Evidence map›Paper›PMID 41239668›Full record

ArticleMedicine2025

Causal association of education, smoking, sedentary lifestyle and body mass index with disc degeneration: Mendelian randomization.

Hao Cui, Peng Wang, Yi Liu

Abstract read
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Intervertebral disc degeneration.Nature reviews. Disease primers · 2026
    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

3 authors.

Hao CuiDepartment of Orthopedics, The Affiliated Wuxi People's Hospital to Nanjing Medical University, Wuxi, Jiangsu, China.
Peng WangDepartment of Orthopedics, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Medical School of Southeast University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Xuzhou, Jiangsu, China.
Yi LiuDepartment of Orthopedics, The Affiliated Wuxi People's Hospital to Nanjing Medical University, Wuxi, Jiangsu, China.ORCID 0009-0005-9086-2345

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intervertebral disc degeneration (IVDD) is a common vertebral disease, and we aimed to investigate the causal relationship between several risk factors and IVDD using Mendelian randomization (MR). We obtained summary data from public genome-wide association study databases from large sample projects. Inverse-variance weighted (IVW) was used as the primary method to estimate causal effect sizes. Several sensitivity analyses (including heterogeneity and pleiotropy tests) were performed to test the stability and reliability of the causal estimates. Univariate MR analysis showed that each 1 standard deviation increase in genetically predicted educational attainment was associated with a 43.2% reduction in the risk of IVDD (IVW; (OR) = 0.568; 95% CI [0.499-0.647]; P = 1.568 × 10-17). Smoking behavior increased the risk of IVDD by 22% (IVW; OR = 1.220; 95% CI [1.069-1.393]; P = .003), and increased hours of Watching TV and mobile phone use increased the risk of IVDD by 85.3% and 65.8%, respectively (IVW; OR = 1. 853; 95% CI [1.430-2.401]; P = 3.092 × 10-6), (IVW; OR = 1.658; 95% CI [1.222-2.251]; P = .001); and higher body mass index increased the risk of IVDD by 31.4% (IVW; OR = 1.314; 95% CI [1.213-1.424]; P = 2.382 × 10-11). Multivariate MR analysis showed that education and body mass index remained independently associated with IVDD after adjustment for other factors. Our findings support a potential causal relationship between several modifiable factors and IVDD. These findings may provide new directions for prevention and intervention strategies targeting IVDD.

Indexed as

Body Mass IndexEducational StatusIntervertebral Disc DegenerationSedentary BehaviorSmokingFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisMiddle AgedRisk Factorscausal associationgenome-wide association studyintervertebral disc degenerationMendelian randomization

Identifiers

PMID41239668
PMCPMC12622698

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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.