Evidence map›Paper›PMID 35134953›Full record

ArticleInternational journal of epidemiology2022

Educational attainment as a modifier for the effect of polygenic scores for cardiovascular risk factors: cross-sectional and prospective analysis of UK Biobank.

Alice R Carter, Sean Harrison, Dipender Gill, George Davey Smith, Amy E Taylor, Laura D Howe, Neil M Davies

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
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

20 citing papers in PubMed, 22 citations in OpenAlex.

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  20. Apolipoprotein E4 and its later-life health effects on the multiple sclerosis population.Multiple sclerosis journal - experimental, translational and clinical
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Alice R CarterMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.ORCID 0000-0003-2817-4195
Sean HarrisonMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.ORCID 0000-0002-7966-0700
Dipender GillClinical Pharmacology and Therapeutics Section, Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London, London, UK.ORCID 0000-0001-7312-7078
George Davey SmithMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.ORCID 0000-0002-1407-8314
Amy E TaylorMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.
Laura D HoweMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.
Neil M DaviesMRC Integrative Epidemiology Unit, University of Bristol Bristol, UK.ORCID 0000-0002-2460-0508
University of Bristol · GBNorwegian University of Science and Technology · NOSt George's, University of London · GB

Funding

Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/6Medical Research Council MR/M020894/1
6 · The paper itself

Abstract

backgroundUnderstanding the interplay between educational attainment and genetic predictors of cardiovascular risk may improve our understanding of the aetiology of educational inequalities in cardiovascular disease.

methodsIn up to 320 120 UK Biobank participants of White British ancestry (mean age = 57 years, female 54%), we created polygenic scores for nine cardiovascular risk factors or diseases: alcohol consumption, body mass index, low-density lipoprotein cholesterol, lifetime smoking behaviour, systolic blood pressure, atrial fibrillation, coronary heart disease, type 2 diabetes and stroke. We estimated whether educational attainment modified genetic susceptibility to these risk factors and diseases.

resultsOn the additive scale, higher educational attainment reduced genetic susceptibility to higher body mass index, smoking, atrial fibrillation and type 2 diabetes, but increased genetic susceptibility to higher LDL-C and higher systolic blood pressure. On the multiplicative scale, there was evidence that higher educational attainment increased genetic susceptibility to atrial fibrillation and coronary heart disease, but little evidence of effect modification was found for all other traits considered.

conclusionsEducational attainment modifies the genetic susceptibility to some cardiovascular risk factors and diseases. The direction of this effect was mixed across traits considered and differences in associations between the effect of the polygenic score across strata of educational attainment was uniformly small. Therefore, any effect modification by education of genetic susceptibility to cardiovascular risk factors or diseases is unlikely to substantially explain the development of inequalities in cardiovascular risk.

Indexed as

Atrial FibrillationCardiovascular DiseasesCoronary DiseaseDiabetes Mellitus, Type 2Biological Specimen BanksCross-Sectional StudiesEducational StatusFemaleGenetic Predisposition to DiseaseHumansMiddle AgedRisk FactorsUnited Kingdomcardiovascular diseaseeducationgene*environment interactionsinequalitiesPolygenic scores

Identifiers

PMID35134953
PMCPMC9189971
OpenAlexW4205744799

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.