The effect of body mass index on smoking behaviour and nicotine metabolism: a Mendelian randomization study

Autor: Anu Loukola, George Davey Smith, Amy E Taylor, Caroline L Relton, Rebecca C Richmond, Jaakko Kaprio, Teemu Palviainen, Marcus R. Munafò
Přispěvatelé: Institute for Molecular Medicine Finland, Helsinki Institute of Life Science HiLIFE, HUSLAB, Department of Public Health, Clinicum, Genetic Epidemiology
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Longitudinal study
medicine.medical_treatment
Genome-wide association study
Brain and Behaviour
Body Mass Index
Nicotine
Cohort Studies
chemistry.chemical_compound
0302 clinical medicine
Risk Factors
030212 general & internal medicine
Longitudinal Studies
ASSOCIATIONS
2. Zero hunger
DISSATISFACTION
0303 health sciences
Tobacco and Alcohol
Smoking
1184 Genetics
developmental biology
physiology

Mendelian Randomization Analysis
Middle Aged
3. Good health
BIAS
OBESITY
Female
Physical and Mental Health
Mendelian randomisation analysis
General Article
ICEP
body mass index procedure
medicine.drug
Adult
WEIGHT CONTROL BEHAVIORS
Polymorphism
Single Nucleotide

03 medical and health sciences
Mendelian randomization
medicine
Humans
030304 developmental biology
business.industry
Body Weight
DNA Methylation
chemistry
COTININE LEVELS
1182 Biochemistry
cell and molecular biology

Smoking cessation
Smoking Cessation
CIGARETTE-SMOKING
CESSATION
GAIN
Cotinine
business
Body mass index
metabolism
Demography
Genome-Wide Association Study
Zdroj: Taylor, A E, Richmond, R C, Palviainen, T, Loukola, A, Wootton, R E, Kaprio, J, Relton, C L, Davey Smith, G & Munafò, M R 2019, ' The effect of body mass index on smoking behaviour and nicotine metabolism : a Mendelian randomization study ', Human Molecular Genetics, vol. 28, no. 8, ddy434, pp. 1322-1330 . https://doi.org/10.1093/hmg/ddy434
Human Molecular Genetics
DOI: 10.1101/299834
Popis: BackgroundGiven clear evidence that smoking lowers weight, it is possible that individuals with higher body mass index (BMI) smoke in order to lose or maintain their weight.Methods and FindingsWe undertook Mendelian randomization analyses using 97 genetic variants associated with BMI. We performed two sample Mendelian randomization analyses of the effects of BMI on smoking behaviour in UK Biobank (N=335,921) and the Tobacco and Genetics consortium genomewide association study (GWAS) (N≤74,035) respectively, and two sample Mendelian randomization analyses of the effects of BMI on cotinine levels (N≤4,548) and nicotine metabolite ratio (N≤1,518) in published GWAS, and smoking-related DNA methylation in the Avon Longitudinal Study of Parents and Children (N≤846).In inverse variance weighted Mendelian randomization analysis, there was evidence that higher BMI was causally associated with smoking initiation (OR for ever vs never smoking per one SD increase in BMI: 1.19, 95% CI: 1.11 to 1.27) and smoking heaviness (1.45 additional cigarettes smoked per day per SD increase in BMI, 95% CI: 1.03 to 1.86), but little evidence for a causal effect with smoking cessation. Results were broadly similar using pleiotropy robust methods (MR-Egger, median and weighted mode regression). These results were supported by evidence for a causal effect of BMI on DNA methylation at the aryl-hydrocarbon receptor repressor (AHRR) locus. There was no strong evidence that BMI was causally associated with cotinine, but suggestive evidence for a causal negative association with the nicotine metabolite ratio.ConclusionsThere is a causal bidirectional association between BMI and smoking, but the relationship is likely to be complex due to opposing effects on behaviour and metabolism. It may be useful to consider BMI and smoking together when designing prevention strategies to minimise the effects of these risk factors on health outcomes.
Databáze: OpenAIRE