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FältnamnIndikatorerMetadata
00007435naa a2201201 4500
001oai:gup.ub.gu.se/175712
003SwePub
008240528s2013 | |||||||||||000 ||eng|
009oai:DiVA.org:uu-198061
009oai:prod.swepub.kib.ki.se:126344974
024a https://gup.ub.gu.se/publication/1757122 URI
024a https://doi.org/10.1371/journal.pmed.10013832 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1980612 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1263449742 URI
040 a (SwePub)gud (SwePub)uud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Vimaleswaran, K. S.4 aut
2451 0a Causal Relationship between Obesity and Vitamin D Status: Bi-Directional Mendelian Randomization Analysis of Multiple Cohorts
264 c 2013-02-05
264 1b Public Library of Science (PLoS),c 2013
520 a BACKGROUND: Obesity is associated with vitamin D deficiency, and both are areas of active public health concern. We explored the causality and direction of the relationship between body mass index (BMI) and 25-hydroxyvitamin D [25(OH)D] using genetic markers as instrumental variables (IVs) in bi-directional Mendelian randomization (MR) analysis. METHODS AND FINDINGS: We used information from 21 adult cohorts (up to 42,024 participants) with 12 BMI-related SNPs (combined in an allelic score) to produce an instrument for BMI and four SNPs associated with 25(OH)D (combined in two allelic scores, separately for genes encoding its synthesis or metabolism) as an instrument for vitamin D. Regression estimates for the IVs (allele scores) were generated within-study and pooled by meta-analysis to generate summary effects. Associations between vitamin D scores and BMI were confirmed in the Genetic Investigation of Anthropometric Traits (GIANT) consortium (n=123,864). Each 1 kg/m(2) higher BMI was associated with 1.15% lower 25(OH)D (p=6.52×10⁻²⁷). The BMI allele score was associated both with BMI (p=6.30×10⁻⁶²) and 25(OH)D (-0.06% [95% CI -0.10 to -0.02], p=0.004) in the cohorts that underwent meta-analysis. The two vitamin D allele scores were strongly associated with 25(OH)D (p≤8.07×10⁻⁵⁷ for both scores) but not with BMI (synthesis score, p=0.88; metabolism score, p=0.08) in the meta-analysis. A 10% higher genetically instrumented BMI was associated with 4.2% lower 25(OH)D concentrations (IV ratio: -4.2 [95% CI -7.1 to -1.3], p=0.005). No association was seen for genetically instrumented 25(OH)D with BMI, a finding that was confirmed using data from the GIANT consortium (p≥0.57 for both vitamin D scores). CONCLUSIONS: On the basis of a bi-directional genetic approach that limits confounding, our study suggests that a higher BMI leads to lower 25(OH)D, while any effects of lower 25(OH)D increasing BMI are likely to be small. Population level interventions to reduce BMI are expected to decrease the prevalence of vitamin D deficiency.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaper0 (SwePub)3012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Basic Medicine0 (SwePub)3012 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
653 a body-mass index
653 a cardiovascular-disease risk
653 a genome-wide association
653 a genetic-variants
653 a instrumental variables
653 a d deficiency
653 a 25-hydroxyvitamin d
653 a d insufficiency
653 a common obesity
653 a prevalence
700a Berry, D. J.4 aut
700a Lu, C.4 aut
700a Tikkanen, E.4 aut
700a Pilz, S.4 aut
700a Lind, Larsu Uppsala universitet,Kardiovaskulär epidemiologi4 aut0 (Swepub:uu)larslind
700a Cooper, J. D.4 aut
700a Dastani, Z.4 aut
700a Li, R.4 aut
700a Houston, D. K.4 aut
700a Wood, A. R.4 aut
700a Michaëlsson, Karlu Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)karlmich
700a Vandenput, Liesbeth,d 1974u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Centre for Bone and Arthritis Research,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition4 aut0 (Swepub:gu)xvanli
700a Zgaga, L.4 aut
700a Lorentzon, Mattias,d 1970u Gothenburg University,Göteborgs universitet,Centre for Bone and Arthritis Research4 aut0 (Swepub:gu)xlomat
700a McCarthy, M. I.4 aut
700a Dupuis, J.4 aut
700a Kaakinen, M.4 aut
700a Kleber, M. E.4 aut
700a Jameson, K.4 aut
700a Arden, N.4 aut
700a Raitakari, O.4 aut
700a Viikari, J.4 aut
700a Lohman, K. K.4 aut
700a Ferrucci, L.4 aut
700a Melhus, Håkanu Uppsala universitet,Klinisk farmakogenomik och osteoporos4 aut0 (Swepub:uu)hakamelh
700a Ingelsson, E.4 aut
700a Byberg, Liisau Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)liisbybe
700a Lind, L.4 aut
700a Lorentzon, Mattias,d 1970u Gothenburg University,Göteborgs universitet,Centre for Bone and Arthritis Research4 aut0 (Swepub:gu)xlomat
700a Salomaa, V.4 aut
700a Campbell, H.4 aut
700a Dunlop, M.4 aut
700a Mitchell, B. D.4 aut
700a Herzig, K. H.4 aut
700a Pouta, A.4 aut
700a Hartikainen, A. L.4 aut
700a Streeten, E. A.4 aut
700a Theodoratou, E.4 aut
700a Jula, A.4 aut
700a Wareham, N. J.4 aut
700a Ohlsson, Claes,d 1965u Gothenburg University,Göteborgs universitet,Centre for Bone and Arthritis Research,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition4 aut0 (Swepub:gu)xohlcl
700a Frayling, T. M.4 aut
700a Kritchevsky, S. B.4 aut
700a Spector, T. D.4 aut
700a Richards, J. B.4 aut
700a Lehtimaki, T.4 aut
700a Ouwehand, W. H.4 aut
700a Kraft, P.4 aut
700a Cooper, C.4 aut
700a Marz, W.4 aut
700a Power, C.4 aut
700a Loos, R. J. F.4 aut
700a Wang, T. J.4 aut
700a Jarvelin, M. R.4 aut
700a Whittaker, J. C.4 aut
700a Hingorani, A. D.4 aut
700a Hypponen, E.4 aut
710a Uppsala universitetb Kardiovaskulär epidemiologi4 org
773t Plos Medicined : Public Library of Science (PLoS)g 10:2q 10:2x 1549-1676x 1549-1277
856u https://doi.org/10.1371/journal.pmed.1001383
856u https://uu.diva-portal.org/smash/get/diva2:615334/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://gup.ub.gu.se/publication/175712
8564 8u https://doi.org/10.1371/journal.pmed.1001383
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-198061
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:126344974

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