Evidence map›Paper›PMID 37553644›Full record

SynthesisBMC medicine2023

Appraising the causal relationship between plasma caffeine levels and neuropsychiatric disorders through Mendelian randomization.

Benjamin Woolf, Héléne T Cronjé, Loukas Zagkos, Stephen Burgess, Dipender Gill, Susanna C Larsson

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Utilising genomic association data for causal inference in anorexia nervosa.Mammalian genome : official journal of the International Mammalian Genome Society · 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

6 authors at 4 institutions in 3 countries.

Benjamin WoolfSchool of Psychological Science, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-1505-2570
Héléne T CronjéDepartment of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-6855-8324
Loukas ZagkosDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7700-8102
Stephen BurgessMRC Biostatistics Unit at the University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5365-8760
Dipender GillDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-7312-7078
Susanna C LarssonUnit of Medical Epidemiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. susanna.larsson@uu.se.ORCID http://orcid.org/0000-0003-0118-0341
Imperial College London · GBUniversity of Cambridge · GBUniversity of Copenhagen · DKUppsala University · SE

Funding

British Heart Foundation RE/18/4/34215Department of Health NIHR203312Medical Research Council MC_UU_00002/7Medical Research Council MC_UU_00011/7Medical Research Council MC_UU_00032/7Wellcome Trust 100114Wellcome Trust 204623/Z/16/ZWellcome Trust 225790/Z/22/Z
6 · The paper itself

Abstract

backgroundCaffeine exposure modifies the turnover of monoamine neurotransmitters, which play a role in several neuropsychiatric disorders. We conducted a Mendelian randomization study to investigate whether higher plasma caffeine levels are causally associated with the risk of anorexia nervosa, bipolar disorder, major depressive disorder (MDD), and schizophrenia.

methodsSummary-level data on the neuropsychiatric disorders were obtained from large-scale genome-wide association studies (GWASs) of European ancestry participants (n = 72,517 to 807,553) and meta-analyzed with the corresponding data from the FinnGen study (n = 356,077). Summary-level data on plasma caffeine were extracted from a GWAS meta-analysis of 9876 European ancestry individuals. The Mendelian randomization analyses estimated the Wald ratio for each genetic variant and meta-analyzed the variant-specific estimates using multiplicative random effects meta-analysis.

resultsAfter correcting for multiple testing, genetically predicted higher plasma caffeine levels were associated with higher odds of anorexia nervosa (odds ratio [OR] = 1.124; 95% confidence interval [CI] = 1.024-1.238, p

conclusionsThese Mendelian randomization findings indicate that long-term higher plasma caffeine levels may lower the risk of bipolar disorder and MDD but increase the risk of anorexia nervosa. These results warrant further research to explore whether caffeine consumption, supplementation, or abstinence could render clinically relevant therapeutic or preventative psychiatric effects.

Indexed as

CaffeineMajor Depressive DisorderCausalityGenome-Wide Association StudyHumansMendelian Randomization AnalysisPolymorphism, Single NucleotideCaffeineAnorexia nervosaBipolar disorder caffeineCoffeeDepressionMendelian randomizationSchizophrenia

Identifiers

PMID37553644
PMCPMC10408049
OpenAlexW4385659480

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.