The Role of Adiposity in Cardiometabolic Traits: A Mendelian Randomization Analysis

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Fall, ToveUppsala universitet,Institutionen för medicinska vetenskaper,Science for Life Laboratory, SciLifeLab (author)

The Role of Adiposity in Cardiometabolic Traits : A Mendelian Randomization Analysis

Article/chapterEnglish2013

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2013-06-25
Public Library of Science (PLoS),2013
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-206759
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-206759URI
https://doi.org/10.1371/journal.pmed.1001474DOI
https://lup.lub.lu.se/record/3975210URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127098376URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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De fyra sista författarna delar sistaförfattarskapet.
Background: The association between adiposity and cardiometabolic traits is well known from epidemiological studies. Whilst the causal relationship is clear for some of these traits, for others it is not. We aimed to determine whether adiposity is causally related to various cardiometabolic traits using the Mendelian randomization approach. Methods and Findings: We used the adiposity-associated variant rs9939609 at the FTO locus as an instrumental variable (IV) for body mass index (BMI) in a Mendelian randomization design. Thirty-six population-based studies of individuals of European descent contributed to the analyses. Age-and sex-adjusted regression models were fitted to test for association between (i) rs9939609 and BMI (n = 198,502), (ii) rs9939609 and 24 traits, and (iii) BMI and 24 traits. The causal effect of BMI on the outcome measures was quantified by IV estimators. The estimators were compared to the BMI-trait associations derived from the same individuals. In the IV analysis, we demonstrated novel evidence for a causal relationship between adiposity and incident heart failure (hazard ratio, 1.19 per BMI-unit increase; 95% CI, 1.03-1.39) and replicated earlier reports of a causal association with type 2 diabetes, metabolic syndrome, dyslipidemia, and hypertension (odds ratio for IV estimator, 1.1-1.4; all p<0.05). For quantitative traits, our results provide novel evidence for a causal effect of adiposity on the liver enzymes alanine aminotransferase and gamma-glutamyl transferase and confirm previous reports of a causal effect of adiposity on systolic and diastolic blood pressure, fasting insulin, 2-h post-load glucose from the oral glucose tolerance test, C-reactive protein, triglycerides, and high-density lipoprotein cholesterol levels (all p<0.05). The estimated causal effects were in agreement with traditional observational measures in all instances except for type 2 diabetes, where the causal estimate was larger than the observational estimate (p = 0.001). Conclusions: We provide novel evidence for a causal relationship between adiposity and heart failure as well as between adiposity and increased liver enzymes.

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Hägg, SaraKarolinska Institutet,Uppsala universitet,Institutionen för medicinska vetenskaper,Science for Life Laboratory, SciLifeLab(Swepub:uu)sarha464 (author)
Maegi, Reedik (author)
Ploner, AlexanderKarolinska Institutet (author)
Fischer, Krista (author)
Horikoshi, Momoko (author)
Sarin, Antti-Pekka (author)
Thorleifsson, Gudmar (author)
Ladenvall, ClaesLund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups(Swepub:lu)med-cll (author)
Kals, Mart (author)
Kuningas, Maris (author)
Draisma, Harmen H. M. (author)
Ried, Janina S. (author)
van Zuydam, Natalie R. (author)
Huikari, Ville (author)
Mangino, Massimo (author)
Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (author)
Benyamin, Beben (author)
Nelson, Christopher P. (author)
Rivera, Natalia V. (author)
Kristiansson, Kati (author)
Shen, Huei-yi (author)
Havulinna, Aki S. (author)
Dehghan, Abbas (author)
Donnelly, Louise A. (author)
Kaakinen, Marika (author)
Nuotio, Marja-Liisa (author)
Robertson, Neil (author)
de Bruijn, Renee F. A. G. (author)
Ikram, M. Arfan (author)
Amin, Najaf (author)
Balmforth, Anthony J. (author)
Braund, Peter S. (author)
Doney, Alexander S. F. (author)
Doering, Angela (author)
Elliott, Paul (author)
Esko, Tonu (author)
Franco, Oscar H. (author)
Gretarsdottir, Solveig (author)
Hartikainen, Anna-Liisa (author)
Heikkila, Kauko (author)
Herzig, Karl-Heinz (author)
Holm, Hilma (author)
Hottenga, Jouke Jan (author)
Hypponen, Elina (author)
Illig, Thomas (author)
Isaacs, Aaron (author)
Isomaa, Bo (author)
Karssen, Lennart C. (author)
Kettunen, Johannes (author)
Koenig, Wolfgang (author)
Kuulasmaa, Kari (author)
Laatikainen, Tiina (author)
Laitinen, Jaana (author)
Lindgren, Cecilia (author)
Lyssenko, ValeriyaLund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups(Swepub:lu)endo-vly (author)
Laara, Esa (author)
Rayner, Nigel W. (author)
Mannisto, Satu (author)
Pouta, Anneli (author)
Rathmann, Wolfgang (author)
Rivadeneira, Fernando (author)
Ruokonen, Aimo (author)
Savolainen, Markku J. (author)
Sijbrands, Eric J. G. (author)
Small, Kerrin S. (author)
Smit, Jan H. (author)
Steinthorsdottir, Valgerdur (author)
Syvänen, Ann-ChristineUppsala universitet,Molekylär medicin,Science for Life Laboratory, SciLifeLab(Swepub:uu)anncsyva (author)
Taanila, Anja (author)
Tobin, Martin D. (author)
Uitterlinden, Andre G. (author)
Willems, Sara M. (author)
Willemsen, Gonneke (author)
Witteman, Jacqueline (author)
Perola, Markus (author)
Evans, Alun (author)
Ferrieres, Jean (author)
Virtamo, Jarmo (author)
Kee, Frank (author)
Tregouet, David-Alexandre (author)
Arveiler, Dominique (author)
Amouyel, Philippe (author)
Ferrario, Marco M. (author)
Brambilla, Paolo (author)
Hall, Alistair S. (author)
Heath, AndrewC. (author)
Madden, Pamela A. F. (author)
Martin, Nicholas G. (author)
Montgomery, Grant W. (author)
Whitfield, John B. (author)
Jula, Antti (author)
Knekt, Paul (author)
Oostra, Ben (author)
van Duijn, Cornelia M. (author)
Penninx, Brenda W. J. H. (author)
Smith, George Davey (author)
Kaprio, Jaakko (author)
Samani, Nilesh J. (author)
Gieger, Christian (author)
Peters, Annette (author)
Wichmann, H. -Erich (author)
Boomsma, Dorret I. (author)
de Geus, Eco J. C. (author)
Tuomi, TiinaMaija (author)
Power, Chris (author)
Hammond, Christopher J. (author)
Spector, Tim D. (author)
Lind, LarsKarolinska Institutet,Uppsala universitet,Kardiovaskulär epidemiologi(Swepub:uu)larslind (author)
Orho-Melander, MarjuLund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups(Swepub:lu)endo-mor (author)
Palmer, Colin Neil Alexander (author)
Morris, Andrew D. (author)
Groop, LeifLund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups(Swepub:lu)endo-lgr (author)
Jarvelin, Marjo-Riitta (author)
Salomaa, Veikko (author)
Vartiainen, Erkki (author)
Hofman, Albert (author)
Ripatti, Samuli (author)
Metspalu, Andres (author)
Thorsteinsdottir, Unnur (author)
Stefansson, Kari (author)
Pedersen, Nancy L. (author)
McCarthy, Mark I. (author)
Ingelsson, ErikUppsala universitet,Institutionen för medicinska vetenskaper,Science for Life Laboratory, SciLifeLab(Swepub:uu)ering425 (author)
Prokopenko, Inga (author)
Uppsala universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:PLoS Medicine: Public Library of Science (PLoS)10:6, s. e1001474-1549-12771549-1676

