The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study

BackgroundsObservational studies have shown that cigarette smoking is inversely associated with risk of rosacea, However, it remains uncertain whether this association is causal or it is a result of reverse causation, and whether this association is affected by drinking behaviors.MethodsThis study u...

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Main Authors: Zhaowei Chu, Mengyao Yi, Cong Yan, Bingjie Li, Huan Zhang, Kun Guo, Songmei Geng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1320932/full
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author Zhaowei Chu
Mengyao Yi
Cong Yan
Bingjie Li
Huan Zhang
Kun Guo
Songmei Geng
author_facet Zhaowei Chu
Mengyao Yi
Cong Yan
Bingjie Li
Huan Zhang
Kun Guo
Songmei Geng
author_sort Zhaowei Chu
collection DOAJ
description BackgroundsObservational studies have shown that cigarette smoking is inversely associated with risk of rosacea, However, it remains uncertain whether this association is causal or it is a result of reverse causation, and whether this association is affected by drinking behaviors.MethodsThis study utilized the summary-level data from the largest genome-wide association study (GWAS) for smoking, alcohol consumption, and rosacea. The objective was to investigate the effect of genetically predicted exposures to smoking and alcohol consumption on the risk of developing rosacea. Two-sample bidirectional Mendelian randomization (MR) was applied, accompanied by sensitive analyses to validate the robustness of findings. Furthermore, multivariable MR was conducted to evaluate the direct impact of smoking on rosacea.ResultsA decreased risk of rosacea was observed in individuals with genetically predicted lifetime smoking [odds ratio (OR)MR − IVW = 0.53; 95% confidence interval (CI), 0.318–0.897; P = 0.017], and number of cigarettes per day (ORMR − IVW = 0.55; 95% CI, 0.358–0.845; P = 0.006). However, no significant associations were found between initiation of regular smoking, smoking cessation, smoking initiation, alcohol consumption and rosacea. Reverse MR analysis did not show any associations between genetic liability toward rosacea and smoking or alcohol drinking. Importantly, the effect of lifetime smoking and the number of cigarettes per day on rosacea remained significant even after adjusting for alcohol consumption in multivariable MR analysis.ConclusionSmoking was causally related to a lower risk of rosacea, while alcohol consumption does not appear to be associated with risk of rosacea.
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spelling doaj.art-0c4b2c4a856446b7b21d9cd4201cd5502024-02-19T04:58:02ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13209321320932The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization studyZhaowei ChuMengyao YiCong YanBingjie LiHuan ZhangKun GuoSongmei GengBackgroundsObservational studies have shown that cigarette smoking is inversely associated with risk of rosacea, However, it remains uncertain whether this association is causal or it is a result of reverse causation, and whether this association is affected by drinking behaviors.MethodsThis study utilized the summary-level data from the largest genome-wide association study (GWAS) for smoking, alcohol consumption, and rosacea. The objective was to investigate the effect of genetically predicted exposures to smoking and alcohol consumption on the risk of developing rosacea. Two-sample bidirectional Mendelian randomization (MR) was applied, accompanied by sensitive analyses to validate the robustness of findings. Furthermore, multivariable MR was conducted to evaluate the direct impact of smoking on rosacea.ResultsA decreased risk of rosacea was observed in individuals with genetically predicted lifetime smoking [odds ratio (OR)MR − IVW = 0.53; 95% confidence interval (CI), 0.318–0.897; P = 0.017], and number of cigarettes per day (ORMR − IVW = 0.55; 95% CI, 0.358–0.845; P = 0.006). However, no significant associations were found between initiation of regular smoking, smoking cessation, smoking initiation, alcohol consumption and rosacea. Reverse MR analysis did not show any associations between genetic liability toward rosacea and smoking or alcohol drinking. Importantly, the effect of lifetime smoking and the number of cigarettes per day on rosacea remained significant even after adjusting for alcohol consumption in multivariable MR analysis.ConclusionSmoking was causally related to a lower risk of rosacea, while alcohol consumption does not appear to be associated with risk of rosacea.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1320932/fullsmokingalcoholrosaceaMendelian randomizationcausality
spellingShingle Zhaowei Chu
Mengyao Yi
Cong Yan
Bingjie Li
Huan Zhang
Kun Guo
Songmei Geng
The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
Frontiers in Public Health
smoking
alcohol
rosacea
Mendelian randomization
causality
title The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
title_full The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
title_fullStr The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
title_full_unstemmed The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
title_short The impact of smoking and alcohol consumption on rosacea: a multivariable Mendelian randomization study
title_sort impact of smoking and alcohol consumption on rosacea a multivariable mendelian randomization study
topic smoking
alcohol
rosacea
Mendelian randomization
causality
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1320932/full
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