Objective <p>Observational studies found that individuals with schizophrenia (SCZ) exhibit higher prevalence of obesity-related traits, posing significant health risks. However, the neuropsychiatric mechanism remains unclear. This study aimed to investigate the genetic connections between schizophrenia and obesity.</p> Methods <p>We examined the effect of genetic liability for SCZ on obesity in Taiwan Biobank samples of East Asian populations (<i>N</i> = 106,614) using linear regression models. We also performed linkage disequilibrium score regression to estimate genetic correlation in East Asian and European populations, respectively, and conducted two-sample Mendelian randomization (MR) to infer their causality in European populations.</p> Results <p>Our results indicated that higher genetic predisposition for SCZ was associated with lower body mass index (BMI) (beta±SE = −0.11 ± 0.01, per SD of genetic predisposition for SCZ), body fat percentage (BFP) (beta±SE = −0.16 ± 0.02), waist circumference (WC) (beta±SE = −0.20 ± 0.03), hip circumference (HC), (beta±SE = −0.17 ± 0.02) and waist-to-hip ratio (WHR) (beta±SE = −0.06 ± 0.02). SCZ showed negative genetic correlations with BMI (rg±SE = −0.15 ± 0.03 and −0.11 ± 0.01), WC (rg±SE = −0.10 ± 0.03 and −0.08 ± 0.02), and HC (rg±SE = −0.12 ± 0.03 and −0.08 ± 0.03) in both East Asian and European populations. SCZ showed negative genetic correlation with BFP in East Asian populations (rg±SE = −0.13 ± 0.03, <i>p</i>-value = 0.0001) but not in European populations (rg±SE = −0.02 ± 0.04, <i>p</i>-value = 0.62). MR analyses revealed negative causal relationships from SCZ to BMI, BFP, WC, and HC.</p> Conclusions <p>This study clarified that the increased obesity prevalence in individuals with SCZ is not due to the genetic effect of SCZ itself. Rather, genetic variants associated with SCZ have a negative impact on both causality and correlations between SCZ and obesity.</p>

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Genetic evidence for the association between schizophrenia and obesity

  • Mei-Hsin Su,
  • Tzu-Chen Yeh,
  • Chi-Fung Cheng,
  • Wei-Yi Kao,
  • Mei-Chen Lin,
  • Yen-Feng Lin,
  • Chia-Yen Chen,
  • Chi-Shin Wu,
  • Shi-Heng Wang

摘要

Objective

Observational studies found that individuals with schizophrenia (SCZ) exhibit higher prevalence of obesity-related traits, posing significant health risks. However, the neuropsychiatric mechanism remains unclear. This study aimed to investigate the genetic connections between schizophrenia and obesity.

Methods

We examined the effect of genetic liability for SCZ on obesity in Taiwan Biobank samples of East Asian populations (N = 106,614) using linear regression models. We also performed linkage disequilibrium score regression to estimate genetic correlation in East Asian and European populations, respectively, and conducted two-sample Mendelian randomization (MR) to infer their causality in European populations.

Results

Our results indicated that higher genetic predisposition for SCZ was associated with lower body mass index (BMI) (beta±SE = −0.11 ± 0.01, per SD of genetic predisposition for SCZ), body fat percentage (BFP) (beta±SE = −0.16 ± 0.02), waist circumference (WC) (beta±SE = −0.20 ± 0.03), hip circumference (HC), (beta±SE = −0.17 ± 0.02) and waist-to-hip ratio (WHR) (beta±SE = −0.06 ± 0.02). SCZ showed negative genetic correlations with BMI (rg±SE = −0.15 ± 0.03 and −0.11 ± 0.01), WC (rg±SE = −0.10 ± 0.03 and −0.08 ± 0.02), and HC (rg±SE = −0.12 ± 0.03 and −0.08 ± 0.03) in both East Asian and European populations. SCZ showed negative genetic correlation with BFP in East Asian populations (rg±SE = −0.13 ± 0.03, p-value = 0.0001) but not in European populations (rg±SE = −0.02 ± 0.04, p-value = 0.62). MR analyses revealed negative causal relationships from SCZ to BMI, BFP, WC, and HC.

Conclusions

This study clarified that the increased obesity prevalence in individuals with SCZ is not due to the genetic effect of SCZ itself. Rather, genetic variants associated with SCZ have a negative impact on both causality and correlations between SCZ and obesity.