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medRxiv PreprintsInternational6 October 2026

Causal effects of body mass index on glycaemic traits in African and European populations: a Mendelian randomization study

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Aims/hypothesis Higher body mass index (BMI) is associated with higher levels of HbA1c and glucose in conventional observational studies from sub-Saharan Africa, but its causal relationship in this population has not been explored. Mendelian randomization (MR) which leverages genetic variants can strengthen causal inference. However, its application in African ancestry populations is limited. The aim of this study was to determine whether causal effects of BMI on glycated haemoglobin (HbA1c) and random glucose differ between African and European populations. Methods We used two-sample MR to es
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