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Maternal Abdominal Obesity and Hirschsprung's Disease in Offspring: A Two-Sample Mendelian Randomization Study
Yun-Jin Wang1, Yi-Fan Fang2, Si-Qi Xie2
1Department of Colorectal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, PR China; Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Fuzhou, PR China.
The Journal of Surgical Research
|June 23, 2026
Summary
Elevated pre-pregnancy waist-to-hip ratio adjusted for body mass index (WHRadjBMI) in females may causally increase the risk of Hirschsprung
Area of Science:
- Reproductive Health and Genetics
- Pediatric Disease Etiology
Background:
- Investigating the influence of maternal pre-pregnancy adiposity on offspring congenital conditions.
- Focus on the potential causal link between waist-to-hip ratio adjusted for body mass index (WHRadjBMI) and Hirschsprung's disease (HD).
Purpose of the Study:
- To explore the causal effect of pre-pregnancy WHRadjBMI in females on the risk of Hirschsprung's disease in offspring.
- Utilize Mendelian randomization (MR) to assess this relationship.
Main Methods:
- Employed a two-sample Mendelian randomization (MR) analysis using genome-wide association data for WHRadjBMI and HD.
- Identified significant single nucleotide polymorphisms (SNPs) for female WHRadjBMI as instrumental variables.
- Applied inverse-variance weighted, weighted median, and MR-Egger regression methods for robust causal inference.
Main Results:
- Identified 40 significant SNPs associated with female WHRadjBMI.
- Consistent evidence across methods indicated a positive causal association between higher female WHRadjBMI and increased risk of offspring HD (e.g., OR 7.184 for IVW).
- No significant causal effect of genetic susceptibility to HD on female WHRadjBMI was detected.
Conclusions:
- Mendelian randomization analysis strongly suggests that elevated pre-pregnancy WHRadjBMI in females is a causal risk factor for Hirschsprung's disease in offspring.
- Findings highlight the importance of maternal body composition in fetal development and congenital disease risk.
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