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Does higher BMI causally raise heart disease risk?

Genetic instruments for BMI suggest a causal increase in ischemic heart disease risk larger than simple observational estimates.

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What causal OR per 4 kg/m² BMI did MR yield?

Meta-analysed causal OR 1.52 (95% CI 1.12–2.05).

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

What observational OR was reported in CGPS?

1.23 per 4 kg/m² BMI increase.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

How much did each risk allele raise BMI?

About 0.28 kg/m² per additional adiposity-related allele.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

What analytic framework estimates causality?

Mendelian randomisation with genetic instruments.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

Which loci formed the allele score?

FTO, MC4R, and TMEM18 variants.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

What estimator produced causal ORs?

Instrumental-variable (Wald-type) estimation.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

What BMI increment anchors effect sizes?

One SD of 4 kg/m².

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

How do authors summarise observational vs causal effects?

About 26% observational vs 52% causal IHD risk increase per 4 kg/m².

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

Why can MR reduce confounding vs plain observation?

Genetic instruments are less tied to lifestyle confounders and reverse causation.

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified

What clinical disease is the outcome?

Ischemic heart disease (IHD).

Source: The effect of elevated body mass index on ischemic heart disease risk: causal estimates from a Mendelian randomisation approach · DOI · quote verified