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July 14, 2021Human Molecular GeneticsOpen Access

Higher adiposity and mental health: causal inference using Mendelian randomization

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Key result

Genetically determined higher BMI (1-SD increase) was associated with higher odds of current depression (OR 1.50; 95% CI 1.15-1.95) and lower well-being.

Why the study?

Higher adiposity is linked to psychiatric diseases, but whether this reflects metabolic consequences or psychosocial impacts remained unclear.

Does genetically determined higher adiposity increase the risk of depression and lower well-being in European adults?

Population

Up to 145 668 European participants from the UK Biobank

Comparison

Genetically determined higher adiposity vs lower adiposity

Design

One- and two-sample Mendelian randomization study

Authors

FCFrancesco CasanovaUniversity of ExeterJOJessica O’LoughlinUniversity of EdinburghSMSusan F. MartinUniversity of Exeter

Discussion

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Overview

Should not yet guide BMI interventions for depression; leaves open causal pathways for RCT confirmation.

Study Design

Type

Observational (n=145,668)

Structured PICO

Does genetically determined higher adiposity increase the risk of depression and lower well-being in European adults?

P
Population
145,668 European participants from the UK Biobank evaluated for the causal effect of higher adiposity on mental health and well-being.
E
Exposure
Genetically determined higher adiposity (using 72 BMI variants, 36 favourable adiposity variants, and 38 unfavourable adiposity variants)
C
Comparator
Genetically determined lower adiposity
O
Outcome
10 well-validated mental health and well-being outcomes derived using the Mental Health Questionnaire (MHQ), including current depression and well-beingpatient reported

Main Result

Odds Ratio: 1.5 (95% CI 1.15–1.95)

Genetically determined higher adiposity is causally associated with increased odds of depression and lower well-being, independent of its adverse metabolic effects.

Cite This Study

Casanova et al. (2021) conducted an observational in Depression and well-being (n=145,668). Higher adiposity (genetically determined higher BMI) vs. Lower adiposity was evaluated on Current depression (OR 1.50, 95% CI 1.15-1.95). Genetically determined higher BMI (1-SD increase) was associated with higher odds of current depression (OR 1.50; 95% CI 1.15-1.95) and lower well-being.

synapsesocial.com/papers/6a99b0bbe2e018ce7e33a201https://doi.org/10.1093/hmg/ddab204
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Also Consider

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  1. 1Evaluation of the causal effects between subjective wellbeing and cardiometabolic health: mendelian randomisation study2018 · 141 citations
  2. 2Associations Between Anxiety Disorder Diagnoses and Body Mass Index Differ by Age, Sex and Race: A Population Based Study2016 · 57 citations
  3. 3Socioeconomic Inequalities in Depression: A Meta-Analysis2003 · 2,639 citations
  4. 4Avoiding dynastic, assortative mating, and population stratification biases in Mendelian randomization through within-family analyses2020 · 427 citations
  5. 5Examining Overweight and Obesity as Risk Factors for Common Mental Disorders Using Fat Mass and Obesity-Associated (FTO) Genotype-Instrumented Analysis: The Whitehall II Study, 1985-20042011 · 78 citations