Type 2 & other diabetes

Independent association of leg-height ratio with 15 cardiometabolic diseases

Cardiovasc DiabetolPublished Genome-wide association and cohort study

Main finding · 15 major CMDResult — go to the resultHazard ratio 1.39 CI 1.29–1.49

Authors' conclusion

LHR has independent and differential effects on a suite of CMD traits. The protective association between LHR and CMD is mainly mediated by lipids, and genes shared between LHR and these outcomes are predominantly enriched in development and differentiation of skeletal and embryonic tissues.

Study context

Population
UK Biobank participants; Leg-height ratio (LHR) = leg length/standing height, adjusted for overall height
Exposure
Low vs medium or high leg-height ratio, by height category
Outcome
Associations of LHR and height with 15 major cardiometabolic diseases
Methodological detailsUK Biobank, phenotypic and genetic levels, mediation and colocalization analyses
  • UK Biobank
  • Phenotypic and genetic levels
  • Mediation and colocalization analyses

Main finding

15 major CMD

Hazard ratio

1.39

CI 1.29–1.49

P = 2.7 × 10-20

Tall with low LHRvs Short or medium height with higher LHR
HR 1.39 (CI 1.29–1.49); P = 2.7 × 10-20

As reported in the abstract

Observational data: associations, not effects.

Further findings

Genome-wide association study (GWAS) of LHR

Genome-wide significant LHR variants
747
SNP-based heritability, LHR
24%
SNP-based heritability, height
47%

Mediation and colocalization

Lipids (especially HDL-C) mainly mediated protective effect of LHR on cardiometabolic diseases (CMD); inflammatory markers (especially neutrophils) mainly mediated effect of height
LHR-specific variants colocalized with CMD, incl. T2D at JAZF1 locus

Original publication

Independent association of leg-height ratio with 15 cardiometabolic diseases. Cardiovasc Diabetol. Published 18 January 2026. doi:10.1186/s12933-025-03074-z

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