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Evidence of a Causal Link Between the Well-Being Spectrum and the Risk of Myocardial Infarction: A Mendelian Randomization Study
Uppsala University, Sweden.ORCID iD: 0000-0002-3873-7943
Uppsala University, Sweden; Harvard Medical School, USA.ORCID iD: 0000-0002-3873-7943
Uppsala University, Sweden.ORCID iD: 0000-0003-2335-8542
Uppsala University, Sweden.ORCID iD: 0000-0001-7112-0921
2022 (English)In: Frontiers in Genetics, E-ISSN 1664-8021, Vol. 13Article in journal (Refereed) Published
Abstract [en]

Epidemiological studies have provided extensive evidence regarding the role of psychological risk factors in the pathogenesis of cardiovascular disease (CVD), but whether these associations are causal in nature is still unknown. We aimed to investigate whether the association between the wellbeing spectrum (WBS; derived from four psychological traits including life satisfaction, positive affect, neuroticism, and depressive symptoms) and CVD risk is causal. By employing a two-sample Mendelian randomization (MR) approach, the effect of the WBS on four CVD outcomes, including atrial fibrillation, heart failure, myocardial infarction, and ischemic stroke, was investigated. The genetically predicted WBS was associated with 38% lower risk for heart failure (odds ratio (OR): 0.62; 95% confidence interval [CI]: 0.50-0.78; P: 2.2 x 10(-5)) and 40% reduced risk of myocardial infarction (OR: 0.60; 95% CI: 0.47-0.78; P: 1.1 x 10(-4)). Of the WBS constituent traits, only depressive symptoms showed a positive causal association with heart failure and myocardial infarction. Neither WBS nor WBS constituent traits were associated with atrial fibrillation and ischemic stroke. In multivariable MR analyses, when genetic instruments for traditional CVD risk factors were also taken into consideration, the WBS was causally associated with a reduced risk for heart failure (OR: 0.72; 95% CI: 0.58-0.88; P: 0.001) and myocardial infarction (OR: 0.67; 95% CI: 0.52-0.86; P: 0.002). This study provides evidence that a higher WBS is causally associated with a decreased risk of developing CVD and, more specifically, myocardial infarction; moreover, the association is mainly driven by depressive symptoms. These results support current guidelines that suggest improving psychological wellbeing may help in reducing the burden of cardiovascular disease.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022. Vol. 13
Keywords [en]
wellbeing, cardiovascular disease, Mendelian randomization, depressive symptoms, neuroticism, positive affect, life satisfaction
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:sh:diva-55069DOI: 10.3389/fgene.2022.842223ISI: 000795840500001Scopus ID: 2-s2.0-85130194373OAI: oai:DiVA.org:sh-55069DiVA, id: diva2:1907748
Funder
Swedish Society for Medical Research (SSMF)Swedish Research CouncilSwedish Heart Lung FoundationSwedish Research Council FormasHenning and Johan Throne-Holsts Foundation for the Promotion of Scientific ResearchAvailable from: 2024-10-23 Created: 2024-10-23 Last updated: 2025-10-07Bibliographically approved

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Ahmad, Shafqat

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Rukh, GullAhmad, ShafqatLind, LarsSchiöth, Helgi Birgir
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CiteExportLink to record
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