Evidence map›Paper›PMID 30707692›Full record

ArticlePLoS genetics2019

Searching for the causal effects of body mass index in over 300 000 participants in UK Biobank, using Mendelian randomization.

Louise A C Millard, Neil M Davies, Kate Tilling, Tom R Gaunt, George Davey Smith

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Louise A C MillardMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-4787-8411
Neil M DaviesMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-2460-0508
Kate TillingMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-1010-8926
Tom R GauntMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-0924-3247
George Davey SmithMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-1407-8314
University of Bristol · GB

Funding

Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/3Medical Research Council MC_UU_00011/4Medical Research Council MC_UU_12013/8
6 · The paper itself

Abstract

Mendelian randomization (MR) has been used to estimate the causal effect of body mass index (BMI) on particular traits thought to be affected by BMI. However, BMI may also be a modifiable, causal risk factor for outcomes where there is no prior reason to suggest that a causal effect exists. We performed a MR phenome-wide association study (MR-pheWAS) to search for the causal effects of BMI in UK Biobank (n = 334 968), using the PHESANT open-source phenome scan tool. A subset of identified associations were followed up with a formal two-stage instrumental variable analysis in UK Biobank, to estimate the causal effect of BMI on these phenotypes. Of the 22 922 tests performed, our MR-pheWAS identified 587 associations below a stringent P value threshold corresponding to a 5% estimated false discovery rate. These included many previously identified causal effects, for instance, an adverse effect of higher BMI on risk of diabetes and hypertension. We also identified several novel effects, including protective effects of higher BMI on a set of psychosocial traits, identified initially in our preliminary MR-pheWAS in circa 115,000 UK Biobank participants and replicated in a different subset of circa 223,000 UK Biobank participants. Our comprehensive MR-pheWAS identified potential causal effects of BMI on a large and diverse set of phenotypes. This included both previously identified causal effects, and novel effects such as a protective effect of higher BMI on feelings of nervousness.

Indexed as

Body Mass IndexAdiposityAdultAgedAnxietyBiological Specimen BanksCohort StudiesFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHumansMaleMendelian Randomization AnalysisMiddle AgedPhenotypePolymorphism, Single Nucleotide

Identifiers

PMID30707692
PMCPMC6373977
OpenAlexW2914566167

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.