The relationship between body mass index and the risk of development of Dupuytren’s disease: a Mendelian randomization study

Author:

Majeed Mustafa1,Wiberg Akira23,Ng Michael2,Holmes Michael V.45,Furniss Dominic23

Affiliation:

1. Medical Sciences Division, University of Oxford, Oxford, UK

2. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

3. Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK

4. Medical Research Council Population Health Research Unit, University of Oxford, Oxford, UK

5. Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Oxford, UK

Abstract

We performed Mendelian randomization analyses of body mass index and waist–hip ratio adjusted for body mass index in Dupuytren’s disease using summary statistics from genome-wide association study meta-analyses. We found that adiposity is causally protective against Dupuytren’s disease, with the inverse-variance weighted Mendelian randomization analysis estimating that a 1 standard deviation increase in body mass index (equivalent to 4.8 kg/m2) leads to 28% (95% confidence interval: 18–37%) lower relative odds of developing Dupuytren’s disease, and a 1 standard deviation increase in waist–hip ratio adjusted for body mass index (equivalent to a waist–hip ratio of 0.09) leads to 26% (95% confidence interval: 6–42%) lower relative odds of developing Dupuytren’s disease. We conclude from this study that regardless of the well-established negative health effects of obesity, the raised body mass index is associated with a lower risk of Dupuytren’s disease and may be causally protective for the development of the disease.

Publisher

SAGE Publications

Subject

Surgery

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