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Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study
Observational studies have reported that childhood obesity is positively associated with risks of type 2 diabetes (T2D) and coronary artery disease (CAD) in adults; however, whether this association is causal is still unclear. In the present study, we conducted the 2-sample Mendelian randomization (...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708873/ https://www.ncbi.nlm.nih.gov/pubmed/31393416 http://dx.doi.org/10.1097/MD.0000000000016825 |
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author | Fang, Xuqian Zuo, Junli Zhou, Jingqi Cai, Jialin Chen, Changqiang Xiang, Enfei Li, Haibo Cheng, Xiaoyan Chen, Peizhan |
author_facet | Fang, Xuqian Zuo, Junli Zhou, Jingqi Cai, Jialin Chen, Changqiang Xiang, Enfei Li, Haibo Cheng, Xiaoyan Chen, Peizhan |
author_sort | Fang, Xuqian |
collection | PubMed |
description | Observational studies have reported that childhood obesity is positively associated with risks of type 2 diabetes (T2D) and coronary artery disease (CAD) in adults; however, whether this association is causal is still unclear. In the present study, we conducted the 2-sample Mendelian randomization (MR) studies to investigate whether childhood obesity is causally associated with T2D and CAD in adults. Seven single-nucleotide polymorphisms (SNPs) that significantly associated with childhood obesity were used as instrumental variables. The 2-sample MR analyses were performed with the summary-level data of large-sample genome-wide association studies to evaluate the causal effects of childhood obesity on adult T2D and CAD and the levels of cardiometabolic traits. The 2-sample MR analyses suggested that each 1-unit increase in the log-odds of having childhood obesity was causally associated with an increased risk of adult T2D (odds ratio [OR] = 1.16, 95% confidential interval [CI] = 1.06–1.28; P = 1.0 × 10(–3)) and CAD (OR = 1.07, 95% CI = 1.02–1.12; P = 4.0 × 10(–3)) based on the inverse-variance weighted method. The MR analyses also suggested that childhood obesity was positively associated with the levels of adult body mass index, waist circumference, hip circumference, waist and hip ratio, log-transformed fasting glucose, log-transformed homeostatic model assessment (HOMA) of insulin resistance (%), and triglycerides. The childhood obesity was negatively associated with the adult high-density lipoprotein cholesterol level; however, there was no evidence of a causal association between childhood obesity and the levels of fasting glucose, 2-hour glucose, HbA1c (%), log-transformed HOMA of ß-cell function (%), low-density lipoprotein cholesterol, or total cholesterol in adults. In conclusion, a genetic predisposition to childhood obesity was associated with an increased risk of adult T2D and CAD, providing causal relations between childhood obesity and the risks of T2D and CAD in adults; however, the results need to be validated with larger-scale intervention studies. |
format | Online Article Text |
id | pubmed-6708873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-67088732019-10-01 Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study Fang, Xuqian Zuo, Junli Zhou, Jingqi Cai, Jialin Chen, Changqiang Xiang, Enfei Li, Haibo Cheng, Xiaoyan Chen, Peizhan Medicine (Baltimore) Research Article Observational studies have reported that childhood obesity is positively associated with risks of type 2 diabetes (T2D) and coronary artery disease (CAD) in adults; however, whether this association is causal is still unclear. In the present study, we conducted the 2-sample Mendelian randomization (MR) studies to investigate whether childhood obesity is causally associated with T2D and CAD in adults. Seven single-nucleotide polymorphisms (SNPs) that significantly associated with childhood obesity were used as instrumental variables. The 2-sample MR analyses were performed with the summary-level data of large-sample genome-wide association studies to evaluate the causal effects of childhood obesity on adult T2D and CAD and the levels of cardiometabolic traits. The 2-sample MR analyses suggested that each 1-unit increase in the log-odds of having childhood obesity was causally associated with an increased risk of adult T2D (odds ratio [OR] = 1.16, 95% confidential interval [CI] = 1.06–1.28; P = 1.0 × 10(–3)) and CAD (OR = 1.07, 95% CI = 1.02–1.12; P = 4.0 × 10(–3)) based on the inverse-variance weighted method. The MR analyses also suggested that childhood obesity was positively associated with the levels of adult body mass index, waist circumference, hip circumference, waist and hip ratio, log-transformed fasting glucose, log-transformed homeostatic model assessment (HOMA) of insulin resistance (%), and triglycerides. The childhood obesity was negatively associated with the adult high-density lipoprotein cholesterol level; however, there was no evidence of a causal association between childhood obesity and the levels of fasting glucose, 2-hour glucose, HbA1c (%), log-transformed HOMA of ß-cell function (%), low-density lipoprotein cholesterol, or total cholesterol in adults. In conclusion, a genetic predisposition to childhood obesity was associated with an increased risk of adult T2D and CAD, providing causal relations between childhood obesity and the risks of T2D and CAD in adults; however, the results need to be validated with larger-scale intervention studies. Wolters Kluwer Health 2019-08-09 /pmc/articles/PMC6708873/ /pubmed/31393416 http://dx.doi.org/10.1097/MD.0000000000016825 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Fang, Xuqian Zuo, Junli Zhou, Jingqi Cai, Jialin Chen, Changqiang Xiang, Enfei Li, Haibo Cheng, Xiaoyan Chen, Peizhan Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title | Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title_full | Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title_fullStr | Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title_full_unstemmed | Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title_short | Childhood obesity leads to adult type 2 diabetes and coronary artery diseases: A 2-sample mendelian randomization study |
title_sort | childhood obesity leads to adult type 2 diabetes and coronary artery diseases: a 2-sample mendelian randomization study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708873/ https://www.ncbi.nlm.nih.gov/pubmed/31393416 http://dx.doi.org/10.1097/MD.0000000000016825 |
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