Obesity

Establishing causal relationships between sleep and adiposity traits using Mendelian randomization

Obesity (Silver Spring)Published Two-sample Mendelian randomization study

Authors' conclusion

The effects of insomnia on adiposity and of adiposity on daytime sleepiness suggest that poor sleep and weight gain may contribute to a feedback loop that could be detrimental to overall health.

Study context

Population
UK Biobank and 23andMe (sleep traits: chronotype N = 697,828; insomnia N = 1,331,010; sleep duration N = 446,118; napping N = 452,633; daytime sleepiness N = 452,071); Genetic Investigation of ANthropometric Traits (GIANT) and Early Growth Genetics (EGG) consortia (adult BMI, hip circumference (HC), waist circumference (WC), waist-hip ratio (WHR) N = 322,154; childhood BMI N = 35,668)
Comparison
Genetically predicted sleep traits vs adiposity traits, in both directions
Outcome
Causal effects between sleep and adiposity traits
Methodological detailsbidirectional
  • Bidirectional

Main finding

As reported in the abstract

Insomnia → WC, difference in means
0.39 SD (95% CI 0.13-0.64)
Insomnia → BMI, difference in means
0.47 SD (95% CI 0.22-0.73)
Insomnia → WHR, difference in means
0.34 SD (95% CI 0.16-0.52)
Napping → mean WHR
0.23 SD (95% CI 0.08-0.39)
Higher HC → odds of daytime sleepiness
0.02 SD (95% CI 0.01-0.04)
Higher WC → odds of daytime sleepiness
0.04 SD (95% CI 0.01-0.06)
Higher adult BMI → odds of daytime sleepiness
0.02 SD (95% CI 0.00-0.04)
Higher childhood BMI → lower odds of napping
−0.01 SD (95% CI 0.02-0.00)

Original publication

Establishing causal relationships between sleep and adiposity traits using Mendelian randomization. Obesity (Silver Spring). Published 15 February 2023. doi:10.1002/oby.23668

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