Table 4

Mediation analyses of famine exposure, metabolites, and diabetes

Effecta (famine-mediator)b (mediator-diabetes)c' (direct effect)ab (mediated effect)Proportion of mediationc (total effect)
2014
Indole-3-carbinol
 Model 1−1.20 (−2.10 to −0.31)−0.15 (−0.37 to 0.07)0.44 (−0.72 to 1.61)0.18 (−0.09 to 0.68)0.18 (−1.88 to 1.28)0.05 (−0.03 to 0.12)
 Model 2−0.28 (−0.59 to 0.25)−0.28 (−0.93 to 0.37)0.31 (−0.91 to 1.53)0.08 (−0.10 to 0.46)−0.001 (−0.33 to 1.28)0.08 (−0.05 to 0.25)
PC(22:6(4Z,7Z,10Z,13Z,16Z,19Z)/16:1(9Z))
 Model 1−5.68 (−9.72 to −1.63)−0.01 (−0.06 to 0.03)0.53 (−0.63 to 1.70)0.07 (−0.23 to 0.73)0.08 (−1.69 to 1.42)0.04 (−0.04 to 0.11)
 Model 2−0.35 (−0.66 to −0.44)−0.003 (−0.68 to 0.67)0.39 (−0.93 to 1.62)0.001 (−0.35 to 0.56)0.0002 (−4.65 to 1.94)0.08 (−0.07 to 0.25)
Pyrimidine
 Model 1−0.28 (−0.47 to −0.08)−1.19 (−2.49 to 0.11)0.32 (−0.86 to 1.50)0.33 (0.05 to 1.02)0.27 (−2.25 to 2.47)0.05 (−0.05 to 0.13)
 Model 2−0.29 (−0.59 to 0.01)−0.62 (−1.50 to 0.25)0.23 (−0.99 to 1.45)0.18 (−0.01 to 0.67)−0.003 (−1.18 to 0.79)0.07 (−0.03 to 0.20)
PC(16:1(9Z)/22:5(4Z,7Z,10Z,13Z,16Z))
 Model 1−0.23 (−0.38 to −0.08)−0.23 (−1.47 to 1.01)0.55 (−0.61 to 1.72)0.05 (−0.26 to 0.59)0.066 (−2.19 to 2.06)0.05 (−0.02 to 0.10)
 Model 2−0.39 (−0.69 to −0.08)0.06 (−0.62 to 0.73)0.42 (−0.82 to 1.66)−0.02 (−0.36 to 0.51)−8.68e−03(−1.73e+00 to 2.53)0.06 (−0.05 to 0.15)
2019
Indole-3-carbinol
 Model 1−0.45 (−0.87 to −0.02)−0.39 (−0.72 to −0.07)1.05 (0.12 to 1.98)0.18 (−0.01 to 0.50)0.12 (0.01 to 1.11)0.13 (0.04 to 0.22)
 Model 2−0.33 (−0.62 to −0.05)−0.41 (−0.91 to 0.09)1.02 (0.06 to 1.98)0.14 (−0.05 to 0.47)0.09 (−0.03 to 0.38)0.16 (0.02 to 0.34)
PC(22:6(4Z,7Z,10Z,13Z,16Z,19Z)/16:1(9Z))
 Model 1−0.87 (−1.72 to −0.01)−0.11 (−0.27 to 0.05)1.10 (0.18 to 2.02)0.09 (−0.07 to 0.33)0.06 (−0.13 to 0.18)0.14 (0.05 to 0.24)
 Model 2−0.31 (−0.59 to −0.03)−0.15 (−0.64 to 0.35)1.07 (0.12 to 2.02)0.05 (−0.15 to 0.28)0.01 (−0.46 to 0.20)0.15 (0.01 to 0.27)
Pyrimidine
 Model 1−0.10 (−0.19 to −0.01)−1.62 (−3.13 to −0.11)1.05 (0.13 to 1.98)0.17 (0.01 to 0.43)0.09 (−0.005 to 0.40)0.13 (0.04 to 0.21)
 Model 2−0.33 (−0.61 to −0.05)−0.38 (−0.88 to 0.12)1.01 (0.51 to 1.97)0.12 (−0.02 to 0.40)0.03 (−0.06 to 2.04)0.14 (−0.04 to 0.34)
PC(16:1(9Z)/22:5(4Z,7Z,10Z,13Z,16Z))
 Model 1−0.05 (−0.08 to −0.01)−2.45 (−6.21 to 1.31)1.08 (0.16 to 2.01)0.11 (−0.09 to 0.38)0.05 (−0.13 to 0.36)0.12 (0.06 to 0.21)
 Model 2−0.35 (−0.63 to −0.77)−0.11 (−0.61 to 0.40)1.07 (0.12 to 2.03)0.04 (−0.20 to 0.32)0.03 (−0.88 to 0.27)0.14 (−0.01 to 0.31)
  • Mediation analysis was applied to identify the four changed metabolites as mediators in the association between famine and diabetes.

  • Bold indicates p<0.05.

  • The results are expressed as a log-odds metric except for the total effect (c), which is expressed as OR (95% CI).

  • Model 1 was unadjusted. Model 2 was adjusted for sex and body mass index.

  • PC, phosphatidylcholine.