Table 2.

BMI as a mediator between PCOS genetic risk score and cardiometabolic and androgenic outcomes

Cardiometabolic phenotypesDirect effect independent of BMI (95% CI)PIndirect effect mediated by BMI (95% CI)PEstimated proportion of total effect
Continuous
 HbA1c (mmol/mol)0.040 (0.0053-0.074).0220.076 (0.067-0.084)1 × 10-630.66
 HDL cholesterol (mmol/L)-0.000834 (-0.0025 to 0.00068).27-0.0047 (-0.0053 to -0.0042)9 × 10-650.85
 Triglycerides (mmol/L)0.0039 (-0.0017 to 0.0092).180.014 (0.012-0.015)4 × 10-700.78
Dichotomous
 Type 2 diabetes mellitus0.0033 (0.0013-0.0052).00110.0028 (0.0024-0.0032)2 × 10-370.46
 Coronary artery disease0.00096 (-0.00049 to 0.0023).180.0010 (0.00089-0.0011)4 × 10-580.51
Androgenic phenotypes
Continuous
 SHBG (nmol/L)-0.15 (-0.23 to -0.073).00012-0.22 (-0.25 to -0.20)9 × 10-710.59
 Free androgen index0.095 (0.020-0.17).0140.054 (0.047-0.061)4 × 10-500.36
Dichotomous
 Androgenic alopecia0.0061 (0.0026-0.0093).000340.00076 (0.00059-0.00095)3 × 10-160.11
Cardiometabolic phenotypesDirect effect independent of BMI (95% CI)PIndirect effect mediated by BMI (95% CI)PEstimated proportion of total effect
Continuous
 HbA1c (mmol/mol)0.040 (0.0053-0.074).0220.076 (0.067-0.084)1 × 10-630.66
 HDL cholesterol (mmol/L)-0.000834 (-0.0025 to 0.00068).27-0.0047 (-0.0053 to -0.0042)9 × 10-650.85
 Triglycerides (mmol/L)0.0039 (-0.0017 to 0.0092).180.014 (0.012-0.015)4 × 10-700.78
Dichotomous
 Type 2 diabetes mellitus0.0033 (0.0013-0.0052).00110.0028 (0.0024-0.0032)2 × 10-370.46
 Coronary artery disease0.00096 (-0.00049 to 0.0023).180.0010 (0.00089-0.0011)4 × 10-580.51
Androgenic phenotypes
Continuous
 SHBG (nmol/L)-0.15 (-0.23 to -0.073).00012-0.22 (-0.25 to -0.20)9 × 10-710.59
 Free androgen index0.095 (0.020-0.17).0140.054 (0.047-0.061)4 × 10-500.36
Dichotomous
 Androgenic alopecia0.0061 (0.0026-0.0093).000340.00076 (0.00059-0.00095)3 × 10-160.11

Abbreviations: BMI, body mass index; HbA1c, hemoglobin A1c; HDL, high-density lipoprotein; PCOS, polycystic ovary syndrome.

Table 2.

BMI as a mediator between PCOS genetic risk score and cardiometabolic and androgenic outcomes

Cardiometabolic phenotypesDirect effect independent of BMI (95% CI)PIndirect effect mediated by BMI (95% CI)PEstimated proportion of total effect
Continuous
 HbA1c (mmol/mol)0.040 (0.0053-0.074).0220.076 (0.067-0.084)1 × 10-630.66
 HDL cholesterol (mmol/L)-0.000834 (-0.0025 to 0.00068).27-0.0047 (-0.0053 to -0.0042)9 × 10-650.85
 Triglycerides (mmol/L)0.0039 (-0.0017 to 0.0092).180.014 (0.012-0.015)4 × 10-700.78
Dichotomous
 Type 2 diabetes mellitus0.0033 (0.0013-0.0052).00110.0028 (0.0024-0.0032)2 × 10-370.46
 Coronary artery disease0.00096 (-0.00049 to 0.0023).180.0010 (0.00089-0.0011)4 × 10-580.51
Androgenic phenotypes
Continuous
 SHBG (nmol/L)-0.15 (-0.23 to -0.073).00012-0.22 (-0.25 to -0.20)9 × 10-710.59
 Free androgen index0.095 (0.020-0.17).0140.054 (0.047-0.061)4 × 10-500.36
Dichotomous
 Androgenic alopecia0.0061 (0.0026-0.0093).000340.00076 (0.00059-0.00095)3 × 10-160.11
Cardiometabolic phenotypesDirect effect independent of BMI (95% CI)PIndirect effect mediated by BMI (95% CI)PEstimated proportion of total effect
Continuous
 HbA1c (mmol/mol)0.040 (0.0053-0.074).0220.076 (0.067-0.084)1 × 10-630.66
 HDL cholesterol (mmol/L)-0.000834 (-0.0025 to 0.00068).27-0.0047 (-0.0053 to -0.0042)9 × 10-650.85
 Triglycerides (mmol/L)0.0039 (-0.0017 to 0.0092).180.014 (0.012-0.015)4 × 10-700.78
Dichotomous
 Type 2 diabetes mellitus0.0033 (0.0013-0.0052).00110.0028 (0.0024-0.0032)2 × 10-370.46
 Coronary artery disease0.00096 (-0.00049 to 0.0023).180.0010 (0.00089-0.0011)4 × 10-580.51
Androgenic phenotypes
Continuous
 SHBG (nmol/L)-0.15 (-0.23 to -0.073).00012-0.22 (-0.25 to -0.20)9 × 10-710.59
 Free androgen index0.095 (0.020-0.17).0140.054 (0.047-0.061)4 × 10-500.36
Dichotomous
 Androgenic alopecia0.0061 (0.0026-0.0093).000340.00076 (0.00059-0.00095)3 × 10-160.11

Abbreviations: BMI, body mass index; HbA1c, hemoglobin A1c; HDL, high-density lipoprotein; PCOS, polycystic ovary syndrome.

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