Lipids & metabolic liver disease

Visceral adipose tissue and risk of nonalcoholic fatty liver disease: A Mendelian randomization study

Clin Endocrinol (Oxf)Published Two-sample Mendelian randomization study

Authors' conclusion

This study provided genetic evidence that higher VAT mass causally associated with a higher risk of NAFLD. The amount of VAT could be reduced using a therapeutic strategy for managing NAFLD.

Study context

Population
SNPs associated with visceral adipose tissue (VAT) from GWAS; Nonalcoholic fatty liver disease (NAFLD) summary-level data from FinnGen consortium (2275 cases and 375,002 controls)2,275 NAFLD cases · 375,002 controls · GWAS 325,153
Comparison
Genetically predicted higher VAT mass vs lower VAT mass
Outcome
NAFLD risk per genetically predicted VAT mass (IVW method)
Methodological detailsrandom-effects inverse-variance weighted (IVW) main Mendelian randomization (MR) approach, weighted median and MR-Egger alternate methods, sensitivity analyses
  • Random-effects inverse-variance weighted (IVW) main MR approach
  • Weighted median and MR-Egger alternate methods
  • Sensitivity analyses

Main finding

As reported in the abstract

NAFLD risk per genetically predicted higher VAT mass

IVW (main): β = 0.665, OR (95% CI 1.482-2.550), p = 1.58e-06

1.944

Further findings

NAFLD risk, alternate MR methods

Weighted median (WM): β = 0.615, OR (95% CI 1.272-2.689), p = 1.29e-03
1.849
MR-Egger: β = 1.250, OR (95% CI 1.522-7.998), p = 3.52e-03
3.490

Sensitivity analysis

Heterogeneity
P < 0.05
No pleiotropy
P = 0.145

Original publication

Visceral adipose tissue and risk of nonalcoholic fatty liver disease: A Mendelian randomization study. Clin Endocrinol (Oxf). Published 10 August 2023. doi:10.1111/cen.14953

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