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June 9, 2022PLoS BiologyOpen Access

A lifecourse mendelian randomization study highlights the long-term influence of childhood body size on later life heart structure

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Why the study?

Children with obesity have larger adult left ventricular dimensions, but whether this reflects a persistent effect of adiposity into adulthood is confounded across the lifecourse.

Does childhood body size have an independent long-term influence on adulthood heart structure when accounting for adult body size?

Population

Participants in the UK Biobank study

Comparison

Childhood body size vs adult body size

Design

Multivariable mendelian randomization study

Authors

KOKatie O’NunainCPChloe ParkHUHelena Urquijo

Discussion

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Overview

Childhood adiposity may independently influence adult LV structure; leaves open whether early intervention alters long-term cardiac outcomes.

Structured PICO

Does childhood body size have an independent long-term influence on adulthood heart structure when accounting for adult body size?

P
Population
Participants in the UK Biobank (UKB) study
I
Intervention
Genetically predicted childhood body size
C
Comparator
Genetically predicted adult body size (multivariable mendelian randomization framework)
O
Outcome
4 magnetic resonance imaging (MRI) measures of heart structure and function in adulthoodsurrogate

Childhood body size has a long-term, potentially immutable influence on heart structure in later life, independent of adult body size.

Cite This Study

O’Nunain et al. (2022) studied this question.

synapsesocial.com/papers/6a705841febe604dd7092347https://doi.org/10.1371/journal.pbio.3001656
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluating the direct effects of childhood adiposity on adult systemic metabolism: a multivariable Mendelian randomization analysis2021 · 55 citations
  2. 2Childhood Adiposity as a Predictor of Cardiac Mass in Adulthood2004 · 220 citations
  3. 3Ambulatory systolic blood pressure and obesity are independently associated with left ventricular hypertrophic remodeling in children2016 · 41 citations
  4. 4Characterizing the Causal Pathway for Genetic Variants Associated with Neurological Phenotypes Using Human Brain-Derived Proteome Data2020 · 79 citations
  5. 5Use of genetic variation to separate the effects of early and later life adiposity on disease risk: mendelian randomisation study2020 · 365 citations