Abstract
BACKGROUND: Metabolic abnormalities are closely tied to the development of ovarian cancer (OC), yet the relationship between anthropometric indicators as risk indicators for metabolic abnormalities and OC lacks consistency. METHOD: The Mendelian randomization (MR) approach is a widely used methodology for determining causal relationships. Our study employed summary statistics from the genome-wide association studies (GWAS), and we used inverse variance weighting (IVW) together with MR-Egger and weighted median (WM) supplementary analyses to assess causal relationships between exposure and outcome. Furthermore, additional sensitivity studies, such as leave-one-out analyses and MR-PRESSO were used to assess the stability of the associations. RESULT: The IVW findings demonstrated a causal associations between 10 metabolic factors and an increased risk of OC. Including "Basal metabolic rate" (OR= 1.24, P= 6.86×10(-4)); "Body fat percentage" (OR= 1.22, P= 8.20×10(-3)); "Hip circumference" (OR= 1.20, P= 5.92×10(-4)); "Trunk fat mass" (OR= 1.15, P= 1.03×10(-2)); "Trunk fat percentage" (OR= 1.25, P= 8.55×10(-4)); "Waist circumference" (OR= 1.23, P= 3.28×10(-3)); "Weight" (OR= 1.21, P= 9.82×10(-4)); "Whole body fat mass" (OR= 1.21, P= 4.90×10(-4)); "Whole body fat-free mass" (OR= 1.19, P= 4.11×10(-3)) and "Whole body water mass" (OR= 1.21, P= 1.85×10(-3)). CONCLUSION: Several metabolic markers linked to altered fat accumulation and distribution are significantly associated with an increased risk of OC.