Evidence map›Paper›PMID 32335969›Full record

Observational studyAddiction (Abingdon, England)2021

Alcohol use and cognitive functioning in young adults: improving causal inference.

Liam Mahedy, Steph Suddell, Caroline Skirrow, Gwen S Fernandes, Matt Field, Jon Heron, Matthew Hickman, Robyn Wootton, Marcus R Munafò

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Liam MahedySchool of Psychological Science, University of Bristol, Bristol, UK.ORCID 0000-0001-5417-6595
Steph SuddellSchool of Psychological Science, University of Bristol, Bristol, UK.
Caroline SkirrowSchool of Psychological Science, University of Bristol, Bristol, UK.
Gwen S FernandesPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Matt FieldDepartment of Psychology, University of Sheffield, Sheffield, UK.ORCID 0000-0002-7790-5559
Jon HeronPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Matthew HickmanPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0001-9864-459X
Robyn WoottonSchool of Psychological Science, University of Bristol, Bristol, UK.ORCID 0000-0003-3961-3202
Marcus R MunafòSchool of Psychological Science, University of Bristol, Bristol, UK.ORCID 0000-0002-4049-993X

Funding

Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/7Medical Research Council MR/L022206/1MRC and Alcohol Research UK MR/L022206/1MRC, Wellcome Trust, and University of Bristol 102215/2/13/2The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer); a UKCRC Public Health Research Centre of Excellence MR/KO232331/1UK Medical Research Council Integrative Epidemiology Unit at the University of Bristol MM_UU_00011/7
6 · The paper itself

Abstract

BACKGROUND AND

aimsThere have been few longitudinal studies of association between alcohol use and cognitive functioning in young people. We aimed to examine whether alcohol use is a causal risk factor for deficient cognitive functioning in young adults.

designLinear regression was used to examine the relationship between longitudinal latent class patterns of binge drinking and subsequent cognitive functioning. Two-sample Mendelian randomization (MR) tested evidence for the causal relationship between alcohol use and cognitive functioning.

settingSouth West England.

participantsThe observational study included 3155 adolescents and their parents (fully adjusted models) from the Avon Longitudinal Study of Parents and Children (ALSPAC). Genetic instruments for alcohol use were based on almost 1 000 000 individuals from the genome-wide association studies (GWAS) and Sequencing Consortium of Alcohol and Nicotine use (GSCAN). Genome-wide association studies for cognitive outcomes were based on 2500 individuals from ALSPAC. MEASUREMENTS: Binge drinking was assessed at approximately 16, 17, 18, 21 and 23 years. Cognitive functioning comprised working memory, response inhibition and emotion recognition assessed at 24 years of age. Ninety-nine independent genome-wide significant single nucleotide polymorphisms (SNPs) associated with 'number of drinks per week' were used as the genetic instrument for alcohol consumption. Potential confounders were included in the observational analyses.

findingsFour binge drinking classes were identified: 'low-risk' (41.3%), 'early-onset monthly' (19.1%), 'adult frequent' (22.5%) and 'early-onset frequent' (17.0%). The association between early-onset frequent binge drinking and cognitive functioning: working memory (b = -0.42, 95% confidence interval (CI) = -1.24 to 0.41), response inhibition (b = 31.9, 95% CI = -25.3 to 89.2), and emotion recognition (b = 0.02, 95% CI = -0.07 to 0.10) in comparison to low-risk drinkers were inconclusive as to whether a difference was present. Two-sample MR analyses similarly provided little evidence that alcohol use is associated with deficits in working memory using the inverse variance weight (b = 0.29, 95% CI = -0.42 to 0.99), response inhibition (b = -0.32, 95% CI = -1.04 to 0.39) and emotion recognition (b = 0.03, 95% CI = -0.55 to 0.61).

conclusionsBinge drinking in adolescence and early adulthood may not be causally related to deficiencies in working memory, response inhibition or emotion recognition in youths.

Indexed as

CognitionAdolescentBinge DrinkingCausalityEnglandFemaleGenome-Wide Association StudyHumansLinear ModelsLongitudinal StudiesMaleMemory, Short-TermMendelian Randomization AnalysisParentsPolymorphism, Single NucleotideRisk FactorsAlcoholALSPACcognitionlongitudinal latent class analysisMendelian randomizationprospective

Identifiers

PMID32335969

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.