Obesity

Deviation From Genetically Predicted BMI and All‐Cause Mortality: A Cohort Study in the UK Biobank

Obesity (Silver Spring)Published Cohort study

An erratum to this article was published (Obesity (Silver Spring), Mar 2026 ↗)

Authors' conclusion

These findings highlight the possible importance of aligning current BMI to genetic predisposition, and future research should examine BMI deviations and their long-term health effects. This perspective may inform personalized obesity management strategies to optimize health outcomes.

Study context

Population
UK Biobank participants; gBMI derived from polygenic risk scores, deviation = observed minus predicted BMI
Participants
208,146 participants
Exposure
Deviation from genetically predicted BMI: downward or upward
Outcome
All-cause mortality
Methodological detailsUK Biobank, Cox proportional hazards models adjusted for confounders and current BMI
  • UK Biobank
  • Cox proportional hazards models adjusted for confounders and current BMI

Main finding

As reported in the abstract

Hazard ratio (95% CI)
Downward deviationsignificantly increased mortality
1.25(1.01–1.55)
Upward deviationno significant effect
1.10(0.93–1.29)

Observational data: associations, not effects.

Further findings

J-shaped association with observed BMI, lowest at BMI
≈22 kg/m²
High gBMI: lowest mortality at higher observed BMI
24-26 kg/m²
Low or medium gBMI: sharper increases in mortality at higher BMI

Original publication

Deviation From Genetically Predicted BMI and All‐Cause Mortality: A Cohort Study in the UK Biobank. Obesity (Silver Spring). Published 2 October 2025. doi:10.1002/oby.70042

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