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Alcohol consumption and cognitive performance: a Mendelian randomization study.

ABSTRACT: To use Mendelian randomization to assess whether alcohol intake was causally associated with cognitive function.Mendelian randomization using a genetic variant related to alcohol intake (ADH1B rs1229984) was used to obtain unbiased estimates of the association between alcohol intake and cognitive performance.Europe.More than 34?000 adults.Any versus no alcohol intake and units of intake in the previous week was measured by questionnaire. Cognitive function was assessed in terms of immediate and delayed word recall, verbal fluency and processing speed.Having consumed any versus no alcohol was associated with higher scores by 0.17 standard deviations (SD) [95% confidence interval (CI)?=?0.15, 0.20] for immediate recall, 0.17 SD (95% CI?=?0.14, 0.19) for delayed recall, 0.17 SD (95% CI?=?0.14, 0.19) for verbal fluency and 0.12 SD (95% CI?=?0.09, 0.15) for processing speed. The minor allele of rs1229984 was associated with reduced odds of consuming any alcohol (odds ratio?=?0.87; 95% CI?=?0.80, 0.95; P?=?0.001; R(2) ?=?0.1%; F-statistic?=?47). In Mendelian randomization analysis, the minor allele was not associated with any cognitive test score, and instrumental variable analysis suggested no causal association between alcohol consumption and cognition: -0.74 SD (95% CI?=?-1.88, 0.41) for immediate recall, -1.09 SD (95% CI?=?-2.38, 0.21) for delayed recall, -0.63 SD (95% CI?=?-1.78, 0.53) for verbal fluency and -0.16 SD (95% CI?=?-1.29, 0.97) for processing speed.The Mendelian randomization analysis did not provide strong evidence of a causal association between alcohol consumption and cognitive ability.

SUBMITTER: Kumari M

PROVIDER: S-EPMC4309480 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

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Alcohol consumption and cognitive performance: a Mendelian randomization study.

Kumari Meena M Holmes Michael V MV Dale Caroline E CE Hubacek Jaroslav A JA Palmer Tom M TM Pikhart Hynek H Peasey Anne A Britton Annie A Horvat Pia P Kubinova Ruzena R Malyutina Sofia S Pajak Andrzej A Tamosiunas Abdonas A Shankar Aparna A Singh-Manoux Archana A Voevoda Mikhail M Kivimaki Mika M Hingorani Aroon D AD Marmot Michael G MG Casas Juan P JP Bobak Martin M

Addiction (Abingdon, England) 20140701 9

<h4>Aims</h4>To use Mendelian randomization to assess whether alcohol intake was causally associated with cognitive function.<h4>Design</h4>Mendelian randomization using a genetic variant related to alcohol intake (ADH1B rs1229984) was used to obtain unbiased estimates of the association between alcohol intake and cognitive performance.<h4>Setting</h4>Europe.<h4>Participants</h4>More than 34 000 adults.<h4>Measurements</h4>Any versus no alcohol intake and units of intake in the previous week was ...[more]

PMID: 24716453

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Project description:Background: Previous observational studies have provided inconsistent evidence for the association between alcohol consumption and the risk of colorectal cancer (CRC). To assess this potential causal effect, we performed bidirectional Mendelian randomization (MR) analysis. Methods: We selected six single nucleotide polymorphisms (SNPs) as instrumental variables (IVs) associated with alcohol consumption (ever versus never drinker) and two SNPs representing the number of drinks per week from a genome-wide association study (GWAS) of the Japanese population. Summary data for CRC were obtained from a GWAS meta-analysis in the Japanese population of 6,692 CRC cases and 27,178 controls. MR analysis was performed by the inverse-variance weighted (IVW) method primarily, supplemented with several sensitivity methods including the weighted median method, maximum likelihood method, MR pleiotropy residual sum and outlier (MR-PRESSO) test, MR-Egger regression, Causal Analysis Using Summary Effect estimates (CAUSE) method, as well as constrained maximum likelihood and model averaging and Bayesian information criterion (cML-MA-BIC) method. Multivariable Mendelian randomization (MMR) analyses were used to adjust for potential confounders. Reverse MR analyses were also performed to assess the potential causal effect of CRC on alcohol consumption. Results: Genetically predicted alcohol consumption (ever versus never drinker) was positively associated with the risk of CRC (odds ratio (OR) = 1.08, 95% confidence interval (CI): 1.05-1.12, p = 1.51 × 10-5 by IVW). The number of alcoholic drinks per week was also associated with an increased risk of CRC (OR = 1.39, 95%CI: 1.27-1.52, p = 5.29 × 10-13 by IVW). Sensitivity analysis yielded similar results. Reverse MR analyses found no evidence that CRC contributes to either ever drinkers (OR = 1.00, 95%CI: 0.99-1.00, p = 0.339 by IVW) or added number of drinks per week (OR = 1.01, 95%CI: 0.98-1.05, p = 0.545 by IVW). Conclusion: Our study suggested a potential causal association between alcohol consumption and the risk of CRC among Asians. Reducing drinking may be beneficial to the prevention and management of CRC.

Project description:BackgroundThe correlation between smoking and alcohol consumption and the development of Dupuytren's disease (DD) has been acknowledged. However, the definitive causal relationship between these two factors and DD remains elusive. In order to establish a causal connection, we employed the two-sample Mendelian randomization method to evaluate the relationship between smoking and alcohol consumption and DD.MethodsBased on publicly available genome-wide association studies (GWAS), two-sample univariate MR analyses were performed to assess the causal effects of drinks per week, cigarettes per day, smoking initiation, age of initiation, and smoking cessation on DD. We used inverse variance weighted (IVW) to generate the primary results for the MR analysis. Furthermore, we performed sensitivity MR analyses based on various methods to assess the robustness of estimations. Bidirectional MR analyses were used to study the interaction between smoking and alcohol consumption. Multivariate MR analyses were used to obtain independent causal effects of smoking or drinking on DD.ResultsOur two-sample MR, which was predominately based on IVW, revealed a causal relationship between drinks per week and DD (OR = 2.948, 95%CI: 1.746-4.975, P = 5.16E-05). In addition, there is no causal association between cigarettes per day, smoking initiation, age of initiation, smoking cessation and DD. Similar conclusions were reached by other MR methods. The results of the bidirectional MR analyses showed that the causal relationships between age of initiation and drinks per week were robust and significant. Multivariate MR results indicated that the causal effect of alcohol consumption on DD was independent of smoking.ConclusionOur Mendelian Randomization study indicated that there is a causality between drinking alcohol and DD, but no such causality was found between smoking and DD. This is the first study to prove that drinking alcohol could cause DD. This could help people who are trying to prevent DD from happening in the first place.

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Alcohol consumption and cognitive performance: a Mendelian randomization study.

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Alcohol consumption and cognitive performance: a Mendelian randomization study.

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