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Updated: Jan 10, 2026

Sample Preparation to Bioinformatics Analysis of DNA Methylation: Association Strategy for Obesity and Related Trait Studies
Published on: May 6, 2022
Associations between sex hormones and obesity-related indicators: results from the NHANES and Mendelian randomization
Yong Yuan1,2, Shuhao Cui3, Yingqi Hou4
1Clinical Research Unit, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Objective:
This study sought to explore the relationships between sex hormones and obesity-related markers, while utilizing Mendelian randomization (MR) to evaluate their causal links.
Methods:
Data from 5179 participants of the 2013-2016 National Health and Nutrition Examination Survey (NHANES) were analyzed. Multivariate linear regression and generalized additive models were utilized to examine linear and non-linear associations between sex hormones and obesity-related parameters. Causal inference was explored via a two-sample MR analysis, with inverse-variance weighting (IVW) as the primary approach.
Results:
Cross-sectional assessments showed that in males, testosterone levels, SHBG, and T/E2 ratio were negatively correlated with obesity, while estradiol displayed a non-linear, inverted U-shaped relationship. In females, estradiol and SHBG had negative associations with adiposity measures. MR analysis revealed that genetically increased Bio-T was associated with lower obesity risk in males, while SHBG showed a negative correlation with visceral and waist obesity. In females, Bio-T and FAI were associated with higher visceral adipose tissue volume and waist circumference, findings consistent with potential causal effects.
Conclusions:
Sex hormones show sex-specific associations with obesity. Testosterone is protective against obesity in males, whereas female hyperandrogenism elevates the risk of obesity, particularly central obesity. These results offer novel perspectives for obesity-related health interventions.
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