Evidence map›Paper›PMID 40970947›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

Bidirectional causal association between frailty and six psychiatric disorders.

Fangfang Qian, Guoqiang Zheng, Zhuoming Chen

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Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Fangfang QianDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, 600 Tianhe Road, Guangzhou, 510630, Guangdong Province, People's Republic of China.
Guoqiang ZhengDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, 613 West Huangpu Avenue, Guangzhuo, 510000, Guangdong Province, China.
Zhuoming ChenDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, 613 West Huangpu Avenue, Guangzhuo, 510000, Guangdong Province, China. zm120tchzm@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study employs bidirectional Mendelian randomization (MR) analysis to explore the causal relationship between frailty and common psychiatric disorders.

methodsDepression, anxiety disorder, bipolar disorder, schizophrenia, sleep disorders, and eating disorders were considered as outcomes, with frailty index as the exposure variable. The main method employed was inverse variance weighting. Two-step MR was used to evaluate the mediation proportions of body mass index (BMI) between frailty and psychiatric disorders. Additionally, reverse MR analysis was conducted using the same testing methods.

resultsFrailty index was positively associated with depression, anxiety disorder, bipolar disorder, sleep disorders, and eating disorders. Schizophrenia indicated no significant causal association. The effect of frailty index on the risk of sleep disorders, eating disorders, depression were all partially mediated by BMI, with mediation proportion of 24.40%, 14.23% and 5.22%. Reverse MR analysis revealed that depression increased the risk of frailty.

conclusionThis study has supported the causal association of frailty with depression, anxiety disorder, bipolar disorder, sleep disorders, and eating disorders. Additionally, individuals diagnosed with depression exhibit a heightened susceptibility to frailty. This sheds new light on the causal relationship between frailty and psychiatric disorders.

Indexed as

Anxiety DisordersBipolar DisorderFeeding and Eating DisordersFrailtyMental DisordersSchizophreniaSleep Wake DisordersAgedBody Mass IndexComorbidityFemaleHumansMaleMendelian Randomization AnalysisMiddle AgedCausalityFrailtyMendelian randomizationPsychiatric disorders

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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.