Allometric body shape indices, type 2 diabetes and kidney function: A two-sample Mendelian randomization study

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  • Alisa D. Kjaergaard
  • Jesse Krakauer
  • Nir Krakauer
  • Alexander Teumer
  • Thomas W. Winkler
  • Ellervik, Christina

Aim: To examine the association between body mass index (BMI)-independent allometric body shape indices and kidney function. Materials and methods: We performed a two-sample Mendelian randomization (MR) analysis, using summary statistics from UK Biobank, CKDGen and DIAGRAM. BMI-independent allometric body shape indices were: A Body Shape Index (ABSI), Waist-Hip Index (WHI) and Hip Index (HI). Kidney function outcomes were: urinary albumin-to-creatinine ratio (UACR), estimated glomerular filtration rate and blood urea nitrogen. Furthermore, we investigated type 2 diabetes (T2D) as a potential mediator on the pathway to albuminuria. The main analysis was inverse variance-weighted random-effects MR in participants of European ancestry. We also performed several sensitivity MR analyses. Results: A 1-standard deviation (SD) increase in genetically predicted ABSI and WHI levels was associated with higher UACR (β = 0.039 [95% confidence interval: 0.016, 0.063] log [UACR], P = 0.001 for ABSI, and β = 0.028 [0.012, 0.044] log [UACR], P = 6 x 10−4 for WHI) in women, but not in men. Meanwhile, a 1-SD increase in genetically predicted HI was associated with lower UACR in women (β = −0.021 [−0.041, 0.000] log [UACR], P = 0.05) and in men (β = −0.026 [−0.058, 0.005] log [UACR], P = 0.10). Corresponding estimates in individuals with diabetes were substantially augmented. Risk of T2D increased for genetically high ABSI and WHI in women (P < 6 x 10−19) only, but decreased for genetically high HI in both sexes (P < 9 x 10−3). No other associations were observed. Conclusions: Genetically high HI was associated with decreased risk of albuminuria, mediated through decreased T2D risk in both sexes. Opposite associations applied to genetically high ABSI and WHI in women only.

Original languageEnglish
JournalDiabetes, Obesity and Metabolism
Volume25
Issue number7
Pages (from-to)1803-1812
Number of pages10
ISSN1462-8902
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.

    Research areas

  • albuminuria, blood urea nitrogen, chronic, diabetes mellitus, glomerular filtration rate, kidney function tests, Mendelian randomization analysis, obesity, renal insufficiency, type 2

ID: 365711124