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ABSTRACT: Objectives
To investigate, using a Mendelian randomisation approach, whether heavier smoking is associated with a range of regional adiposity phenotypes, in particular those related to abdominal adiposity.Design
Mendelian randomisation meta-analyses using a genetic variant (rs16969968/rs1051730 in the CHRNA5-CHRNA3-CHRNB4 gene region) as a proxy for smoking heaviness, of the associations of smoking heaviness with a range of adiposity phenotypes.Participants
148,731 current, former and never-smokers of European ancestry aged ≥ 16 years from 29 studies in the consortium for Causal Analysis Research in Tobacco and Alcohol (CARTA).Primary outcome measures
Waist and hip circumferences, and waist-hip ratio.Results
The data included up to 66,809 never-smokers, 43,009 former smokers and 38,913 current daily cigarette smokers. Among current smokers, for each extra minor allele, the geometric mean was lower for waist circumference by -0.40% (95% CI -0.57% to -0.22%), with effects on hip circumference, waist-hip ratio and body mass index (BMI) being -0.31% (95% CI -0.42% to -0.19), -0.08% (-0.19% to 0.03%) and -0.74% (-0.96% to -0.51%), respectively. In contrast, among never-smokers, these effects were higher by 0.23% (0.09% to 0.36%), 0.17% (0.08% to 0.26%), 0.07% (-0.01% to 0.15%) and 0.35% (0.18% to 0.52%), respectively. When adjusting the three central adiposity measures for BMI, the effects among current smokers changed direction and were higher by 0.14% (0.05% to 0.22%) for waist circumference, 0.02% (-0.05% to 0.08%) for hip circumference and 0.10% (0.02% to 0.19%) for waist-hip ratio, for each extra minor allele.Conclusions
For a given BMI, a gene variant associated with increased cigarette consumption was associated with increased waist circumference. Smoking in an effort to control weight may lead to accumulation of central adiposity.
SUBMITTER: Morris RW
PROVIDER: S-EPMC4538266 | biostudies-literature | 2015 Aug
REPOSITORIES: biostudies-literature
Morris Richard W RW Taylor Amy E AE Fluharty Meg E ME Bjørngaard Johan H JH Åsvold Bjørn Olav BO Elvestad Gabrielsen Maiken M Campbell Archie A Marioni Riccardo R Kumari Meena M Korhonen Tellervo T Männistö Satu S Marques-Vidal Pedro P Kaakinen Marika M Cavadino Alana A Postmus Iris I Husemoen Lise Lotte N LL Skaaby Tea T Ahluwalia Tarun Veer Singh TV Treur Jorien L JL Willemsen Gonneke G Dale Caroline C Wannamethee S Goya SG Lahti Jari J Palotie Aarno A Räikkönen Katri K McConnachie Alex A Padmanabhan Sandosh S Wong Andrew A Dalgård Christine C Paternoster Lavinia L Ben-Shlomo Yoav Y Tyrrell Jessica J Horwood John J Fergusson David M DM Kennedy Martin A MA Nohr Ellen A EA Christiansen Lene L Kyvik Kirsten Ohm KO Kuh Diana D Watt Graham G Eriksson Johan G JG Whincup Peter H PH Vink Jacqueline M JM Boomsma Dorret I DI Davey Smith George G Lawlor Debbie D Linneberg Allan A Ford Ian I Jukema J Wouter JW Power Chris C Hyppönen Elina E Jarvelin Marjo-Riitta MR Preisig Martin M Borodulin Katja K Kaprio Jaakko J Kivimaki Mika M Smith Blair H BH Hayward Caroline C Romundstad Pål R PR Sørensen Thorkild I A TI Munafò Marcus R MR Sattar Naveed N
BMJ open 20150811 8
<h4>Objectives</h4>To investigate, using a Mendelian randomisation approach, whether heavier smoking is associated with a range of regional adiposity phenotypes, in particular those related to abdominal adiposity.<h4>Design</h4>Mendelian randomisation meta-analyses using a genetic variant (rs16969968/rs1051730 in the CHRNA5-CHRNA3-CHRNB4 gene region) as a proxy for smoking heaviness, of the associations of smoking heaviness with a range of adiposity phenotypes.<h4>Participants</h4>148,731 curren ...[more]