Skip to main content
. 2022 Oct 31;39(12):e14982. doi: 10.1111/dme.14982

TABLE 1.

Summary of Mendelian randomization studies examining whether type 2 diabetes or its associated components are causally associated with higher risk of micro‐ and macrovascular diseases. The table include the following columns

Exposure Study Complication OR LCI UCI n.Case n.Contr Cohort p value Unit Disease definition Pleiotropy n.SNPs
BMI Chatterjee et al. (2017) Atrial fibrillation 1.11 1.05 1.18 4178 51,646 AGES/ARIC/FHS/PREVEND/WGHS <0.001 1‐SD increase in BMI Cases: AF diagnosed on ECG, Holter, or obtained from clinicians records, Controls: healthy Final result after adjusting for pleiotropic SNPs NA
BMI Larsson et al. (2020) Abdominal aortic aneurysm 1.06 0.96 1.16 758 3,66,945 UKBB 0.25 1‐kg/m2 increase in BMI Cases: aortic aneurysm, controls: Healthy Final result consistent with sensitivity analysis 96
BMI van't Hof et al. (2017) Abdominal aortic aneurysm 1.63 0.99 2.61 818 3004 Dutch population <0.002 1‐SD increase in BMI Cases: ruptured/non‐ruptured intracranial and abdominal Aortic aneurysm, controls: healthy Final result consistent with sensitivity analysis 97
BMI Larsson et al. (2020) Coronary artery disease 1.07 1.04 1.09 24,531 3,43,172 UKBB 1.30 E‐05 1‐kg/m2 increase in BMI Cases versus healthy controls Final result consistent with sensitivity analysis 404
BMI Larsson et al. (2020) Ischaemic stroke 1.03 0.99 1.07 3554 3,64,149 UKBB <0.001 1 kg/m2 higher BMI Cases: ischaemic stroke, controls: HeBurgessthy Final result consistent with sensitivity analysis 96
BMI Larsson et al. (2020) Peripheral artery disease 1.66 1.56 1.76 3514 3,64,189 UKBB 1.40 E‐03 1 kg/m2 increase in BMI Cases: peripheral artery disease, controls: HeBurgessthy Final result consistent with sensitivity analysis 96
BMI Todd et al. (2015) Diabetic kidney disease 1.33 1.17 1.51 2916 3315 UK‐ROI/FinnDiane/GoKinD US 0.62 1 kg/m2 higher BMI Cases: T1D with ACR >300 and ESRD, cases with ESRD, cases. Controls: T1D Final result after adjusting for pleiotropic SNPs 32
BMI Todd et al. (2015) End‐stage renal disease 1.43 1.2 1.72 2916 3315 UK‐ROI/FinnDiane/GoKinD US <0.001 1 kg/m2 higher BMI T1D with Macroalbuminuria cases versus T1D without ESRD, controls T1D Final result after adjusting for pleiotropic SNPs 32
BMI Todd et al. (2015) Macroalbumiuria 1.28 1.11 1.45 2916 3315 UK‐ROI/FinnDiane/GoKinD US 0.001 1 kg/m2 higher BMI Cases: T1D with ACR >300, Controls: T1D Final result after adjusting for pleiotropic SNPs 32
BMI Zheng et al. (2021) Chronic kidney disease 1.78 1.64 1.94 51,672 9,58,102 CKDGen, UK Biobank and HUNT <0.001 1‐SD increase in BMI CKD cases versus controls Final result consistent with sensitivity analysis 902
BMI Huang et al. (2016) Peripheral artery disease 1.44 1.18 1.75 707 10,776 Chinese population from Shanghai 0.0004 1‐SD increase in BMI GRS Cases: having ABI <0.9 or >1.4 at either side, controls: Healthy Final result consistent with sensitivity analysis 14
BMI Martin et al. (2022) Coronary artery disease 1.41 1.1 1.81 43,054 4,07,969 CIHDS/CCHS/CGPS/ Cardiogram 0.007 1‐SD increase in BMI cases: IHD/stenosis/atherosclerosis/positive ECG/ MI, controls: Healthy, controls: healthy Final result consistent with sensitivity analysis 73
