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Alcohol consumption and cognitive performance : a Mendelian randomization study

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Kumari, Meena, Holmes, Michael V., Dale, Caroline E., Hubacek, Jaroslav A., Palmer, Tom M., Pikhart, Hynek, Peasey, Anne, Britton, Annie, Horvat, Pia, Kubinova, Ruzena et al.
(2014) Alcohol consumption and cognitive performance : a Mendelian randomization study. Addiction, Volume 109 (Number 9). pp. 1462-1471. doi:10.1111/add.12568 ISSN 0965-2140.

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Official URL: http://dx.doi.org/10.1111/add.12568

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Abstract

Aims
To use Mendelian randomization to assess whether alcohol intake was causally associated with cognitive function.

Design
Mendelian randomization using a genetic variant related to alcohol intake (ADH1B rs1229984) was used to obtain unbiased estimates of the association between alcohol intake and cognitive performance.

Setting
Europe.

Participants
More than 34 000 adults.

Measurements
Any versus no alcohol intake and units of intake in the previous week was measured by questionnaire. Cognitive function was assessed in terms of immediate and delayed word recall, verbal fluency and processing speed.

Findings
Having consumed any versus no alcohol was associated with higher scores by 0.17 standard deviations (SD) [95% confidence interval (CI) = 0.15, 0.20] for immediate recall, 0.17 SD (95% CI = 0.14, 0.19) for delayed recall, 0.17 SD (95% CI = 0.14, 0.19) for verbal fluency and 0.12 SD (95% CI = 0.09, 0.15) for processing speed. The minor allele of rs1229984 was associated with reduced odds of consuming any alcohol (odds ratio = 0.87; 95% CI = 0.80, 0.95; P = 0.001; R2 = 0.1%; F-statistic = 47). In Mendelian randomization analysis, the minor allele was not associated with any cognitive test score, and instrumental variable analysis suggested no causal association between alcohol consumption and cognition: −0.74 SD (95% CI = −1.88, 0.41) for immediate recall, −1.09 SD (95% CI = −2.38, 0.21) for delayed recall, −0.63 SD (95% CI = −1.78, 0.53) for verbal fluency and −0.16 SD (95% CI = −1.29, 0.97) for processing speed.

Conclusions
The Mendelian randomization analysis did not provide strong evidence of a causal association between alcohol consumption and cognitive ability.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Addiction
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0965-2140
Official Date: 2014
Dates:
DateEvent
2014Published
9 April 2014Available
31 March 2014Accepted
18 September 2013Submitted
Volume: Volume 109
Number: Number 9
Page Range: pp. 1462-1471
DOI: 10.1111/add.12568
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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