Guo Xingzhi, Hou Chen, Tang Peng, Zhang Lina, Li Rui
Department of Geriatric Neurology, Shaanxi Provincial People's Hospital, No. 256, Youyi West Road, Xi'an, 710068, Shaanxi, People's Republic of China.
Shaanxi Provincial Clinical Research Center for Geriatric Medicine, Xi'an, 710068, Shaanxi, People's Republic of China.
BMC Geriatr. 2025 Aug 14;25(1):622. doi: 10.1186/s12877-025-06307-8.
Previous studies have associated different beverage types with frailty and sarcopenia, it remains uncertain whether these associations are causal. This Mendelian randomization study aimed to investigate the causal effects of various beverage consumption on frailty and sarcopenia-related traits. Independent genetic variants strongly (P < 5E-8) associated with sweet and bitter beverages and their subtypes were used as instrumental variables. Summary-level data from recent genome-wide association studies on frailty index (FI), appendicular lean mass (ALM), and low hand grip strength (LHGS) were utilized, with false discovery rate (FDR) adjustment for multiple comparisons. Genetically predicted consumption of bitter non-alcoholic beverages (BNaBs) was associated with increased FI (β = 0.16, 95%CI: 0.04-0.28, P=0.020) and decreased ALM (β=-0.18, 95%CI: -0.31 to -0.06, P=0.019). Moreover, total bitter beverage and BNaBs consumption showed a suggestive association with an elevated risk of LHGS (P<0.05). However, the consumption of total sweet beverages, but not sugar-sweetened beverages, was associated with decreased FI and increased ALM. No causal effects on frailty and sarcopenia-related traits were observed for coffee, tea, or bitter alcoholic beverages. These findings suggest that the consumption of bitter beverages, particularly BNaBs, may be linked to the development of muscle weakness and frailty.
以往的研究已将不同类型的饮料与衰弱和肌肉减少症联系起来,但这些关联是否具有因果关系仍不确定。这项孟德尔随机化研究旨在调查各种饮料消费对衰弱和肌肉减少症相关特征的因果效应。与甜味和苦味饮料及其亚型密切相关(P < 5E-8)的独立基因变异被用作工具变量。利用了近期全基因组关联研究中关于衰弱指数(FI)、四肢瘦体重(ALM)和低握力(LHGS)的汇总数据,并对多重比较进行了错误发现率(FDR)调整。基因预测的苦味非酒精饮料(BNaBs)消费与FI增加(β = 0.16,95%CI:0.04 - 0.28,P = 0.020)和ALM降低(β = -0.18,95%CI:-0.31至-0.06,P = 0.019)相关。此外,总苦味饮料和BNaBs消费与LHGS风险升高存在提示性关联(P < 0.05)。然而,总甜味饮料而非含糖甜味饮料的消费与FI降低和ALM增加相关。未观察到咖啡、茶或苦味酒精饮料对衰弱和肌肉减少症相关特征有因果效应。这些发现表明,苦味饮料,特别是BNaBs的消费,可能与肌肉无力和衰弱的发展有关。
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