Table 3.

Additive interaction of leucine and Isoleucine with SFA16:0 for the risk of GDM.

Unadjusted OR/estimate (95% CI)P valueAdjusted
OR/estimate (95% CI)a
P value
Leu and SFA16:0
Additive interaction models
Leu < 153.3 & SFA16:0 < 17.1 nmol/mLReferenceReference
Leu < 153.3 & SFA16:0 ≥ 17.1 nmol/mL2.02 (1.27-3.21)0.00282.22 (1.33-3.72)0.0024
Leu ≥ 153.3 & SFA16:0 < 17.1 nmol/mL1.30 (0.71-2.37)0.38991.45 (0.74-2.84)0.2815
Leu ≥ 153.3 & SFA16:0 ≥ 17.1 nmol/mL3.99 (2.21-7.19) < 0.00014.56 (2.37-8.75) < 0.0001
Measures of additive interactionb
 RERI1.66(-0.42 to 3.75)-1.89 (-0.78 to 4.56)-
 AP0.42 (0.06 to 0.78)-0.41 (0.01 to 0.82)-
 SI2.26 (0.83 to 6.15)-2.13 (0.77 to 5.87)-
Ile and SFA16:0
Additive interaction models
Ile < 36.2 & SFA16:0 < 17.1 nmol/mLReferenceReference
Ile < 36.2 & SFA16:0 ≥ 17.1 nmol/mL1.99 (1.27-3.11)0.00252.12 (1.29-3.48)0.0029
Ile ≥ 36.2 & SFA16:0 < 17.1 nmol/mL1.28 (0.72-2.28)0.40181.27 (0.66-2.44)0.4768
Ile ≥ 36.2 & SFA16:0 ≥ 17.1 nmol/mL3.96 (2.22-7.04) < 0.00014.41 (2.30-8.43) < 0.0001
Measures of additive interactionb
 RERI1.69 (-0.33 to 3.70)-2.01 (-0.53 to 4.56)-
 AP0.43 (0.08 to 0.77)-0.46 (0.09 to 0.82)-
 SI2.33 (0.88 to 6.16)-2.45 (0.86 to 6.93)-
Unadjusted OR/estimate (95% CI)P valueAdjusted
OR/estimate (95% CI)a
P value
Leu and SFA16:0
Additive interaction models
Leu < 153.3 & SFA16:0 < 17.1 nmol/mLReferenceReference
Leu < 153.3 & SFA16:0 ≥ 17.1 nmol/mL2.02 (1.27-3.21)0.00282.22 (1.33-3.72)0.0024
Leu ≥ 153.3 & SFA16:0 < 17.1 nmol/mL1.30 (0.71-2.37)0.38991.45 (0.74-2.84)0.2815
Leu ≥ 153.3 & SFA16:0 ≥ 17.1 nmol/mL3.99 (2.21-7.19) < 0.00014.56 (2.37-8.75) < 0.0001
Measures of additive interactionb
 RERI1.66(-0.42 to 3.75)-1.89 (-0.78 to 4.56)-
 AP0.42 (0.06 to 0.78)-0.41 (0.01 to 0.82)-
 SI2.26 (0.83 to 6.15)-2.13 (0.77 to 5.87)-
Ile and SFA16:0
Additive interaction models
Ile < 36.2 & SFA16:0 < 17.1 nmol/mLReferenceReference
Ile < 36.2 & SFA16:0 ≥ 17.1 nmol/mL1.99 (1.27-3.11)0.00252.12 (1.29-3.48)0.0029
Ile ≥ 36.2 & SFA16:0 < 17.1 nmol/mL1.28 (0.72-2.28)0.40181.27 (0.66-2.44)0.4768
Ile ≥ 36.2 & SFA16:0 ≥ 17.1 nmol/mL3.96 (2.22-7.04) < 0.00014.41 (2.30-8.43) < 0.0001
Measures of additive interactionb
 RERI1.69 (-0.33 to 3.70)-2.01 (-0.53 to 4.56)-
 AP0.43 (0.08 to 0.77)-0.46 (0.09 to 0.82)-
 SI2.33 (0.88 to 6.16)-2.45 (0.86 to 6.93)-

Abbreviations: AP, attributable proportion due to interaction; GDM, gestational diabetes mellitus; Ile, isoleucine; Leu, leucine; RERI, relative excess risk due to interaction; SFA, saturated fatty acid; SI, synergy index.

aAdjusted for prepregnancy body mass index, systolic blood pressure, Han nationality, family history of diabetes in first-degree relatives, parity, education attainment, current smoker before or during pregnancy, alcohol drinker before or during pregnancy, and weight gain to glucose challenge test.

bStatistically significant, with RERI > 0, AP > 0, or SI > 1 indicating significant additive interaction.

