Investigating the correlation of hip circumference to cardiovascular disease and type-2 diabetes using Mendelian

Hongtao Liu1, Zhaoyu Li2, Su Yan2

  • 1Guangxi Health Science College, Nanning, China.

PubMed

Insights

Hip circumference (HC) is causally linked to cardiovascular disease (CVD) and type 2 diabetes mellitus risk. After adjusting for body mass index (BMI), increased hip fat offers protection against type 2 diabetes mellitus but not CVD.

Area of Science:

  • Genetics
  • Metabolic Diseases
  • Cardiovascular Health

Background:

  • Observational studies suggest associations between hip circumference (HC) and cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM).
  • Mendelian randomization (MR) can overcome limitations of observational studies by using genetic variants as instrumental variables.

Purpose of the Study:

  • To assess the causal relationship between hip circumference (HC) and the risk of cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM).
  • To investigate whether these relationships are independent of body mass index (BMI).

Main Methods:

  • Two-sample Mendelian randomization (MR) analysis using genetic variation data from MR Base.
  • Employed MR-Egger regression, weighted median estimator, and inverse variance weighting (IVW) methods.
  • Utilized summary statistics from genome-wide association studies (GWAS) for HC (adjusted and unadjusted for BMI) as exposures and CVD and T2DM as outcomes.

Main Results:

  • Unadjusted HC showed a positive causal association with both CVD and T2DM.
  • After adjusting for BMI, HC was not significantly associated with CVD.
  • BMI-adjusted HC exhibited a negative causal association with T2DM, suggesting a protective effect.

Conclusions:

  • Adipose tissue distribution, specifically hip circumference, plays a differential role in metabolic and cardiovascular health.
  • Increased hip fat, after accounting for overall adiposity (BMI), appears protective against type 2 diabetes mellitus.
  • Findings suggest potential implications for T2DM prevention and treatment strategies, and warrant further investigation into underlying mechanisms.
Abstract

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