Genetically predicted body mass index and Alzheimer's disease-related phenotypes in three large samples: Mendelian randomization analyses

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47 Scopus citations

Abstract

Observational research shows that higher body mass index (BMI) increases Alzheimer's disease (AD) risk, but it is unclear whether this association is causal. We applied genetic variants that predict BMI in Mendelian randomization analyses, an approach that is not biased by reverse causation or confounding, to evaluate whether higher BMI increases AD risk. We evaluated individual-level data from the AD Genetics Consortium (ADGC: 10,079 AD cases and 9613 controls), the Health and Retirement Study (HRS: 8403 participants with algorithm-predicted dementia status), and published associations from the Genetic and Environmental Risk for AD consortium (GERAD1: 3177 AD cases and 7277 controls). No evidence from individual single-nucleotide polymorphisms or polygenic scores indicated BMI increased AD risk. Mendelian randomization effect estimates per BMI point (95% confidence intervals) were as follows: ADGC, odds ratio (OR) = 0.95 (0.90-1.01); HRS, OR = 1.00 (0.75-1.32); GERAD1, OR = 0.96 (0.87-1.07). One subscore (cellular processes not otherwise specified) unexpectedly predicted lower AD risk.

Original languageEnglish
Pages (from-to)1439-1451
Number of pages13
JournalAlzheimer's and Dementia
Volume11
Issue number12
DOIs
StatePublished - Dec 1 2015

Bibliographical note

Publisher Copyright:
© 2015 The Alzheimer's Association.

Funding

ACT: ACT is supported by a grant ( U01 AG 06781 , to E.B.L. and P.K.C.) from the National Institutes of Health . The Health and Retirement Study genetic data are sponsored by the National Institute on Aging (grant numbers U01AG009740 , RC2AG036495 , and RC4AG039029 ) and was conducted by the University of Michigan. ROS/MAP: ROS and MAP are supported by National Institute on Aging grants R01AG17917 , R01AG34374 , R01AG15819 , and P30AG10161 (all to D.A.B.).

FundersFunder number
National Institutes of Health (NIH)
Michigan Retirement Research Center, University of Michigan
National Institute on AgingP50AG005144, R01AG033193, P50AG005146, RC2AG036535, RF1AG015819, P50AG005142, R01AG035137, RC2AG036495, U24AG021886, U01AG024904, R01AG019085, R01AG025259, U01AG016976, P01AG010491, R01AG013616, P50AG005133, RC2AG036528, R01AG012101, P50AG005134, P50AG005131, R01AG054060, U01AG009740, R01AG019771, K01AG030514, P30AG013854, P30AG028383, R01AG027944, P50AG016582, U01AG010483, P50AG005136, R01AG022374, P50AG025688, P50AG023501, R01AG041232, R01AG008122, P50AG005138, R01AG041797, R01AG021547, P50AG008671, P50AG005681, P30AG028377, R01AG041718, R37AG015473, R01AG026916, P01AG019724, R01AG030146, U01AG006781, P50AG016573, P50AG016574, RC4AG039029, P30AG013846, P30AG010133, R01AG030653, P50AG016570, R01AG017917, P50AG005128, P01AG002219, U01AG032984, R01AG042611, RC2AG036502, R43AG051285, R01AG026390, R01AG019757, R01AG020688, R01AG017173, R01AG031581, P30AG008017, R01AG034374, U24AG026395, P30AG010124, P30AG012300, P30AG010161, P01AG003991, P30AG010129, P30AG019610, P30AG008051, P50AG008702
National Institute on Aging
National Institute of Mental HealthP50MH060451, R01MH080295
National Institute of Mental Health
National Institute on Alcohol Abuse and AlcoholismR01AA023416
National Institute on Alcohol Abuse and Alcoholism
National Center for Advancing Translational Sciences (NCATS)UL1TR001445, UL1TR001108, UL1TR002529
National Center for Advancing Translational Sciences (NCATS)
Institute of Neurological Disorders and Stroke National Advisory Neurological Disorders and Stroke CouncilR01NS059873, P50NS039764
Institute of Neurological Disorders and Stroke National Advisory Neurological Disorders and Stroke Council
U.S. Department of Veterans AffairsIK2BX001820
U.S. Department of Veterans Affairs
National Human Genome Research InstituteU01HG006375, U01HG004610
National Human Genome Research Institute
National Childhood Cancer Registry – National Cancer InstituteR01CA129769
National Childhood Cancer Registry – National Cancer Institute
National Center for Research ResourcesM01RR000096, UL1RR029893
National Center for Research Resources

    Keywords

    • Alzheimer's disease
    • Dementia
    • Mendelian randomization
    • Obesity

    ASJC Scopus subject areas

    • Epidemiology
    • Health Policy
    • Developmental Neuroscience
    • Clinical Neurology
    • Geriatrics and Gerontology
    • Cellular and Molecular Neuroscience
    • Psychiatry and Mental health

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