Table 3.

Additive interaction of leucine and Isoleucine with SFA16:0 for the risk of GDM.

Unadjusted OR/estimate (95% CI)P valueAdjusted
OR/estimate (95% CI)a
P value
Leu and SFA16:0
Additive interaction models
Leu < 153.3 & SFA16:0 < 17.1 nmol/mLReferenceReference
Leu < 153.3 & SFA16:0 ≥ 17.1 nmol/mL2.02 (1.27-3.21)0.00282.22 (1.33-3.72)0.0024
Leu ≥ 153.3 & SFA16:0 < 17.1 nmol/mL1.30 (0.71-2.37)0.38991.45 (0.74-2.84)0.2815
Leu ≥ 153.3 & SFA16:0 ≥ 17.1 nmol/mL3.99 (2.21-7.19) < 0.00014.56 (2.37-8.75) < 0.0001
Measures of additive interactionb
 RERI1.66(-0.42 to 3.75)-1.89 (-0.78 to 4.56)-
 AP0.42 (0.06 to 0.78)-0.41 (0.01 to 0.82)-
 SI2.26 (0.83 to 6.15)-2.13 (0.77 to 5.87)-
Ile and SFA16:0
Additive interaction models
Ile < 36.2 & SFA16:0 < 17.1 nmol/mLReferenceReference
Ile < 36.2 & SFA16:0 ≥ 17.1 nmol/mL1.99 (1.27-3.11)0.00252.12 (1.29-3.48)0.0029
Ile ≥ 36.2 & SFA16:0 < 17.1 nmol/mL1.28 (0.72-2.28)0.40181.27 (0.66-2.44)0.4768
Ile ≥ 36.2 & SFA16:0 ≥ 17.1 nmol/mL3.96 (2.22-7.04) < 0.00014.41 (2.30-8.43) < 0.0001
Measures of additive interactionb
 RERI1.69 (-0.33 to 3.70)-2.01 (-0.53 to 4.56)-
 AP0.43 (0.08 to 0.77)-0.46 (0.09 to 0.82)-
 SI2.33 (0.88 to 6.16)-2.45 (0.86 to 6.93)-
Unadjusted OR/estimate (95% CI)P valueAdjusted
OR/estimate (95% CI)a
P value
Leu and SFA16:0
Additive interaction models
Leu < 153.3 & SFA16:0 < 17.1 nmol/mLReferenceReference
Leu < 153.3 & SFA16:0 ≥ 17.1 nmol/mL2.02 (1.27-3.21)0.00282.22 (1.33-3.72)0.0024
Leu ≥ 153.3 & SFA16:0 < 17.1 nmol/mL1.30 (0.71-2.37)0.38991.45 (0.74-2.84)0.2815
Leu ≥ 153.3 & SFA16:0 ≥ 17.1 nmol/mL3.99 (2.21-7.19) < 0.00014.56 (2.37-8.75) < 0.0001
Measures of additive interactionb
 RERI1.66(-0.42 to 3.75)-1.89 (-0.78 to 4.56)-
 AP0.42 (0.06 to 0.78)-0.41 (0.01 to 0.82)-
 SI2.26 (0.83 to 6.15)-2.13 (0.77 to 5.87)-
Ile and SFA16:0
Additive interaction models
Ile < 36.2 & SFA16:0 < 17.1 nmol/mLReferenceReference
Ile < 36.2 & SFA16:0 ≥ 17.1 nmol/mL1.99 (1.27-3.11)0.00252.12 (1.29-3.48)0.0029
Ile ≥ 36.2 & SFA16:0 < 17.1 nmol/mL1.28 (0.72-2.28)0.40181.27 (0.66-2.44)0.4768
Ile ≥ 36.2 & SFA16:0 ≥ 17.1 nmol/mL3.96 (2.22-7.04) < 0.00014.41 (2.30-8.43) < 0.0001
Measures of additive interactionb
 RERI1.69 (-0.33 to 3.70)-2.01 (-0.53 to 4.56)-
 AP0.43 (0.08 to 0.77)-0.46 (0.09 to 0.82)-
 SI2.33 (0.88 to 6.16)-2.45 (0.86 to 6.93)-

Abbreviations: AP, attributable proportion due to interaction; GDM, gestational diabetes mellitus; Ile, isoleucine; Leu, leucine; RERI, relative excess risk due to interaction; SFA, saturated fatty acid; SI, synergy index.

aAdjusted for prepregnancy body mass index, systolic blood pressure, Han nationality, family history of diabetes in first-degree relatives, parity, education attainment, current smoker before or during pregnancy, alcohol drinker before or during pregnancy, and weight gain to glucose challenge test.

bStatistically significant, with RERI > 0, AP > 0, or SI > 1 indicating significant additive interaction.

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