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Table 2 Associations of genetically predicted risk factors with pelvic organ prolapse in MR sensitivity analyses

From: Lifestyle factors, metabolic factors and socioeconomic status for pelvic organ prolapse: a Mendelian randomization study

 

SNPs

Cochrane’s Q

F-statistic

Weighted Median

MR-Egger

MR-PRESSO

Ppleiotropy

Pdistortion test

OR (95% CI)

P

OR (95% CI)

P

OR (95% CI)

P

UK Biobank

 Lifestyle factor

  Smoking initiation

11

178.50

705

1.002 (0.986–1.018)

0.756

1.011 (0.929–1.102)

0.795

1.005 (0.991–1.020)

0.490

0.886

NA

  Alcohol drinking

6

1.83

429

1.020 (0.995–1.046)

0.116

1.024 (0.990–1.059)

0.298

1.015 (0.992–1.038)

0.196

0.552

NA

  Coffee consumption

32

53.09

38

1.007 (0.983–1.031)

0.588

0.982 (0.944–1.023)

0.392

1.002 (0.983–1.023)

0.804

0.262

NA

  Vigorous physical activity

15

19.77

335

0.994 (0.985–1.003)

0.169

0.982 (0.967–0.997)

0.036

0.995 (0.988–1.003)

0.214

0.074

NA

  Heavy physical work

22

26.44

39

1.014 (0.992–1.036)

0.219

1.004 (0.956–1.055)

0.866

1.014 (0.997–1.032)

0.129

0.679

NA

 Metabolic factor

  Body mass index

42

51.37

113

1.006 (0.997–1.015)

0.18

1.015 (0.997–1.034)

0.112

1.007 (0.999–1.013)

0.058

0.329

NA

  WHR

25

37.71

117

1.018 (1.006–1.029)

0.003

1.05 (1.001–1.102)

0.058

1.019 (1.009–1.029)

6.15 × 10–5

0.222

NA

  WHR adjusted for BMI

34

48.73

139

1.014 (1.004–1.023)

0.003

1.032 (1.003–1.062)

0.036

1.017 (1.009–1.024)

7.75 × 10–6

0.284

0.677

  Type 2 diabetes

231

285.31

509

1.001 (0.997–1.003)

0.643

1.00 (0.996–1.004)

0.836

1.001 (0.999–1.003)

0.059

0.499

NA

  Systolic blood pressure

444

642.88

186

1.00 (0.999–1.0002)

0.409

0.999 (0.998–1.00)

0.049

1.00 (0.999–1.0001)

0.351

0.094

0.844

  Diastolic blood pressure

448

690.40

171

1.00 (0.999–1.0004)

0.635

0.999 (0.998–1.0004)

0.206

1.00 (0.999–1.0005)

0.745

0.159

0.887

  LDL-C

96

134.49

249

0.998 (0.995–1.003)

0.611

0.999 (0.994–1.004)

0.711

0.999 (0.997–1.003)

0.796

0.788

0.09

  HDL-C

122

166.64

162

0.998 (0.993–1.003)

0.401

1.003 (0.997–1.009)

0.28

0.997 (0.994–1.001)

0.146

0.022

0.828

  Triglycerides

71

107.55

195

0.998 (0.993–1.004)

0.539

0.998 (0.991–1.005)

0.565

1.001 (0.997–1.005)

0.573

0.239

0.956

 Socioeconomic status

  Education attainment

404

475.25

62

0.985 (0.978–0.992)

5.27 × 10–5

0.996 (0.977–1.016)

0.685

0.986 (0.981–0.992)

1.14 × 10–7

0.324

0.801

FinnGen consortium

 Lifestyle factor

  Smoking initiation

11

204.75

705

1.04 (0.74–1.45)

0.824

0.79 (0.22–2.85)

0.733

1.01 (0.78–1.31)

0.939

0.715

NA

  Alcohol drinking

6

5.08

429

1.09 (0.50–2.41)

0.817

0.29 (0.06–1.35)

0.189

0.89 (0.48–1.65)

0.733

0.193

NA

  Coffee consumption

32

29.50

38

0.63 (0.39–1.02)

0.061

0.63 (0.31–1.27)

0.202

0.67 (0.47–0.96)

0.03

0.818

NA

  Vigorous physical activity

14

22.94

335

0.89 (0.75–1.07)

0.233

1.02 (0.71–1.47)

0.925

0.83 (0.69–0.98)

0.043

0.229

NA

  Heavy physical work

22

28.17

39

0.95 (0.57–1.58)

0.837

1.05 (0.39–2.78)

0.928

1.12 (0.75–1.68)

0.588

0.882

NA

 Metabolic factor

  Body mass index

42

57.20

113

1.19 (0.97–1.45)

0.097

1.18 (0.75–1.87)

0.477

1.04 (0.88–1.22)

0.316

0.545

0.697

  WHR

25

30.07

117

1.43 (1.11–1.84)

0.006

6.07 (2.50–14.74)

0.001

1.31 (1.08–1.60)

0.006

0.002

NA

  WHR adjusted for BMI

34

76.76

139

1.24 (1.01–1.53)

0.039

1.37 (0.60–3.14)

0.463

1.31 (1.06–1.62)

0.023

0.913

0.115

  Type 2 diabetes

231

290.77

509

1.01 (0.96–1.07)

0.612

1.06 (0.97–1.15)

0.227

1.03 (0.99–1.07)

0.092

0.595

0.922

  Systolic blood pressure

444

807.48

186

1.00 (0.99–1.01)

0.438

0.99 (0.98–1.01)

0.396

1.00 (0.99–1.01)

0.978

0.346

0.019

  Diastolic blood pressure

448

764.48

171

0.99 (0.98–1.01)

0.745

1.00 (0.98–1.03)

0.81

1.00 (0.99–1.01)

0.578

0.934

0.903

  LDL-C

96

141.92

249

1.03 (0.94–1.13)

0.551

1.01 (0.91–1.12)

0.796

0.98 (0.91–1.05)

0.539

0.373

NA

  HDL-C

122

174.50

162

0.85 (0.76–0.95)

0.003

0.85 (0.74–0.98)

0.038

0.91 (0.84–0.98)

0.049

0.333

0.51

  Triglycerides

71

162.83

195

1.11 (0.96–1.28)

0.148

1.10 (0.90–1.35)

0.348

1.11 (0.98–1.26)

0.11

0.938

0.763

 Socioeconomic status

  Education attainment

404

488.59

62

0.76 (0.64–0.91)

0.002

0.56 (0.37–0.85)

0.007

0.81 (0.71–0.91)

0.001

0.074

NA

  1. BMI, body mass index; CI, confidence interval; OR, odds ratio; SNP, single nucleotide polymorphism; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; MR, Mendelian randomization; MR-PRESSO, MR-pleiotropy residual sum and outlier; NA, not available. WHR, waist-to-hip ratio