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Association Between Frailty and Depression: A Bidirectional Mendelian Randomization Study

Overview
Journal Sci Adv
Specialties Biology
Science
Date 2023 Sep 20
PMID 37729413
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Abstract

Frailty and depression were linked in observational studies, but the causality remains ambiguous. We intended to explore it using Mendelian randomization (MR). We obtained frailty genome-wide association study (GWAS) data from UK Biobank and TwinGen meta-analysis, and depression GWAS data from Psychiatric Genomics Consortium (PGC) and FinnGen (respectively recorded as PD and FD). We performed univariable and multivariable-adjusted MR with adjustments for body mass index (BMI) and physical activity (PA). Frailty was significantly associated with elevated risks of PD (OR, 1.860; 95% CI, 1.439 to 2.405; < 0.001) and FD (OR, 1.745; 95% CI, 1.193 to 2.552; = 0.004), and depression was meanwhile a susceptible factor for frailty (PD: β, 0.146; 95% CI, 0.086 to 0.201; < 0.001; and FD: β, 0.112; 95% CI, 0.051 to 0.174; < 0.001). This association was robust after adjustments for BMI or PA. Our study provides evidence of the bidirectional causal association between frailty and depression from genetic perspectives.

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References
1.
Clegg A, Young J, Iliffe S, Rikkert M, Rockwood K . Frailty in elderly people. Lancet. 2013; 381(9868):752-62. PMC: 4098658. DOI: 10.1016/S0140-6736(12)62167-9. View

2.
Bloch F, Blandin M, Ranerison R, Claessens Y, Rigaud A, Kemoun G . Anxiety after a fall in elderly subjects and subsequent risk of developing post traumatic stress disorder at two months. A pilot study. J Nutr Health Aging. 2014; 18(3):303-6. DOI: 10.1007/s12603-013-0415-y. View

3.
Davey Smith G, Ebrahim S . 'Mendelian randomization': can genetic epidemiology contribute to understanding environmental determinants of disease?. Int J Epidemiol. 2003; 32(1):1-22. DOI: 10.1093/ije/dyg070. View

4.
Sanderson E, Davey Smith G, Windmeijer F, Bowden J . An examination of multivariable Mendelian randomization in the single-sample and two-sample summary data settings. Int J Epidemiol. 2018; 48(3):713-727. PMC: 6734942. DOI: 10.1093/ije/dyy262. View

5.
Kamat M, Blackshaw J, Young R, Surendran P, Burgess S, Danesh J . PhenoScanner V2: an expanded tool for searching human genotype-phenotype associations. Bioinformatics. 2019; 35(22):4851-4853. PMC: 6853652. DOI: 10.1093/bioinformatics/btz469. View