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Table 5 Threshold effect analysis of serum estradiol level and sex hormone binding globulin level on lumbar bone mineral density using two-piecewise linear regression model

From: Association between serum estradiol level, sex hormone binding globulin level, and bone mineral density in middle-aged postmenopausal women

Lumbar bone mineral density

Adjusted β (95% CI), P value

Serum estradiol level

Fitting by standard linear model

0.65 (0.38, 0.93) < 0.001

Fitting by two-piecewise linear model

Inflection point

70 (pg/mL)

Serum estradiol level < 70 (pg/mL)

1.92 (1.25, 2.59)

Serum estradiol level > 70 (pg/mL)

− 0.24 (− 0.75, 0.27)

Log likelihood ratio

 < 0.001

Sex hormone binding globulin

Fitting by standard linear model

0.01 (− 0.30, 0.31) 0.968

Fitting by two-piecewise linear model

Inflection point

65 (nmol/L)

Sex hormone binding globulin < 65 (nmol/L)

− 0.95 (− 1.80, − 0.09) 0.030

Sex hormone binding globulin > 65 (nmol/L)

0.33 (− 0.08, 0.73) 0.115

Log likelihood ratio

0.016

  1. Age, race, educational level, body mass index, ratio of family income to poverty, moderate activities, smoked at least 100 cigarettes in life, had at least 12 alcohol drinks in a year, blood urea nitrogen, serum uric acid, serum phosphorus, and serum calcium were adjusted