BMI Martin et al. (2022) Stroke 1.19 1.07 1.31 14,171 1,33,027 Finngen/Published GWAS 1.00 E‐03 1‐SD increase in BMI Cases: stroke as per WHO definition, controls: Healthy Final result consistent with sensitivity analysis 73
BMI Martin et al. (2022) Peripheral artery disease 1.87 1.46 2.39 5323 1,67,843 Chinese population 4.00 E‐06 1‐SD increase in BMI 11,837 Chinese participants from Shanghai Final result consistent with sensitivity analysis 73
BMI Martin et al. (2022) Atrial fibrillation 1.65 1.33 2.05 17,325 97,214 Finngen/Published GWAS 5.00 E‐06 1‐SD increase in BMI Cases: Paroxysmal or permanent atrial fibrillation, or atrial flutter, controls: Healthy Final result consistent with sensitivity analysis 73
BMI Shah et al. (2020) Heart failure 1.61 1.45 1.79 47,309 9,30,014 HERMES, UK Biobank 2.70 E‐50 1‐SD increase in BMI Cases: Heart failure, controls: Healthy Final result consistent with sensitivity analysis 89
BMI Martin et al. (2022) Heart failure 1.86 1.6 2.16 9576 1,59,286 Finngen/Published GWAS 2.00 E‐16 1‐SD increase in BMI Cases: any aetiology of heart failure with no inclusion criteria based on left ventricular ejection fraction, Controls: Healthy Final result consistent with sensitivity analysis 73
BMI Martin et al. (2022) Chronic kidney disease 1.21 1.08 1.36 2821 1,72,745 Finngen 0.002 1‐SD increase in BMI Cases: eGFR<60?ml?min–1?per 1.73?m2, controls: Healthy Final result consistent with sensitivity analysis 73
BMI Martin et al. (2022) Abdominal aortic aneurysm 1.16 0.83 1.62 1919 1,67,843 Finngen/Published GWAS 0.394 1‐SD increase in BMI Cases: an infrarenal aortic diameter greater than 30 mm excluding secondary aneurysm, Controls: Healthy Final result consistent with sensitivity analysis 73
DBP Wan et al. (2021) Cardiovascular disease 1.05 0.96 1.16 45,746 50,216 UKBB, European British population 0.6 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Ischaemic heart disease 1.04 0.93 1.16 36,748 50,216 UKBB, European British population 0.7 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Myocardial infarction 1.09 0.96 1.24 27,500 50,216 UKBB, European British population 0.4 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Stable angina 1.16 0.98 1.28 21,119 50,216 UKBB, European British population 0.4 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Unstable angina 1.12 0.66 1.02 6190 50,216 UKBB, European British population 0.4 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Stroke 0.82 0.71 0.96 10,785 50,216 UKBB, European British population 0.2 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Ischaemic stroke 0.9 0.76 1.06 9165 50,216 UKBB, European British population 0.5 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Intracerebral haemorrhage 0.64 0.41 1 1154 50,216 UKBB, European British population 0.3 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Heart failure 0.93 0.78 1.11 7650 50,216 UKBB, European British population 0.7 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Peripheral vascular disease 0.83 0.69 1 8131 50,216 UKBB, European British population 0.3 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
DBP Wan et al. (2021) Arrhythmia 0.9 0.75 1.09 24,637 50,216 UKBB, European British population 0.6 5 mm/Hg DBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 364
