Association between alcohol intake and bone mineral density: results from the NHANES 2005-2020 and two-sample Mendelian randomization.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Bowen Lai, Heng Jiang, Rui Gao, Xuhui Zhou
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Abstract

We used the data from the NHANES cross-sectional study among 14,113 participants and indicated a positive correlation between alcohol intake frequency and bone mineral density in different body sites. Mendelian randomization was conducted, and no causal relationship is significant between these two variables. The study can provide some suggestions on the daily consumption of alcohol for osteoporosis patients.

Purpose: The effect of alcohol intake on bone mineral density (BMD) remains unclear. This study explored the association and causality between alcohol intake and BMD.

Methods: Based on the 2005-2020 National Health and Nutrition Examination Survey including 14,113 participants, we conducted co-variate-adjusted multilinear regression analyses to explore the association between alcohol intake levels and spine or femur BMD. To evaluate the causal association between alcohol intake frequency and bone mineral density, the inverse variance weighted approach of two-sample Mendelian randomization (MR) was used with genetic data from the Medical Research Council Integrative Epidemiology Unit (462,346 cases) for alcohol intake frequency and the Genetic Factors for Osteoporosis Consortium (28,496 cases) for lumbar spine and femur neck BMD (32,735 cases).

Results: Compared with non-drinkers, total femur BMDs but not total spine BMD increased with daily alcohol intake in males (β = 3.63*10-2 for mild drinkers, β = 4.21*10-2 for moderate drinkers, and β = 4.26*10-2 for heavy drinkers). By contrast, the higher total spine BMD in females was related to higher alcohol intake levels (β = 2.15*10-2 for mild drinkers, β = 2.59*10-2 for moderate drinkers, and β = 3.88*10-2 for heavy drinkers). Regarding the two-sample MR results, no causal relationship was observed between alcohol intake frequency and lumbar spine BMD (odds ratio [OR] = 1.016, P = 0.789) or femur neck BMD (OR = 1.048, P = 0.333).

Conclusion: This study suggests a positive association between alcohol intake frequency and BMD, although the causal relationship was not significant.

Abstract Image

酒精摄入量与骨矿物质密度之间的关系:2005-2020 年 NHANES 和双样本孟德尔随机法的结果。
我们使用了美国国家健康调查(NHANES)横断面研究中 14 113 名参与者的数据,结果表明酒精摄入频率与不同身体部位的骨矿物质密度呈正相关。研究采用孟德尔随机法,这两个变量之间没有显著的因果关系。目的:酒精摄入量对骨矿物质密度(BMD)的影响仍不清楚。本研究探讨了酒精摄入量与 BMD 之间的相关性和因果关系:基于 2005-2020 年美国国家健康与营养调查(National Health and Nutrition Examination Survey)(包括 14113 名参与者),我们进行了协变量调整多线性回归分析,以探讨酒精摄入水平与脊柱或股骨 BMD 之间的关联。为了评估酒精摄入频率与骨矿物质密度之间的因果关系,我们采用了双样本孟德尔随机化(MR)的反方差加权法,并使用了医学研究委员会综合流行病学组(462346 例)的基因数据来评估酒精摄入频率,以及骨质疏松症遗传因素联合会(28496 例)的基因数据来评估腰椎和股骨颈 BMD(32735 例):与不饮酒者相比,男性总股骨 BMD 随每日酒精摄入量的增加而增加,但总脊柱 BMD 不随每日酒精摄入量的增加而增加(轻度饮酒者 β = 3.63*10-2,中度饮酒者 β = 4.21*10-2,重度饮酒者 β = 4.26*10-2)。相比之下,女性较高的总脊柱 BMD 与较高的酒精摄入水平有关(轻度饮酒者 β = 2.15*10-2,中度饮酒者 β = 2.59*10-2,重度饮酒者 β = 3.88*10-2)。关于双样本 MR 结果,未观察到酒精摄入频率与腰椎 BMD(几率比 [OR] = 1.016,P = 0.789)或股骨颈 BMD(OR = 1.048,P = 0.333)之间存在因果关系:本研究表明,酒精摄入频率与 BMD 之间存在正相关,但因果关系并不显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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