Evidence map›Paper›PMID 35832062›Full record

ArticleThe Lancet regional health. Europe2022

Effects of general and central adiposity on circulating lipoprotein, lipid, and metabolite levels in UK Biobank: A multivariable Mendelian randomization study.

Joshua A Bell, Tom G Richardson, Qin Wang, Eleanor Sanderson, Tom Palmer, Venexia Walker, Linda M O'Keeffe, Nicholas J Timpson, Anna Cichonska, Heli Julkunen and 3 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Leveraging Multiomic Signatures to Predict Body Composition.Advances in nutrition (Bethesda, Md.) · 2026
    Review
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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

13 authors.

Joshua A BellMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Tom G RichardsonMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Qin WangMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Eleanor SandersonMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Tom PalmerMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Venexia WalkerMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Linda M O'KeeffeMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Nicholas J TimpsonMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Anna CichonskaNightingale Health Plc, Helsinki, Finland.
Heli JulkunenNightingale Health Plc, Helsinki, Finland.
Peter WürtzNightingale Health Plc, Helsinki, Finland.
Michael V HolmesMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
George Davey SmithMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_PC_20030Medical Research Council MC_PC_20059Medical Research Council MC_QA137853Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/4Medical Research Council MC_UU_00019/4Wellcome Trust
6 · The paper itself

Abstract

Background: The direct effects of general adiposity (body mass index (BMI)) and central adiposity (waist-to-hip-ratio (WHR)) on circulating lipoproteins, lipids, and metabolites are unknown. Methods: We used new metabolic data from UK Biobank ( Findings: Higher BMI decreased apolipoprotein B and low-density lipoprotein cholesterol (LDL-C) before and after WHR-adjustment, whilst BMI increased triglycerides only before WHR-adjustment. These effects of WHR were larger and BMI-independent. Direct effects differed markedly by sex, e.g., triglycerides increased only with BMI among men, and only with WHR among women. Adiposity measures increased statin use and showed metabolic effects which differed by statin use and age. Among the youngest (38-53y, statins-5%), BMI and WHR (per-SD) increased LDL-C (total effects: 0.04-SD, 95%CI=-0.01,0.08 and 0.10-SD, 95%CI=0.02,0.17 respectively), but only WHR directly. Among the oldest (63-73y, statins-29%), BMI and WHR directly lowered LDL-C (-0.19-SD, 95%CI=-0.27,-0.11 and -0.05-SD, 95%CI=-0.16,0.06 respectively). Interpretation: Excess adiposity likely raises atherogenic lipid and metabolite levels exclusively via adiposity stored centrally, particularly among women. Apparent effects of adiposity on lowering LDL-C are likely explained by an effect of adiposity on statin use. Funding: UK Medical Research Council; British Heart Foundation; Novo Nordisk; National Institute for Health Research; Wellcome Trust; Cancer Research UK.

Indexed as

AdiposityBMIEpidemiologyMendelian randomizationMetabolismNMRUK BiobankWHR

Identifiers

PMID35832062
PMCPMC9272390

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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.