Lipids & metabolic liver disease

Genetically predicted visceral adipose tissue and risk of nine non-tumour gastrointestinal diseases: evidence from a Mendelian randomization study

Int J Obes (Lond)Published Two-sample Mendelian randomization study

Authors' conclusion

This study provided evidence in support of causal associations between VAT and GORD, GU, DU, cholelithiasis, AP, and NAFLD. Moreover, the associations between GORD, GU, and NAFLD were independent of the effect of BMI.

Study context

Population
Nine non-tumour gastrointestinal diseases
Comparison
Genetically predicted higher visceral adipose tissue (VAT) vs lower VAT
Outcome
Risk of nine non-tumour gastrointestinal diseases
Methodological detailsinverse-variance weighted method, complementary and multivariable Mendelian randomization (MR) analyses
  • Inverse-variance weighted method
  • Complementary and multivariable MR analyses

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
Higher VATGORD
1.21(1.09–1.34)
P = 3.06 × 10-4
Higher VATDU
1.40(1.10–1.77)
P = 0.005
Higher VATCholelithiasis
1.75(1.53–2.00)
P = 1.14 × 10-16
Higher VATNAFLD
2.68(1.87–3.82)
P = 6.26 × 10-8
VATGU; suggestive association
1.22(1.01–1.48)
P = 0.035
VATAcute pancreatitis; suggestive association
1.26(1.05–1.52)
P = 0.013

Further findings

Multivariable MR adjusted for body mass index (BMI)

Associations with gastro-oesophageal reflux disease (GORD), gastric ulcer (GU) and non-alcoholic fatty liver disease (NAFLD) remained after adjustment for BMI

Original publication

Genetically predicted visceral adipose tissue and risk of nine non-tumour gastrointestinal diseases: evidence from a Mendelian randomization study. Int J Obes (Lond). Published 18 March 2023. doi:10.1038/s41366-023-01279-4

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