Table 5 Threshold effect analysis of serum parathyroid hormone levels on trabecular bone score by using two-piecewise linear regression.

From: Unraveling the relationship between serum parathyroid hormone levels and trabecular bone score: a cross-sectional study

Trabecular bone score

Adjusted ß (95% CI), p-value

Total Serum PTH level

 

 Fitting by standard linear model

− 0.0034 (− 0.0050, − 0.0017) < 0.0001

Fitting by two-piecewise linear model

 Inflection point

6.71

 PTH < 6.71 (pmol/L)

− 0.0102 (− 0.0130, − 0.0073) < 0.0001

 PTH > 6.71 (pmol/L)

0.0022 (− 0.0003, 0.0048) 0.0820

 Log likelihood ratio

 < 0.001

Gender

 Male

  Fitting by standard linear model

− 0.0030 (− 0.0051, − 0.0008) 0.0076

  Fitting by two-piecewise linear model

   Inflection point

7.7

   PTH < 7.7 (pmol/L)

− 0.0072 (− 0.0106, − 0.0038) < 0.0001

   PTH > 7.7 (pmol/L)

0.0017 (− 0.0019, 0.0053) 0.3572

   Log likelihood ratio

0.002

 Female

  Fitting by standard linear model

− 0.0038 (− 0.0061, − 0.0015) 0.0014

  Fitting by two-piecewise linear model

   Inflection point

11.5

   PTH < 11.5 (pmol/L)

− 0.0144 (− 0.0195, − 0.0092) < 0.0001

   PTH > 11.5 (pmol/L)

0.0011 (− 0.0021, 0.0042) 0.5031

   Log likelihood ratio

 < 0.0001

Age

 < 60 year

  Fitting by standard linear model

− 0.0036 (− 0.0057, − 0.0016) 0.0006

  Fitting by two-piecewise linear model

   Inflection point

5.61

   PTH < 5.61 (pmol/L)

− 0.0096 (− 0.0135, − 0.0056) < 0.0001

   PTH > 5.61 (pmol/L)

0.0004 (− 0.0027, 0.0034) 0.8087

   Log likelihood ratio

 < 0.001

 ≥ 60 year

  Fitting by standard linear model

0.0002 (− 0.0020, 0.0025) 0.8363

  Fitting by two-piecewise linear model

   Inflection point

2.64

   PTH < 2.64 (pmol/L)

0.0776 (0.0387, 0.1165) < 0.0001

   PTH > 2.64 (pmol/L)

− 0.0006 (− 0.0029, 0.0016) 0.5794

   Log likelihood ratio

 < 0.001

Race

 Mexican American

  Fitting by standard linear model

− 0.0193 (− 0.0553, 0.0167) 0.2932

  Fitting by two-piecewise linear model

   Inflection point

7.45

   PTH < 7.45 (pmol/L)

− 0.0893 (− 0.1445, − 0.0342) 0.0016

   PTH > 7.45 (pmol/L)

0.0632 (0.0021, 0.1243) 0.0429

   Log likelihood ratio

 < 0.001

 Non-Hispanic Black

  Fitting by standard linear model

− 0.0327 (− 0.0562, − 0.0092) 0.0065

  Fitting by two-piecewise linear model

   Inflection point

8.75

   PTH < 8.75 (pmol/L)

− 0.0905 (− 0.1252, − 0.0558) < 0.0001

   PTH > 8.75 (pmol/L)

0.0469 (0.0046, 0.0892) 0.0298

   Log likelihood ratio

 < 0.001

  1. Data are presented as β coefficient (95% CI).
  2. Adjusted covariates: Model 1 = non-adjusted; Model 2 = Age, Sex, Race; Model 3 = Model 2 + PIR, BMI, Total spine BMD, Alkaline phosphatase, Blood urea nitrogen, Total Cholesterol, Total protein, Serum uric acid, Calcium, Creatinine, Phosphorus, HDL-C, LDL-C, CRP, Vit D, Alcohol, Coronary heart disease, Physical activity, Cancer, Smoking.
  3. Abbreviations: see Table 1.