1. Causal association of obesity-related anthropometric traits with myopia and the mediating role of educational attainment: a Mendelian randomization study
- Author
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Yi Lu, Can-Can Zhang, Run-Ting Ma, Yuan-Jing Li, Wen-Ping Li, Die-Wen-Jie Hu, and Lian-Hong Zhou
- Subjects
myopia ,anthropometric traits ,educational attainment ,mediation analysis ,mendelian randomization ,Ophthalmology ,RE1-994 - Abstract
AIM: To study the causal relationship between obesity-related anthropometric traits and myopia and the mediating role of educational attainment (EA). METHODS: Univariable Mendelian randomization (UVMR) was performed to evaluate the causal association between body mass index (BMI), height, waist-hip ratio (WHR, adjusted for BMI), and mean spherical equivalent (MSE). BMI was divided into fat and fat-free mass and included in multivariable Mendelian randomization (MVMR) to explore the roles of different BMI components in the causal relationship between BMI and MSE. A mediation analysis based on two-step Mendelian randomization (MR) was carried out. Specifically, UVMR was conducted to estimate the causal effect of BMI on EA. The direct effect of EA on MSE was estimated from MVMR. The mediation effect of EA in the BMI-EA-MSE model was calculated by the product of coefficients method. Expression quantitative trait loci (eQTL)-MR, reverse MR, and Linkage Disequilibrium Score Regression (LDSC) were performed to assess the robustness. RESULTS: Genetically predicted higher BMI had a positive total effect on MSE (βIVW=0.26 D, 95%CI=0.14 to 0.37 D, P
- Published
- 2024
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