Evidence map›Paper›PMID 38870109›Full record

ArticlePloS one2024

Causal relationships between body mass index, low-density lipoprotein and bone mineral density: Univariable and multivariable Mendelian randomization.

Yuxiang Wu, Weiwei Ma, Zhenda Cheng, Qiwei Zhang, Zhaodong Li, Punan Weng, Bushuang Li, Zhiqiang Huang, Changlong Fu

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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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

9 authors.

Yuxiang WuQuanzhou Hospital of Traditional Chinese Medicine, Quanzhou, Fujian, China.
Weiwei MaSchool of Acupuncture-Moxibustion and Orthopaedics College of Acupuncture, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Zhenda ChengQuanzhou Hospital of Traditional Chinese Medicine, Quanzhou, Fujian, China.
Qiwei ZhangDepartment of Orthopaedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, National Center for Traditional Chinese Medicine, Beijing, China.
Zhaodong LiGuangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong, China.
Punan WengFujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Bushuang LiDepartment of body conditioning, Xiamen Hospital of Beijing University of Chinese Medicine, Xiamen, Fujian, China.
Zhiqiang HuangQuanzhou Hospital of Traditional Chinese Medicine, Quanzhou, Fujian, China.
Changlong FuAcademy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.ORCID 0000-0001-8508-9830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryUtilizing the Mendelian randomization technique, this research clarifies the putative causal relationship between body mass index (BMI) andbone mineral density (BMD), and the mediating role of low-density lipoprotein (LDL). The implications of these findings present promising opportunities for enhancing our understanding of complex bone-related characteristics and disorders, offering potential directions for treatment and intervention.

objectiveThe objective of this study is to examine the correlation between BMI and BMD, while exploring the intermediary role of LDL in mediating the causal impact of BMI on BMD outcomes via Mendelian randomization.

methodsIn this study, we employed genome-wide association study (GWAS) data on BMI, LDL, and BMD to conduct a comparative analysis using both univariate and multivariate Mendelian randomization.

resultsOur study employed a two-sample Mendelian randomization design. Considering BMI as the exposure and BMD as the outcome, our results suggest that BMI may function as a potential protective factor for BMD (β = 0.05, 95% CI 1.01 to 1.09, P = 0.01). However, when treating LDL as the exposure and BMD as the outcome, our findings indicate LDL as a risk factor for BMD (β = -0.04, 95% CI 0.92 to 0.99, P = 0.04). In our multivariate Mendelian randomization (MVMR) model, the combined influence of BMI and LDL was used as the exposure for BMD outcomes. The analysis pointed towards a substantial protective effect of LDL on BMD (β = 0.08, 95% CI 0.85 to 0.97, P = 0.006). In the analysis of mediation effects, LDL was found to mediate the relationship between BMI and BMD, and the effect was calculated at (β = 0.05, 95% CI 1.052 to 1.048, P = 0.04).

conclusionOur findings suggest that BMI may be considered a protective factor for BMD, while LDL may act as a risk factor. Moreover, LDL appears to play a mediatory role in the causal influence of BMI on BMD.

Indexed as

Body Mass IndexBone DensityGenome-Wide Association StudyLipoproteins, LDLMendelian Randomization AnalysisFemaleHumansPolymorphism, Single NucleotideLipoproteins, LDL

Identifiers

PMID38870109
PMCPMC11175445

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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.