Evidence map›Paper›PMID 42010892›Full record

Observational studyDiabetes, obesity & metabolism2026

Higher Body Mass Index Is a Causal Risk Factor for Skin Infections: A Mendelian Randomisation Study Using UK Biobank and FinnGen.

Rhian Hopkins, Ethan de Villiers, Michael N Weedon, Beverley M Shields, John M Dennis, Andrew P McGovern, Harry D Green

Abstract readObservational Study
In one paragraph

Observational study in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Rhian HopkinsDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.ORCID 0000-0001-6054-3582
Ethan de VilliersDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.
Michael N WeedonDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.
Beverley M ShieldsDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.ORCID 0000-0003-3785-327X
John M DennisDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.
Andrew P McGovernDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.
Harry D GreenDepartment of Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK.

Funding

Wellcome Trust 227070/Z/23/Z
6 · The paper itself

Abstract

aimsInfections remain a leading cause of mortality and morbidity globally. We aimed to evaluate the potential causal role of higher BMI on common bacterial, viral and fungal infections using Mendelian randomisation (MR). MATERIAL AND

methodsIn UK Biobank (N = 502 131, N = 230 542 with linked GP records), we tested observational associations and used one-sample MR to test for a causal effect of BMI on common infections (skin infections, respiratory infections and urogenital infections) in primary care and hospital admissions. We additionally performed two-sample MR using summary statistics from a BMI genome-wide association study and infection outcomes from FinnGen (N = 500 348).

resultsHigher BMI was observationally associated with all infection types. One-sample MR demonstrated that higher BMI has a causal effect on skin infections in primary care (bacterial: Odds Ratio [OR] 1.37 [95% CI:1.24-1.53] per 5 kg/m2 increase in BMI, p < 0.001, fungal: 1.34 [95% CI:1.18-1.53], p < 0.001) and hospitalisation with skin infections (bacterial: OR 1.93 [95% CI:1.71-2.19] per 5 kg/m

conclusionsMendelian randomisation provides strong evidence that higher BMI is a causal risk factor for bacterial and fungal skin infections. Weight loss interventions may help reduce the risk of both mild and severe bacterial and fungal skin infections and be targeted to those at highest risk.

Indexed as

Body Mass IndexObesitySkin Diseases, InfectiousAgedBiological Specimen BanksFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisMiddle AgedRisk FactorsUK BiobankUnited Kingdomdisease preventionobesity careobservational studyreal‐world evidenceweight management

Identifiers

PMID42010892
PMCPMC13243997

What OpenQuestion holds

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Registered trials

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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.