Metabolic syndrome, genetic susceptibility, and risk of chronic obstructive pulmonary disease: The UK Biobank Study

Diabetes Obes MetabPublished Prospective cohort study

Main finding · Incident COPDResult — go to the resultHazard ratio 1.24 95% CI 1.17–1.32

Authors' conclusion

Metabolic syndrome was found to be associated with an increased risk of COPD, regardless of genetic risk. It is crucial to conduct further randomized control trials to determine whether managing MetS and its individual components can potentially reduce the likelihood of developing COPD.

Study context

Population
Participants of the UK Biobank Study
Participants
287,868 participants
Exposure
Metabolic syndrome (MetS) vs no MetS; high vs low genetic predisposition
Outcome
Incident COPD
Methodological detailsgenetic risk score from 277 SNPs, Cox proportional hazard models
  • Genetic risk score from 277 SNPs
  • Cox proportional hazard models

Main finding

As reported in the abstract

Hazard ratio

1.24

95% CI 1.17–1.32

MetSvs No MetS
HR 1.24 (95% CI 1.17–1.32)
Incident chronic obstructive pulmonary disease (COPD) cases during 2 658 936 person-years of follow-up
5877

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
COPD, joint analysis: MetS and high genetic predispositionvs no MetS and low genetic predisposition1.50 (1.36–1.65)P < 0.001

COPD by genetic predisposition (high vs low)

High vs low genetic predisposition: increased risk of COPD
17%

Interaction between MetS and genetic risk

No significant interaction between MetS and genetic risk

Original publication

Metabolic syndrome, genetic susceptibility, and risk of chronic obstructive pulmonary disease: The UK Biobank Study. Diabetes Obes Metab. Published 17 October 2023. doi:10.1111/dom.15334

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