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Interplay between attention-deficit/hyperactivity disorder, educational attainment, and vascular risk factors

Insights from Mendelian randomization analyses

Bibliographic Data

ID10124803
AuthorsJiahao Song (0009-0001-7809-0187, Capital Medical University), Da Zhou (0000-0002-9463-6637, Capital Medical University), Haiyue Zhang (0000-0002-7143-9550, Capital Medical University), Jingrun Li (Capital Medical University), Chuanjie Wu (0000-0002-0494-416X, Capital Medical University), Lili Cui (0009-0005-1486-2503, Capital Medical University), Haiqing Song (0000-0003-0390-0920, Capital Medical University), Xunming Ji (0000-0003-0293-2744, Capital Medical University), Lina Jia (0000-0002-1823-2833, Capital Medical University, corresponding author), Ran Meng (0000-0003-1190-4710, Capital Medical University, corresponding author)
Year2025
Volume153
Issue1
Pages106-129
Publication date2025-07-21
Open AccessNo
TypeARTICLE
VenueThe Journal of General Psychology (JOURNAL)
Journal identifiersISSN: 0022-1309 • E-ISSN: 1940-0888
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00221309.2025.2525809
PMID40692194
OpenAlexW4412545997
LanguageEN
References cited60

The causal relationships between attention-deficit/hyperactive disorder (ADHD) and vascular risk factors remain insufficiently understood. This study aimed to comprehensively investigate the causal effects of ADHD on vascular risk factors and identify crucial mediators in these relationships. Utilizing instrumental variables from genome-wide association study (GWAS) datasets, we applied two-sample Mendelian randomization (MR) to explore the causal influences of ADHD on adiposity-related traits, blood pressure regulation, glucose metabolism, lipid profiles, lifestyle habits, chronic kidney disease, and systemic inflammation. Additionally, two-step MR was employed to evaluate the mediating effect of educational attainment (EA) in each newly established causal pair. Genetically determined ADHD was causally linked to increased body mass index (BMI, β = 0.054, p = 1.01E-08), waist-to-hip ratio (WHR, β = 0.041, p = 1.65E-07), waist circumference (WC, β = 0.048, p = 5.78E-15), body fat percentage (BF%, β = 0.024, p = 7.19E-05), risk of type-2 diabetes mellitus (T2DM, OR = 1.104, p = 6.07E-07), and number of cigarettes smoked per day (β = 0.094, p = 3.99E-06), earlier smoking initiation (β = 0.115, p = 2.71E-12), and higher levels of C-reactive protein (CRP, β = 0.054, p = 6.35E-14). Furthermore, EA was demonstrated to play a key mediating role in these causal relationships, with mediation proportions ranging from 41.67% to 11.30%. Our MR analyses supported the causal impacts of ADHD on several vascular risk factors, including BMI, WHR, WC, BF%, T2DM, early smoking initiation, cigarettes consumed per day, and CRP. Moreover, we recognized EA as a critical mediator underlying the established causal pathways. Overall, this study highlighted that individuals with ADHD were more likely to suffer from obesity, T2DM, poor lifestyle habits, and intense inflammation

Attention deficit disorder · Biology · Developmental psychology · Educational attainment · Gene · Genetic variants · Mendelian randomization · Political science · Psychiatry · Randomization · Randomized controlled trial · Attention Deficit Hyperactivity Disorder · Blood Pressure and Hypertension Studies · Clinical Psychology · Genetic Associations and Epidemiology · Genetics · Internal Medicine · Medicine · Obesity, Physical Activity, Diet · Psychology

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