Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass

Abstract Background Birth weight is considered not only to undermine future growth, but also to induce lifelong diseases; the aim of this study is to explore the relationship between birth weight and adult bone mass. Methods We performed multivariable regression analyses to assess the association of...

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Main Authors: Jiang-Wei Xia, Lin Zhang, Jin Li, Cheng-Da Yuan, Xiao-Wei Zhu, Yu Qian, Saber Khederzadeh, Jia-Xuan Gu, Lin Xu, Jian-Hua Gao, Ke-Qi Liu, David Karasik, Shu-Yang Xie, Guo-Bo Chen, Hou-Feng Zheng
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Medicine
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Online Access:https://doi.org/10.1186/s12916-022-02531-w
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author Jiang-Wei Xia
Lin Zhang
Jin Li
Cheng-Da Yuan
Xiao-Wei Zhu
Yu Qian
Saber Khederzadeh
Jia-Xuan Gu
Lin Xu
Jian-Hua Gao
Ke-Qi Liu
David Karasik
Shu-Yang Xie
Guo-Bo Chen
Hou-Feng Zheng
author_facet Jiang-Wei Xia
Lin Zhang
Jin Li
Cheng-Da Yuan
Xiao-Wei Zhu
Yu Qian
Saber Khederzadeh
Jia-Xuan Gu
Lin Xu
Jian-Hua Gao
Ke-Qi Liu
David Karasik
Shu-Yang Xie
Guo-Bo Chen
Hou-Feng Zheng
author_sort Jiang-Wei Xia
collection DOAJ
description Abstract Background Birth weight is considered not only to undermine future growth, but also to induce lifelong diseases; the aim of this study is to explore the relationship between birth weight and adult bone mass. Methods We performed multivariable regression analyses to assess the association of birth weight with bone parameters measured by dual-energy X-ray absorptiometry (DXA) and by quantitative ultrasound (QUS), independently. We also implemented a systemic Mendelian randomization (MR) analysis to explore the causal association between them with both fetal-specific and maternal-specific instrumental variables. Results In the observational analyses, we found that higher birth weight could increase the adult bone area (lumbar spine, β-coefficient= 0.17, P < 2.00 × 10−16; lateral spine, β-coefficient = 0.02, P = 0.04), decrease bone mineral content-adjusted bone area (BMCadjArea) (lumbar spine, β-coefficient= − 0.01, P = 2.27 × 10−14; lateral spine, β-coefficient = − 0.05, P = 0.001), and decrease adult bone mineral density (BMD) (lumbar spine, β-coefficient = − 0.04, P = 0.007; lateral spine; β-coefficient = − 0.03, P = 0.02; heel, β-coefficient = − 0.06, P < 2.00 × 10−16), and we observed that the effect of birth weight on bone size was larger than that on BMC. In MR analyses, the higher fetal-specific genetically determined birth weight was identified to be associated with higher bone area (lumbar spine; β-coefficient = 0.15, P = 1.26 × 10−6, total hip, β-coefficient = 0.15, P = 0.005; intertrochanteric area, β-coefficient = 0.13, P = 0.0009; trochanter area, β-coefficient = 0.11, P = 0.03) but lower BMD (lumbar spine, β-coefficient = − 0.10, P = 0.01; lateral spine, β-coefficient = − 0.12, P = 0.0003, and heel β-coefficient = − 0.11, P = 3.33 × 10−13). In addition, we found that the higher maternal-specific genetically determined offspring birth weight was associated with lower offspring adult heel BMD (β-coefficient = − 0.001, P = 0.04). Conclusions The observational analyses suggested that higher birth weight was associated with the increased adult bone area but decreased BMD. By leveraging the genetic instrumental variables with maternal- and fetal-specific effects on birth weight, the observed relationship could be reflected by both the direct fetal and indirect maternal genetic effects.