Fasting glucose Ahmad et al. (2015) Coronary Heart disease 1.15 1 1.32 63,746 1,30,681 Cardiogramplus 0.05 0.025 mmol/L per allele Cases: non‐diabetic participants with CHD, controls: healthy Final result after excluding pleiotropic SNPs 24
Fasting glucose Harati et al. (2019) Atrial fibrillation 0.95 0.82 1.09 60,620 9,70,210 HUNT/DECODE/MGI/DiscovEHR/ AFGen 0.49 1‐SD increase/mmol Cases: AF, controls: Healthy Final result after excluding pleiotropic SNPs 36
Fasting glucose Kim et al. (2020) Chronic kidney disease 0.99 0.98 1 5909 10,030 Korean population/KoGES/KARE 0.098 1‐SD increase/mmol General population Final result after excluding pleiotropic SNPs 9
Fasting glucose Merino et al. (2017) Coronary artery disease 1.43 1.14 1.79 63,746 1,30,681 UKBB 0.02 1‐mmol/L increase in FG Cases: participants with CAD, controls: healthy Final result after excluding pleiotropic SNPs 11
Fasting glucose Ross et al. (2015) Coronary heart disease 1.18 0.97 1.42 85,979 1,95,443 Cardiogramplus >0.05 No causal effect Cases: participants with CAD, controls: healthy Final result after excluding pleiotropic SNPs 30
Fasting Insulin Larsson et al. (2017) Ischaemic stroke 1.03 0.78 1.37 37,296 18,476 METASTROKE, NINDS‐SiGN 0.82 1‐SD increase for FI Cases: ischaemic stroke, controls: Healthy Final result consistent with sensitivity analysis 18
Fasting Insulin Liu et al. (2018) Intracerebral haemorrhage 0.48 0.12 1.86 2191 27,297 NA 0.288 NA Cases: intracerebral haemorrhage, controls: Healthy matched for age, sex, race Final result after excluding pleiotropic SNPs 9
Fasting Insulin Liu et al. (2018) Lacunar stroke 1.52 0.45 5.08 2191 27,297 NA 0.5 NA Cases: lacunar stroke, controls: Healthy Final result after excluding pleiotropic SNPs 9
Fasting Insulin Tikkanen et al. (2016) Coronary heart disease 1.06 1.02 1.1 5834 11,668 FINRISK/DILGOM/Corogene/Genmets 0.002 1‐SD increase of GRS Cases: MI, unstable angina/coronary revasc, death from CHD, controls: healthy Final result after excluding pleiotropic SNPs 20
Fasting Insulin Zhan et al. (2017) Coronary Heart disease 1.86 1.01 3.41 22,233 64,762 CARDIoGRAMplusC4D/ENGAGE 0.04 log‐transformed fasting insulin Cases: coronary heart disease, controls: Healthy Final result after excluding pleiotropic SNPs 10
HbA1c Harati et al. (2019) Atrial fibrillation 1.01 0.85 1.17 60,620 970,21 HUNT/DECODE/MGI/DiscovEHR/ AFGen 0.88 1‐SD mol (%) for HbA1c Cases: AF, controls: Healthy Final result after excluding pleiotropic SNPs 11
HbA1c Leong et al. (2019) Coronary heart disease 1.61 1.4 1.84 79,716 5,79,475 UKBB, Cardiogramplus 1.00 E‐09 1‐SD increase in BMI Cases: coronary heart disease, controls: Healthy Final result suggests presence of pleiotropy 36
HbA1c Mutie et al. (2020) Coronary artery disease 1.03 0.64 1.64 1,23,733 4,24,528 UKBB, Cardiogramplus >0.05 No causal effect Cases: coronary artery disease, controls: Healthy Final result consistent with sensitivity analysis 10
HbA1c Ross et al. (2015) Coronary artery disease 1.53 1.14 2.05 85,979 1,95,443 UKBB, Cardiogramplus 0.002 1% increase in HbA1c Cases: coronary artery disease, controls: Healthy Final result after excluding pleiotropic SNPs 9
Insulin Resistance (IR) Chen et al. (2020) Coronary artery disease 1.79 1.57 2.04 60,801 1,23,504 GLGC, CARDIOGRAM/GENESIS <0.001 1‐SD increase in IR Cases: ischaemic stroke/stroke subtypes, controls: Healthy Final result consistent with sensitivity analysis 52
