Type 2 & other diabetes

Determinants of Pancreatic Size and Fat Content in the UK Biobank: Influence of Race, Genetic Variants, and Risk Factors

J Clin Endocrinol MetabPublished Cross-sectional study

Errata to this article were published (J Clin Endocrinol Metab, 18 Nov 2025 ↗ · 17 Mar 2026 ↗)

Authors' conclusion

These findings highlight contributions of race, genetics, and behaviors to pancreatic morphology and fat deposition in glycemic dysregulation.

Study context

Population
UK Biobank participants with pancreas imaging data
Participants
37,163 participants
Exposure
Race, genetic risk, glycaemic status and lifestyle factors vs pancreas volume and fat
Outcome
Pancreas volume index (PVI) and pancreatic fat fraction (PFF)
Methodological detailsUK Biobank
  • UK Biobank

Main finding

As reported in the abstract

  • Pancreatic fat fraction (PFF) was highest in White participants
  • Similar trends in participants with diagnosed diabetes
  • White vs Asian: P < 0.0001
  • White vs Black: P < 0.01

Observational data: associations, not effects.

Further findings

Prior HbA1c (4–14 years before imaging)

White and Asian participants had significantly lower pancreas volume index (PVI) and higher PFF with increased HbA1c

Polygenic risk scores and PVI

T2D polygenic risk vs PVI, ρ
−0.07, P < .0001
HbA1c polygenic risk vs PVI, ρ
−0.14, P < .0001

Polygenic risk scores and PFF

T2D polygenic risk vs PFF, ρ
0.07, P < .0001
HbA1c polygenic risk vs PFF, ρ
0.18, P < .0001
T1D polygenic risk showed no significant association with any pancreas measures

Sedentary lifestyle behaviours · 4 to 14 years later

Sedentary behaviours at baseline correlated with smaller PVI and increased pancreas fat

Original publication

Determinants of Pancreatic Size and Fat Content in the UK Biobank: Influence of Race, Genetic Variants, and Risk Factors. J Clin Endocrinol Metab. Published 19 July 2025. doi:10.1210/clinem/dgaf420

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