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By the author/editor: Fall, Tove; Hägg, Sara; Maegi, Reedik; Ploner, Alexande ...; Fischer, Krista; Horikoshi, Momok ...; show more...; Sarin, Antti-Pek ...; Thorleifsson, Gu ...; Ladenvall, Claes; Kals, Mart; Kuningas, Maris; Draisma, Harmen ...; Ried, Janina S.; van Zuydam, Nata ...; Huikari, Ville; Mangino, Massimo; Sonestedt, Emily; Benyamin, Beben; Nelson, Christop ...; Rivera, Natalia ...; Kristiansson, Ka ...; Shen, Huei-yi; Havulinna, Aki S ...; Dehghan, Abbas; Donnelly, Louise ...; Kaakinen, Marika; Nuotio, Marja-Li ...; Robertson, Neil; de Bruijn, Renee ...; Ikram, M. Arfan; Amin, Najaf; Balmforth, Antho ...; Braund, Peter S.; Doney, Alexander ...; Doering, Angela; Elliott, Paul; Esko, Tonu; Franco, Oscar H.; Gretarsdottir, S ...; Hartikainen, Ann ...; Heikkila, Kauko; Herzig, Karl-Hei ...; Holm, Hilma; Hottenga, Jouke ...; Hypponen, Elina; Illig, Thomas; Isaacs, Aaron; Isomaa, Bo; Karssen, Lennart ...; Kettunen, Johann ...; Koenig, Wolfgang; Kuulasmaa, Kari; Laatikainen, Tii ...; Laitinen, Jaana; Lindgren, Cecili ...; Lyssenko, Valeri ...; Laara, Esa; Rayner, Nigel W.; Mannisto, Satu; Pouta, Anneli; Rathmann, Wolfga ...; Rivadeneira, Fer ...; Ruokonen, Aimo; Savolainen, Mark ...; Sijbrands, Eric ...; Small, Kerrin S.; Smit, Jan H.; Steinthorsdottir ...; Syvänen, Ann-Chr ...; Taanila, Anja; Tobin, Martin D.; Uitterlinden, An ...; Willems, Sara M.; Willemsen, Gonne ...; Witteman, Jacque ...; Perola, Markus; Evans, Alun; Ferrieres, Jean; Virtamo, Jarmo; Kee, Frank; Tregouet, David- ...; Arveiler, Domini ...; Amouyel, Philipp ...; Ferrario, Marco ...; Brambilla, Paolo; Hall, Alistair S ...; Heath, AndrewC.; Madden, Pamela A ...; Martin, Nicholas ...; Montgomery, Gran ...; Whitfield, John ...; Jula, Antti; Knekt, Paul; Oostra, Ben; van Duijn, Corne ...; Penninx, Brenda ...; Smith, George Da ...; Kaprio, Jaakko; Samani, Nilesh J ...; Gieger, Christia ...; Peters, Annette; Wichmann, H. -Er ...; Boomsma, Dorret ...; de Geus, Eco J. ...; Tuomi, TiinaMaij ...; Power, Chris; Hammond, Christo ...; Spector, Tim D.; Lind, Lars; Orho-Melander, M ...; Palmer, Colin Ne ...; Morris, Andrew D ...; Groop, Leif; Jarvelin, Marjo- ...; Salomaa, Veikko; Vartiainen, Erkk ...; Hofman, Albert; Ripatti, Samuli; Metspalu, Andres; Thorsteinsdottir ...; Stefansson, Kari; Pedersen, Nancy ...; McCarthy, Mark I ...; Ingelsson, Erik; Prokopenko, Inga; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

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