Evidence map›Paper›PMID 38539137›Full record

ArticleBMC psychiatry2024

Complex interplay of neurodevelopmental disorders (NDDs), fractures, and osteoporosis: a mendelian randomization study.

Zefang Li, Xueqiang Wu, Hanzheng Li, Cong Bi, Can Zhang, Yiqing Sun, Zhaojun Yan

Abstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Review
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

7 authors.

Zefang LiDepartment of The First Clinical medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Xueqiang WuDepartment of Health Science, Shandong University of Traditional Chinese Medicine, Jinan, China. psywxq2023@126.com.
Hanzheng LiDepartment of The First Clinical medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Cong BiDepartment of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Can ZhangSchool of Biomedical Sciences, Shandong First Medical University, Jinan, China.
Yiqing SunDepartment of The First Clinical medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Zhaojun YanAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China. yzj7790@163.com.

Funding

Jinan Science and Technology Bureau 2020GXRC013National Administration of Traditional Chinese Medicine Project GZY-KJS-2023-017Qingdao Science and Technology Benefiting the People Demonstration Special Project 23-7-8-smjk-3-nsh
6 · The paper itself

Abstract

backgroundNeurodevelopmental disorders (NDDs), such as Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), and Tourette Syndrome (TS), have been extensively studied for their multifaceted impacts on social and emotional well-being. Recently, there has been growing interest in their potential relationship with fracture risks in adulthood. This study aims to explore the associations between these disorders and fracture rates, in order to facilitate better prevention and treatment.

methodsEmploying a novel approach, this study utilized Mendelian randomization (MR) analysis to investigate the complex interplay between ADHD, ASD, TS, and fractures. The MR framework, leveraging extensive genomic datasets, facilitated a systematic examination of potential causal relationships and genetic predispositions.

resultsThe findings unveil intriguing bidirectional causal links between ADHD, ASD, and specific types of fractures. Notably, ADHD is identified as a risk factor for fractures, with pronounced associations in various anatomical regions, including the skull, trunk, and lower limbs. Conversely, individuals with specific fractures, notably those affecting the femur and lumbar spine, exhibit an increased genetic predisposition to ADHD and ASD. In this research, no correlation was found between TS and fractures, or osteoporosis.These results provide a genetic perspective on the complex relationships between NDDs and fractures, emphasizing the importance of early diagnosis, intervention, and a holistic approach to healthcare.

conclusionThis research sheds new light on the intricate connections between NDDs and fractures, offering valuable insights into potential risk factors and causal links. The bidirectional causal relationships between ADHD, ASD, and specific fractures highlight the need for comprehensive clinical approaches that consider both NDDs and physical well-being.

Indexed as

Attention Deficit Disorder with HyperactivityAutism Spectrum DisorderFractures, BoneNeurodevelopmental DisordersOsteoporosisTourette SyndromeGenetic Predisposition to DiseaseHumansMendelian Randomization AnalysisAttention deficit hyperactivity disorderAutism spectrum disorderFracture and osteoporosisMendelian randomizationNeurodevelopmental disordersTourette syndrome

Identifiers

PMID38539137
PMCPMC10967110

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Registered trials

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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.