0.182) 0.3350 −0.0601 −0.736 (−1.0902 to −0.3817) <0.001 −0.0586 −0.7178 (−1.0719 to −0.3638) <0.001 −0.0599 −0.7337 (−1.0883 to −0.3791) <0.001 −0.0515 −0.6314 (−0.9889 to −0.2739) <0.001
3 Menarche age→WC −0.0837 −0.4928 (−0.6642 to −0.3213) <0.001 −0.0910 −0.5355 (−0.7107 to −0.3602) <0.001 −0.0896 −0.5275 (−0.7024 to −0.3526) <0.001 −0.0898 −0.5285 (−0.7026 to −0.3545) <0.001 −0.0696 −0.4085 (−0.5778 to −0.2392) <0.001
Menarche age→DBP −0.0454 −0.2589 (−0.4232 to −0.0945) 0.0020 −0.0456 −0.26 (−0.4288 to −0.0912) 0.0025 −0.0437 −0.2491 (−0.4178 to −0.0805) 0.0038 −0.0452 −0.2571 (−0.4257 to −0.0884) 0.0028 −0.0373 −0.2118 (−0.3811 to −0.0424) 0.0143
WC→DBP 0.1789 0.1733 (0.1454 to 0.2013) <0.001 −0.1810 0.1754 (0.1473 to 0.2034) <0.001 0.1787 0.1732 (0.1451 to 0.2013) <0.001 0.1705 0.1647 (0.1363 to 0.1931) <0.001 0.1445 0.1399 (0.1104 to 0.1695) <0.001
Total effect −0.0604 −0.3443 (−0.5107 to −0.1779) <0.001 −0.0620 −0.3539 (−0.5248 to −0.183) <0.001 −0.0597 −0.3405 (−0.5112 to −0.1698) <0.001 −0.0606 −0.3441 (−0.5145 to −0.1737) <0.001 −0.0474 −0.2689 (−0.4395 to −0.0984) 0.0020
4 Menarche age→WC −0.0849 −0.4944 (−0.6658 to −0.323) <0.001 −0.0914 −0.5376 (−0.7129 to −0.3624) <0.001 −0.0901 −0.5299 (−0.7048 to −0.355) <0.001 −0.0904 −0.531 (−0.7051 to −0.357) <0.001 −0.0702 −0.411 (−0.5803 to −0.2417) <0.001
Menarche age→SBP 0.0004 0.0044 (−0.3439 to 0.3526) 0.9804 −0.0468 −0.5643 (−0.9094 to −0.2192) 0.0014 −0.0459 −0.5533 (−0.8983 to −0.2082) 0.0017 −0.0481 −0.5792 (−0.9255 to −0.233) 0.0010 −0.0433 −0.5228 (−0.8721 to −0.1735) 0.0034
WC→SBP 0.1772 0.3632 (0.3040 to 0.4224) <0.001 0.1574 0.3226 (0.2652 to 0.38) <0.001 0.1538 0.3151 (0.2576 to 0.3727) <0.001 0.1436 0.2942 (0.2358 to 0.3526) <0.001 0.1290 0.2655 (0.2045 to 0.3266) <0.001
Total effect −0.0145 −0.1752 (−0.5277 to 0.1773) 0.3300 −0.0612 −0.7377 (−1.086 to −0.3894) <0.001 −0.0598 −0.7202 (−1.0683 to −0.3722) <0.001 −0.0611 −0.7354 (−1.084 to −0.3869) <0.001 −0.0524 −0.6320 (−0.9832 to −0.2807) <0.001

Path 1: mediation effect of BMI on the relationship between age at menarche and DBP.

Path 2: mediation effect of BMI on the relationship between age at menarche and SBP.

Path 3: mediation effect of WC on the relationship between age at menarche and DBP.

Path 4: mediation effect of WC on the relationship between age at menarche and SBP.

*Unadjusted.

†Adjusted for age, educational attainment, marital status and region.

‡Adjusted for age, educational attainment, marital status, region, cigarette smoking, alcohol consumption, eating habits, entertainment, the experience of a traumatic event and physical activity.

§Adjusted for age, educational attainment, marital status, region, cigarette smoking, alcohol consumption, eating habits, entertainment, the experience of a traumatic event, physical activity, history of CVDs, hepatitis history, history of antilipidaemic medication and history of antidiabetic medication.

¶ Adjusted for age, educational attainment, marital status, region, cigarette smoking, alcohol consumption, eating habits, entertainment, the experience of a traumatic event, physical activity, history of CVDs, hepatitis history, history of antilipidaemic medication, history of antidiabetic medication, LDL-C, HDL-C, TG, HbA1c, Scr and SUA.

B, unstandardised coefficient; BMI, body mass index; CVD, cardiovascular disease; DBP, diastolic blood pressure; HbA1c, haemoglobin A1C; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; SBP, systolic blood pressure; Scr, serum creatinine; SUA, serum uric acid; TG, triglyceride; WC, waist circle; β, standardised coefficient.