Obesity

Polygenic score for body mass index in relation to mortality among patients with renal cell cancer

Int J Obes (Lond)Published Prospective cohort study

Main finding · All-cause mortality, BMI PGSResult — go to the resultHazard ratio 0.98 95% CI 0.88,1.10

Authors' conclusion

We found no association between either genetic variants for high BMI or measured pre-diagnostic body adiposity and mortality among RCC patients, and our results suggested a role for reverse causation in the association of obesity with lower mortality. Future studies should be designed carefully to produce unbiased estimates that account for confounding and reverse causation.

Study context

Population
Renal cell cancer (RCC) patients in the UK Biobank446 deaths
Participants
1,264 patients
Exposure
Body mass index (BMI) polygenic score (PGS), measured pre-diagnostic BMI and waist-to-hip ratio (WHR) in relation to mortality
Outcome
All-cause mortality by BMI PGS
Methodological detailspolygenic score (336 BMI-associated genetic variants), UK Biobank
  • Polygenic score (336 BMI-associated genetic variants)
  • UK Biobank

Main finding

All-cause mortality, BMI PGS

Hazard ratio

0.98

95% CI 0.88,1.10

BMI PGS per SD increase
HR 0.98 (95% CI 0.88,1.10)

Per SD increase, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Mortality, measured pre-diagnostic BMI and WHR (incident cases)BMI per 5 kg/m² increase0.93 (0.83,1.04)
Mortality, measured pre-diagnostic BMI and WHR (incident cases)WHR per 0.1 increase0.97 (0.83,1.13)
Mortality, anthropometrics measured within 2 years before RCC diagnosisBMI per 5 kg/m²0.76 (0.59,0.98)
Mortality, anthropometrics measured within 2 years before RCC diagnosisWHR per 0.1 increase0.67 (0.45,0.98)

RCC-specific mortality

Similar patterns were observed for RCC-specific mortality

Original publication

Polygenic score for body mass index in relation to mortality among patients with renal cell cancer. Int J Obes (Lond). Published 17 August 2024. doi:10.1038/s41366-024-01609-0

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