Evidence map›Paper›PMID 37295953›Full record

ArticleInternational journal of epidemiology2023

Educational attainment, health outcomes and mortality: a within-sibship Mendelian randomization study.

Laurence J Howe, Humaira Rasheed, Paul R Jones, Dorret I Boomsma, David M Evans, Alexandros Giannelis, Caroline Hayward, John L Hopper, Amanda Hughes, Hannu Lahtinen and 19 more

Abstract read
In one paragraph

Article in International journal of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Migration, educational, and asthma mortality disparities in the United States.The journal of allergy and clinical immunology. In practice · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Laurence J HoweMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0002-2819-9686
Humaira RasheedMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.
Paul R JonesDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Dorret I BoomsmaDepartment of Biological Psychology, Netherlands Twin Registry, Vrije Universiteit, Amsterdam, Netherlands.ORCID 0000-0002-7099-7972
David M EvansMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0003-0663-4621
Alexandros GiannelisDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.
Caroline HaywardMRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Edinburgh, UK.ORCID 0000-0002-9405-9550
John L HopperCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.
Amanda HughesMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.
Hannu LahtinenPopulation Research Unit, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-0910-823X
Shuai LiCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-8696-8594
Penelope A LindPsychiatric Genetics, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
Nicholas G MartinDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
Pekka MartikainenPopulation Research Unit, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9374-1438
Sarah E MedlandPsychiatric Genetics, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
Tim T MorrisMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0001-8178-6815
Michel G NivardDepartment of Biological Psychology, Netherlands Twin Registry, Vrije Universiteit, Amsterdam, Netherlands.
Jean-Baptiste PingaultSocial Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Karri SilventoinenPopulation Research Unit, University of Helsinki, Helsinki, Finland.
Jennifer A SmithDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-3575-5468
Emily A WilloughbyDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.
James F WilsonMRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Edinburgh, UK.
Within Family Consortium
Bjørn Olav ÅsvoldK.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0003-3837-2101
Øyvind E NæssDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
George Davey SmithMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0002-1407-8314
Jaakko KaprioInstitute for Molecular Medicine FIMM, University of Helsinki, Helsinki, Finland.
Ben BrumptonMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0002-3058-1059
Neil M DaviesMedical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, UK.ORCID 0000-0002-2460-0508

Funding

Medical Research Council MC_UU_00007/10Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00032/1Medical Research Council MR/T030852/1NIH HHS
6 · The paper itself

Abstract

backgroundPrevious Mendelian randomization (MR) studies using population samples (population MR) have provided evidence for beneficial effects of educational attainment on health outcomes in adulthood. However, estimates from these studies may have been susceptible to bias from population stratification, assortative mating and indirect genetic effects due to unadjusted parental genotypes. MR using genetic association estimates derived from within-sibship models (within-sibship MR) can avoid these potential biases because genetic differences between siblings are due to random segregation at meiosis.

methodsApplying both population and within-sibship MR, we estimated the effects of genetic liability to educational attainment on body mass index (BMI), cigarette smoking, systolic blood pressure (SBP) and all-cause mortality. MR analyses used individual-level data on 72 932 siblings from UK Biobank and the Norwegian HUNT study, and summary-level data from a within-sibship Genome-wide Association Study including >140 000 individuals.

resultsBoth population and within-sibship MR estimates provided evidence that educational attainment decreased BMI, cigarette smoking and SBP. Genetic variant-outcome associations attenuated in the within-sibship model, but genetic variant-educational attainment associations also attenuated to a similar extent. Thus, within-sibship and population MR estimates were largely consistent. The within-sibship MR estimate of education on mortality was imprecise but consistent with a putative effect.

conclusionsThese results provide evidence of beneficial individual-level effects of education (or liability to education) on adulthood health, independently of potential demographic and family-level confounders.

Indexed as

Academic SuccessMendelian Randomization AnalysisEducational StatusGenome-Wide Association StudyHumansOutcome Assessment, Health CarePolymorphism, Single Nucleotideeducational attainmentMendelian randomizationmortalityWithin-sibship

Identifiers

PMID37295953
PMCPMC10555788

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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.