Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study

Abstract Objectives Two-sample MR methods were employed to analyze the impact of smoking and bitter beverage consumption on the risk of osteoporosis and osteoporosis with pathological fractures, in order to assess the causal association. Methods Publicly available genome-wide association study summa...

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Main Authors: Yanqian Wu, Jianqian Chao, Min Bao, Na Zhang, Leixia Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Hereditas
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Online Access:https://doi.org/10.1186/s41065-025-00371-1
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author Yanqian Wu
Jianqian Chao
Min Bao
Na Zhang
Leixia Wang
author_facet Yanqian Wu
Jianqian Chao
Min Bao
Na Zhang
Leixia Wang
author_sort Yanqian Wu
collection DOAJ
description Abstract Objectives Two-sample MR methods were employed to analyze the impact of smoking and bitter beverage consumption on the risk of osteoporosis and osteoporosis with pathological fractures, in order to assess the causal association. Methods Publicly available genome-wide association study summary data were analyzed using MR methods. The exposures investigated were smoking (smoking per day, smoking initiation, and lifetime smoking index) and bitter beverages (coffee, tea, bitter alcoholic beverages, bitter non-alcoholic beverages, and total bitter beverages). The outcomes examined were the risk of osteoporosis and osteoporosis with pathological fractures. The inverse-variance weighted (IVW) method was used as the main statistical model. The stability and reliability of the results were verified by the Cochran’s Q test, the Egger-intercept test, and the leave-one-out analysis. Results Smoking per day was causally associated with the risk of osteoporosis OR = 1.417, 95% CI = 1.119–1.794, P = 0.003), and lifetime smoking index had a possible genetic causal association with the risk of osteoporosis with pathological fractures (OR = 4.187, 95% CI = 1.909–9.184, P < 0.001). No genetic causal association was found between smoking initiation or lifetime smoking index and the risk of osteoporosis (P > 0.05). No genetic causal association was identified between smoking per day or smoking initiation and the risk of osteoporosis with pathological fractures (P > 0.05). Total and bitter non-alcoholic beverage consumption showed a potential effect on the risk of osteoporosis (OR = 3.687, 95% CI = 1.535–8.858, P = 0.003 and OR = 3.040, 95% CI = 1.466–6.304, P = 0.002, respectively). Conclusions This study found smoking raises the risk of osteoporosis and osteoporosis with pathological fractures based on genetics. Certain bitter beverages are linked to an increased osteoporosis risk.
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spelling doaj-art-7f406ab91220449a8c13e5c2968ad2d72025-01-26T12:36:42ZengBMCHereditas1601-52232025-01-01162111110.1186/s41065-025-00371-1Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based studyYanqian Wu0Jianqian Chao1Min Bao2Na Zhang3Leixia Wang4Health Management Research Center, School of Public Health, Southeast UniversityHealth Management Research Center, School of Public Health, Southeast UniversityHealth Management Research Center, School of Public Health, Southeast UniversityDepartment of Nursing Research Institute, Affiliated Hospital of Medical School, Nanjing Drum Tower Hospital, Nanjing UniversityHealth Management Research Center, School of Public Health, Southeast UniversityAbstract Objectives Two-sample MR methods were employed to analyze the impact of smoking and bitter beverage consumption on the risk of osteoporosis and osteoporosis with pathological fractures, in order to assess the causal association. Methods Publicly available genome-wide association study summary data were analyzed using MR methods. The exposures investigated were smoking (smoking per day, smoking initiation, and lifetime smoking index) and bitter beverages (coffee, tea, bitter alcoholic beverages, bitter non-alcoholic beverages, and total bitter beverages). The outcomes examined were the risk of osteoporosis and osteoporosis with pathological fractures. The inverse-variance weighted (IVW) method was used as the main statistical model. The stability and reliability of the results were verified by the Cochran’s Q test, the Egger-intercept test, and the leave-one-out analysis. Results Smoking per day was causally associated with the risk of osteoporosis OR = 1.417, 95% CI = 1.119–1.794, P = 0.003), and lifetime smoking index had a possible genetic causal association with the risk of osteoporosis with pathological fractures (OR = 4.187, 95% CI = 1.909–9.184, P < 0.001). No genetic causal association was found between smoking initiation or lifetime smoking index and the risk of osteoporosis (P > 0.05). No genetic causal association was identified between smoking per day or smoking initiation and the risk of osteoporosis with pathological fractures (P > 0.05). Total and bitter non-alcoholic beverage consumption showed a potential effect on the risk of osteoporosis (OR = 3.687, 95% CI = 1.535–8.858, P = 0.003 and OR = 3.040, 95% CI = 1.466–6.304, P = 0.002, respectively). Conclusions This study found smoking raises the risk of osteoporosis and osteoporosis with pathological fractures based on genetics. Certain bitter beverages are linked to an increased osteoporosis risk.https://doi.org/10.1186/s41065-025-00371-1OsteoporosisFractureSmokingMendelian randomizationBitter beverage consumption
spellingShingle Yanqian Wu
Jianqian Chao
Min Bao
Na Zhang
Leixia Wang
Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
Hereditas
Osteoporosis
Fracture
Smoking
Mendelian randomization
Bitter beverage consumption
title Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
title_full Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
title_fullStr Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
title_full_unstemmed Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
title_short Causal association among smoking, bitter beverage consumption, and risk of osteoporosis: a two-sample mendelian randomization-based study
title_sort causal association among smoking bitter beverage consumption and risk of osteoporosis a two sample mendelian randomization based study
topic Osteoporosis
Fracture
Smoking
Mendelian randomization
Bitter beverage consumption
url https://doi.org/10.1186/s41065-025-00371-1
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