Unveiling the Causal Relationship Between Frailty and PTSD: A Bidirectional and Multivariable Multi-Sample Mendelian Randomization Analysis

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Kang He, Yuan Chen, Yixin Wei, Qiang Gao, Li Zhang
Purpose:

This study uses Mendelian Randomization (MR) to analyze the bidirectional causal relationships between FI, FP, and PTSD.

Methods:

This study utilized data from genome-wide association studies (GWAS) and employed multiple MR methods. Bidirectional MR analyses were conducted to explore the causal relationships between FI and PTSD, FP and PTSD, and PTSD and FI, PTSD and FP. Sensitivity analyses, including heterogeneity tests, pleiotropy tests, and leave-one-out analyses, were also performed to verify the robustness of the results.

Results:

A significant positive causal relationship was found between FI and PTSD, with an effect estimate of 1.660 (95% CI: 1.234, 2.087) and a p-value of 2.29 × 10-14 using the inverse-variance weighted (IVW) method. FP also showed a significant positive causal relationship with PTSD, with a significant result from the MR-Egger method, showing an effect estimate of 3.858 (95% CI: 1.890, 5.825) and a p-value of 0.00078. In reverse analyses, PTSD had minimal or no causal effect on FI and FP, with the IVW method suggesting a weak positive relationship, but other methods showing non-significant results. Sensitivity analyses supported the robustness of the main findings.

Conclusion(s):

This study reveals significant positive causal relationships between FI, FP, and PTSD using MR analysis, highlighting the critical role of frailty in the pathogenesis of PTSD.

Implications:

This study aims to overcome these limitations by using bidirectional and multivariable multi-sample Mendelian Randomization (MR) approaches to elucidate the causal relationship between frailty and PTSD, providing more robust evidence of their causal link.

Funding acknowledgements:
Chengdu Science and Technology Bureau key research and development support plan results transformation demonstration project (Grant number: 2023-YF09-00044-SN).
Keywords:
post-traumatic stress disorder
Mendelian randomization
Frailty
Primary topic:
Mental health
Second topic:
Neurology
Third topic:
Sustainable health
Did this work require ethics approval?:
No
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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