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Table 4 Threshold effect analysis of serum calcium and 25(OH)D on total bone mineral density by using two-piecewise linear regression

From: Associations between serum calcium, 25(OH)D level and bone mineral density in adolescents

 

Adjusted ß (95% CI), p-value

Serum calcium

 Total

  Fitting by standard linear model

0.0084 (0.0007, 0.0160) 0.0317

  Fitting by two-piecewise linear model

 

  Inflection point

9.6

  Serum calcium < 9.6 (mg/dL)

0.0348 (0.0165, 0.0530) 0.0002

  Serum calcium > 9.6 (mg/dL)

−0.0051 (− 0.0164, 0.0063) 0.3824

  Log likelihood ratio

0.002

 Boy

  Fitting by standard linear model

0.0034 (−0.0076, 0.0143) 0.5446

  Fitting by two-piecewise linear model

 

  Inflection point

9.6

  Serum calcium < 9.6 (mg/dL)

0.0447 (0.0128, 0.0765) 0.0060

  Serum calcium > 9.6 (mg/dL)

−0.0109 (− 0.0260, 0.0042) 0.1564

  Log likelihood ratio

0.007

 White

  Fitting by standard linear model

0.0129 (−0.0017, 0.0276) 0.0843

  Fitting by two-piecewise linear model

 

  Inflection point

9.6

  Serum calcium < 9.6 (mg/dL)

0.0465 (0.0091, 0.0839) 0.0148

  Serum calcium > 9.6 (mg/dL)

−0.0025 (− 0.0240, 0.0191) 0.8218

  Log likelihood ratio

0.055

 Black

  Fitting by standard linear model

0.0053 (−0.0080, 0.0187) 0.4353

  Fitting by two-piecewise linear model

 

  Inflection point

9.2

  Serum calcium < 9.2 (mg/dL)

0.1074 (0.0200, 0.1949) 0.0161

  Serum calcium > 9.2 (mg/dL)

−0.0011 (− 0.0155, 0.0133) 0.8780

  Log likelihood ratio

0.020

Serum 25(OH)D

 Boy

  Fitting by standard linear model

0.0013 (0.0009, 0.0018) < 0.0001

  Fitting by two-piecewise linear model

 

  Inflection point

24

  Serum 25(OH)D < 24(ng/mL)

0.0024 (0.0015, 0.0034) < 0.0001

  Serum 25(OH)D > 24(ng/mL)

0.0007 (0.0000, 0.0014) 0.0400

  Log likelihood ratio

0.008

 Girl

  Fitting by standard linear model

0.0003 (−0.0000, 0.0007) 0.0565

  Fitting by two-piecewise linear model

 

  Inflection point

26

  Serum 25(OH)D < 26(ng/mL)

0.0011 (0.0005, 0.0018) 0.0006

  Serum 25(OH)D > 26(ng/mL)

−0.0003 (− 0.0008, 0.0003) 0.3218

  Log likelihood ratio

0.004

 White

  Fitting by standard linear model

0.0003 (−0.0002, 0.0009) 0.1945

  Fitting by two-piecewise linear model

 

  Inflection point

23

  Serum 25(OH)D < 23(ng/mL)

0.0035 (0.0018, 0.0052) < 0.0001

  Serum 25(OH)D > 23(ng/mL)

−0.0005 (− 0.0011, 0.0002) 0.1629

  Log likelihood ratio

< 0.001

  1. age, gender, race/ethnicity, body mass index, income to poverty ratio, physical activity, and calcium supplementation use were adjusted
  2. In the analysis for boy/girl, white/black, the model is not adjusted for gender or race/ethnicity, respectively