Insulin Resistance (IR) Chen et al. (2020) Ischaemic stroke 1.21 1.05 1.4 67,162 4,54,450 GLGC, CARDIOGRAM/GENESIS 0.007 1‐SD increase in IR Cases: ischaemic stroke/stroke subtypes, controls: Healthy Final result consistent with sensitivity analysis 52
Insulin Resistance (IR) Chen et al. (2020) Myocardial infarction 1.78 1.54 2.06 60,801 1,23,504 GLGC, CARDIOGRAM/GENESIS <0.001 1‐SD increase in IR Cases: ischaemic stroke/stroke subtypes, controls: Healthy Final result consistent with sensitivity analysis 52
Insulin Resistance (IR) Chen et al. (2020) Small‐artery occlusion type stroke 1.8 1.3 2.49 67,162 4,54,450 GLGC, CARDIOGRAM/GENESIS <0.001 1‐SD increase in IR Cases: ischaemic stroke/stroke subtypes, controls: Healthy Final result consistent with sensitivity analysis 52
Insulin Resistance (IR) Zhao et al. (2019) Atrial fibrillation 3.23 1.88 5.56 14,442 3,92,010 UKBB 0.004 1‐SD increase in IR Cases: atrial fibrillation, controls: Healthy Final result after excluding pleiotropic SNPs 7
Non‐fasting glucose Benn et al. (2012) Ischaemic Heart disease 1.25 1.03 1.52 14,155 66,367 CIHDS/CCHS/CGPS <0.001 1‐mmol/L increase NFBG Cases: IHD/stenosis/atherosclerosis/positive ECG/ MI, controls: Healthy Final result consistent with sensitivity analysis 5
Non‐fasting glucose Benn et al. (2012) Myocardial infarction 1.69 1.28 2.23 6257 74,265 CIHDS/CCHS/CGPS <0.001 1‐mmol/L increase NFBG Cases: IHD/stenosis/atherosclerosis/positive ECG/ MI, controls: Healthy Final result consistent with sensitivity analysis 5
SBP Wan et al. (2021) Unstable angina 1.69 1.38 2.08 6190 50,216 UKBB, European British population 0.01 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Stroke 1.72 1.49 2 10,785 50,216 UKBB, European British population 0.0003 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Ischaemic stroke 1.55 1.32 1.82 9165 50,216 UKBB, European British population 0.007 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Intracerebral haemorrhage 2.57 1.66 3.97 1154 50,216 UKBB, European British population 0.03 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Heart failure 1.42 1.2 1.69 7650 50,216 UKBB, European British population 0.04 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Peripheral vascular disease 1.39 1.16 1.66 8131 50,216 UKBB, European British population 0.04 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
SBP Wan et al. (2021) Arrhythmia 1.32 1.18 1.7 24,637 50,216 UKBB, European British population 0.06 10 mm/Hg SBP increase Cases: defined according to ICD‐9 and ICD‐10 codes, Controls: Healthy Final result consistent with sensitivity analysis 327
Type 2 diabetes Harati et al. (2019) Atrial fibrillation 1.01 0.98 1.03 60,620 970,21 HUNT/DECODE/MGI/DiscovEHR/AFGen 0.37 1‐SD increase/mmol Cases: AF, controls: Healthy Final result after excluding pleiotropic SNPs 122
Type 2 diabetes Huang et al. (2022) Coronary atherosclerosis 1.01 1 1.01 60,801 1,23,504 UKBB 0.008 1‐SD increase mmol/mol Cases: coronary atherosclerosis, controls: Healthy Final result consistent with sensitivity analysis 277
Type 2 diabetes Huang et al. (2022) Ischaemic Heart disease 1.13 1.1 1.15 60,801 1,23,504 CARDIoGRAMplusC4D 0.001 Genetically increased T2D Cases: ischaemic heart disease, controls: Healthy Final result consistent with sensitivity analysis 269
