Osteoporosis, bone & mineral

Causal associations of osteoporosis with stroke: a bidirectional Mendelian randomization study

Osteoporos IntPublished Bidirectional Mendelian randomization study

Authors' conclusion

In conclusion, there is a causal relationship between stroke and OP, suggesting that they may be potential risk factors for each other.

Study context

Population
European populations: Osteoporosis (OP) genome-wide association studies (GWAS) from FinnGen consortium; stroke GWAS from MEGASTROKE consortium
Comparison
Genetically predicted stroke (and subtypes) on OP, and genetically predicted OP on stroke (and subtypes)
Outcome
Causal relationship between OP and stroke
Methodological detailstwo-sample, GWAS summary data, inverse variance weighted, MR-Egger and weighted median
  • Two-sample
  • GWAS summary data
  • Inverse variance weighted, MR-Egger and weighted median

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
Strokestroke on OP
1.39(1.04–1.85)
P = 0.027
ISIS on OP
2.02(1.05–3.87)
P = 0.035
LASLAS on OP
1.29(1.08–1.55)
P = 0.005
OPOP on SVS
1.08(1.01–1.14)
P = 0.021

Further findings

OP with pathological fracture

OR (95% CI)P value
LASLAS on OP with pathological fracture1.69 (1.18–2.42)P = 0.004

Postmenopausal OP with pathological fracture

OR (95% CI)P value
StrokeStroke on postmenopausal OP with pathological fracture2.02 (1.05–3.87)P = 0.035
LASLAS on postmenopausal OP with pathological fracture1.75 (1.06–2.90)P = 0.030

Original publication

Causal associations of osteoporosis with stroke: a bidirectional Mendelian randomization study. Osteoporos Int. Published 24 August 2024. doi:10.1007/s00198-024-07235-w

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