Quantifying the effects of inbreeding is critical to characterizing the genetic architecture of complex traits. This study highlights through theory and simulations the strengths and shortcomings of three SNP-based inbreeding measures commonly used to estimate inbreeding depression (ID). We demonstrate that heterogeneity in linkage disequilibrium (LD) between causal variants and SNPs biases ID estimates, and we develop an approach to correct this bias using LD and minor allele frequency stratified inference (LDMS). We quantified ID in 25 traits measured in ∼140,000 participants of the UK Biobank, using LDMS, and confirmed previously published ID for 4 traits. We find unique evidence of ID for handgrip strength, waist/hip ratio, and visual and auditory acuity (ID between −2.3 and −5.2 phenotypic SDs for complete inbreeding; P < 0.001). Our results illustrate that a careful choice of the measure of inbreeding combined with LDMS stratification improves both detection and quantification of ID using SNP data.M ating between close relatives has detrimental consequences on the survival and fertility of resulting offspring (1). This overall reduction of fitness, referred to as inbreeding depression (ID), is observable in a wide range of organisms, including plants (2), animals (3, 4), and humans (5). In humans, major abnormalities are more frequent in children from consanguineous marriages (6) and genes causing rare diseases can be mapped by ascertaining children from such matings (7). To date, although the genetic basis of ID is not completely elucidated, two main hypotheses are proposed to explain this phenomenon: homozygosity for partially recessive deleterious mutations and heterozygous advantage (overdominance) (1, 8). More generally, ID can be estimated for any complex trait, even if the trait is not an obvious component of fitness. For polygenic traits, ID can be detected if there is directional dominance (DD) across loci, which means that the phenotype of individuals who are heterozygous deviates from the average phenotypes of homozygous individuals in a consistent direction. For fitness components, DD is negative; i.e., on average homozygosity reduces fitness.In practice, ID can be estimated from pedigree studies when the relationships between parents are known (6, 9). However, given the limited number and the small sizes of such studies in humans, contemporary efforts (5, 10) to quantify ID have instead used SNP genotyping platforms to directly estimate inbreeding coefficients (F). SNP data may allow a more accurate evaluation of inbreeding (11), in particular for distant and cryptic inbreeding, and allow inference to be drawn from large population data (10). Conceptually, once a measure of F is derived from SNP data, ID can subsequently be estimated by correlating phenotype with the estimated F.Genome-wide estimators of F fall in two categories: average homozygosity measures across loci (irrespective of position) and measures of continuous runs of homozygosity (ROH). Using ROH, ID has been reported for diseas...