Rheumatoid arthritis

Causal effects of time-varying body size on selected autoimmune disorders: a life course Mendelian randomisation study

RMD OpenPublished Mendelian randomisation study

Authors' conclusion

Increased birth weight appears to be a risk factor for later manifestation of rheumatoid arthritis due to both fetal genetic components and high BMI persisting into adulthood.

Study context

Population
Genetic information of up to 806,834 participantsup to
Participants
806,834 participants
Comparison
Genetically predicted time-varying body size from birth to adulthood and RA, psoriasis, PsA and multiple sclerosis
Methodological detailslife course, radial inverse-variance weighted approach, multivariable Mendelian randomisation (MR), sensitivity analyses
  • Life course
  • Radial inverse-variance weighted approach
  • Multivariable MR
  • Sensitivity analyses

Main finding

As reported in the abstract

Genetically predicted birth weight (fetal effect) and RA, OR

1.44

95% CI 1.17 to 1.77Padj =0.005

Further findings

Mediation of birth weight–RA association by body mass index (BMI) in adulthood (rather than childhood)

Adult BMI, OR
1.45 (95% CI 1.14 to 1.84; Padj =0.019)

Direct effect of birth weight on RA after adjustment for time-varying BMI

Attenuated, OR
1.19 (95% CI 0.88 to 1.62; Padj =1)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Causal effects of time-varying body size on selected autoimmune disorders: a life course Mendelian randomisation study. RMD Open. Published 14 November 2023. doi:10.1136/rmdopen-2023-003633

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