Type 2 & other diabetes

Genetic predisposition to adiposity, and type 2 diabetes: the role of lifestyle and phenotypic adiposity

Eur J EndocrinolPublished Prospective cohort study

Authors' conclusion

Whilst phenotypic adiposity explains a large proportion of the association between BMI-PRS/WHR-PRS and T2D, modifiable lifestyle factors also make contributions. Promoting healthy lifestyles among people prone to adiposity is important in reducing the global burden of T2D.

Study context

Population
White British participants from the UK Biobank
Participants
220,703 participants
Exposure
High phenotypic adiposity and high adiposity PRS vs non-obese/central obese and non-high PRS
Outcome
Incident T2D
Methodological detailsUK Biobank, mediation and interaction analysis
  • UK Biobank
  • Mediation and interaction analysis

Main finding

As reported in the abstract

Hazard ratio

3.72

Body mass index polygenic risk (BMI-PRS)

Hazard ratio

4.17

Waist-hip ratio polygenic risk (WHR-PRS)

BMI-PRS/T2D association explained by lifestyle factors (2.0% mediation; 28.5% effect modification)
30.5%
BMI-PRS/T2D association explained by lifestyle and obesity together (78.8% mediation; 13.3% effect modification)
92.1%
WHR-PRS/T2D association explained by lifestyle factors (3.4% mediation; 17.0% effect modification)
20.4%
WHR-PRS/T2D association explained by lifestyle and central obesity together (41.1% mediation; 31.7% effect modification)
72.8%

Observational data: associations, not effects.

Original publication

Genetic predisposition to adiposity, and type 2 diabetes: the role of lifestyle and phenotypic adiposity. Eur J Endocrinol. Published 2 May 2025. doi:10.1093/ejendo/lvaf084

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