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spelling doaj.art-fbe50807f3314eedb242b875a6bc58632022-12-22T03:38:23ZengBMCBMC Medicine1741-70152022-10-0120111310.1186/s12916-022-02531-wBoth indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone massJiang-Wei Xia0Lin Zhang1Jin Li2Cheng-Da Yuan3Xiao-Wei Zhu4Yu Qian5Saber Khederzadeh6Jia-Xuan Gu7Lin Xu8Jian-Hua Gao9Ke-Qi Liu10David Karasik11Shu-Yang Xie12Guo-Bo Chen13Hou-Feng Zheng14College of Life Sciences, Zhejiang UniversityHangzhou Women’s Hospital (Hangzhou Maternity and Child Health Care Hospital)Hangzhou Women’s Hospital (Hangzhou Maternity and Child Health Care Hospital)Department of Dermatology, Hangzhou Hospital of Traditional Chinese MedicineDiseases & Population (DaP) Geninfo Lab, School of Life Sciences, Westlake UniversityDiseases & Population (DaP) Geninfo Lab, School of Life Sciences, Westlake UniversityDiseases & Population (DaP) Geninfo Lab, School of Life Sciences, Westlake UniversityCollege of Life Sciences, Zhejiang UniversityWBBC Shandong Center, Binzhou Medical UniversityWBBC Jiangxi Center, Jiangxi Medical CollegeWBBC Jiangxi Center, Jiangxi Medical CollegeAzrieli Faculty of Medicine, Bar-Ilan UniversityWBBC Shandong Center, Binzhou Medical UniversityClinical Research Institute, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeCollege of Life Sciences, Zhejiang UniversityAbstract Background Birth weight is considered not only to undermine future growth, but also to induce lifelong diseases; the aim of this study is to explore the relationship between birth weight and adult bone mass. Methods We performed multivariable regression analyses to assess the association of birth weight with bone parameters measured by dual-energy X-ray absorptiometry (DXA) and by quantitative ultrasound (QUS), independently. We also implemented a systemic Mendelian randomization (MR) analysis to explore the causal association between them with both fetal-specific and maternal-specific instrumental variables. Results In the observational analyses, we found that higher birth weight could increase the adult bone area (lumbar spine, β-coefficient= 0.17, P < 2.00 × 10−16; lateral spine, β-coefficient = 0.02, P = 0.04), decrease bone mineral content-adjusted bone area (BMCadjArea) (lumbar spine, β-coefficient= − 0.01, P = 2.27 × 10−14; lateral spine, β-coefficient = − 0.05, P = 0.001), and decrease adult bone mineral density (BMD) (lumbar spine, β-coefficient = − 0.04, P = 0.007; lateral spine; β-coefficient = − 0.03, P = 0.02; heel, β-coefficient = − 0.06, P < 2.00 × 10−16), and we observed that the effect of birth weight on bone size was larger than that on BMC. In MR analyses, the higher fetal-specific genetically determined birth weight was identified to be associated with higher bone area (lumbar spine; β-coefficient = 0.15, P = 1.26 × 10−6, total hip, β-coefficient = 0.15, P = 0.005; intertrochanteric area, β-coefficient = 0.13, P = 0.0009; trochanter area, β-coefficient = 0.11, P = 0.03) but lower BMD (lumbar spine, β-coefficient = − 0.10, P = 0.01; lateral spine, β-coefficient = − 0.12, P = 0.0003, and heel β-coefficient = − 0.11, P = 3.33 × 10−13). In addition, we found that the higher maternal-specific genetically determined offspring birth weight was associated with lower offspring adult heel BMD (β-coefficient = − 0.001, P = 0.04). Conclusions The observational analyses suggested that higher birth weight was associated with the increased adult bone area but decreased BMD. By leveraging the genetic instrumental variables with maternal- and fetal-specific effects on birth weight, the observed relationship could be reflected by both the direct fetal and indirect maternal genetic effects.https://doi.org/10.1186/s12916-022-02531-wBirth weightBone mineral densityFetal genetic effectsMaternal genetic effectsObservational analysisMendelian randomization
spellingShingle Jiang-Wei Xia
Lin Zhang
Jin Li
Cheng-Da Yuan
Xiao-Wei Zhu
Yu Qian
Saber Khederzadeh
Jia-Xuan Gu
Lin Xu
Jian-Hua Gao
Ke-Qi Liu
David Karasik
Shu-Yang Xie
Guo-Bo Chen
Hou-Feng Zheng
Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
BMC Medicine
Birth weight
Bone mineral density
Fetal genetic effects
Maternal genetic effects
Observational analysis
Mendelian randomization
title Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
title_full Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
title_fullStr Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
title_full_unstemmed Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
title_short Both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
title_sort both indirect maternal and direct fetal genetic effects reflect the observational relationship between higher birth weight and lower adult bone mass
topic Birth weight
Bone mineral density
Fetal genetic effects
Maternal genetic effects
Observational analysis
Mendelian randomization
url https://doi.org/10.1186/s12916-022-02531-w
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