Type 2 diabetes Huang et al. (2022) Ischaemic stroke 1.08 1.06 1.1 67,162 4,54,450 MEGASTROKE 0.01 Genetically increased T2D Cases: ischaemic stroke, controls: Healthy Final result consistent with sensitivity analysis 269
Type 2 diabetes Huang et al. (2022) Major coronary heart disease events 1 1.002 1.004 60,801 1,23,504 UKBB <0.001 Genetically increased T2D Cases: major coronary heart disease events, controls: Healthy Final result consistent with sensitivity analysis 231
Type 2 diabetes Huang et al. (2022) Myocardial infarction 1.13 1.1 1.16 60,801 1,23,504 CARDIoGRAMplusC4D <0.001 Genetically increased T2D Cases: myocardial infarction, controls: Healthy Final result consistent with sensitivity analysis 231
Type 2 diabetes Huang et al. (2022) Peripheral artery disease 1.21 1.16 1.25 60,801 1,23,504 CARDIoGRAMplusC4D <0.001 Genetically increased T2D Cases: peripheral artery disease, controls: Healthy Final result consistent with sensitivity analysis 217
Type 2 diabetes Huang et al. (2022) Stroke 1.08 1.07 1.11 67,162 4,54,450 MEGASTROKE <0.001 Genetically increased T2D Cases: stroke, controls: Healthy Final result consistent with sensitivity analysis 231
Type 2 diabetes Larsson et al. (2017) Ischaemic stroke 1.12 1.07 1.17 18,476 37,296 MEGASTROKE/NINDS/SiGN 3.00 E‐06 1‐unit‐higher log‐odds for T2D Cases: ischaemic stroke, controls: Healthy Final result consistent with sensitivity analysis 49
Type 2 diabetes Liu et al. (2018) Intracerebral haemorrhage 1.07 0.89 1.28 2254 8195 CDK portal/Cambridge ICH/UKBB 0.269 No causal effect Cases: intracerebral haemorrhage, controls: Healthy Final result after excluding pleiotropic SNPs 77
Type 2 diabetes Liu et al. (2018) Lacunar stroke 1.15 1.04 1.28 2191 27,297 CDK portal/Cambridge ICH/UKBB 0.007 Twofold increase in T2D Cases: lacunar stroke, controls: Healthy Final result after excluding pleiotropic SNPs 77
Type 2 diabetes Liu et al. (2018) Aortic stenosis 1.13 1.08 1.19 2244 3,67,703 UKBB <0.001 Twofold increase in T2D Cases: patients with aortic valve stenosis according to ICD9, ICD10, Controls: Healthy Final result after excluding pleiotropic SNPs 243
Type 2 diabetes Mordi et al. (2021) Heart failure 1.06 1.03 1.09 47,309 9,30,014 HERMES, European population <0.001 1‐log unit higher odds of T2D Cases: physician diagnosis of HF, image diagnosis, ICD codes, Controls: Healthy Final result suggests presence of pleiotropy 763

Note: Exposure: The genetic instrument used for the respective Mendelian randomization study.

Study: Author and year of publication.

Complication: the outcome studied.

OR (odds ratio), LCI (lower confidence interval) and UCI (upper confidence interval): change in the risk of outcome.

n.Case (number of cases) and n.Contr (number of controls).

Cohort: information about the ethnic group of each study.

p value: the statistical significance of the exposure vs outcome association.

Unit: for the effect size of each exposure.

Disease definition: Definition of each outcome/complication.

Pleiotropy: indicates either horizontal pleiotropy present, pleiotropic SNPs were removed, or no pleiotropy detected.

n.SNPs: the number of SNPs identified to be associated with outcome in each study.