Meta-analysis2022

Coffee and Caffeine Consumption and Risk of Kidney Stones: A Mendelian Randomization Study

Yuan S, Larsson SC

American journal of kidney diseases : the official journal of the National Kidney Foundation · 87 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Government
Vetenskapsrådet
Government
Forskningsrådet om Hälsa, Arbetsliv och Välfärd
Grants
Vetenskapsrådet (2019-00977); Forskningsrådet om Hälsa, Arbetsliv och Välfärd (2018-00123)

Based on 2 listed funder(s).

Publication

Published
2021-10-21 · Am J Kidney Dis · vol. 79 · issue 1 · pp. 9–14.e1
Publisher
Elsevier BV
Cited
111 citations · more than 99% of similar papers · 11.4× the field average
Impact
Top 10% most cited in its field
References
35 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Kidney Stones and Urolithiasis Treatments · Coffee research and impacts · Chronic Kidney Disease and Diabetes
Keywords
Mendelian randomization, Medicine, Caffeine, Kidney stones, Observational study, Odds ratio, Randomization, Internal medicine, Randomized controlled trial, Genetics, Biology, Genetic variants, Gene, Genotype
MeSH
humans, kidney calculi, caffeine, risk factors, coffee, genome-wide association study, mendelian randomization analysis

2 authors

From SE

  • Shuai YuanKarolinska Institutet
  • Susanna C. Larsson · correspondingUppsala University; Karolinska Institutet

Abstract

Rationale & objective

Coffee and caffeine consumption have been associated with a lower risk of kidney stones in observational studies. We conducted a Mendelian randomization study to assess the causal nature of these associations.

Study design

Mendelian randomization analysis.

Setting & participants

Independent genetic variants associated with coffee and caffeine consumption at the genome-wide significance level were selected from previously published meta-analyses as instrumental variables. Summary-level data for kidney stones were obtained from the UK Biobank study (6,536 cases and 388,508 noncases) and the FinnGen consortium (3,856 cases and 172,757 noncases).

Exposure

Genetically predicted coffee and caffeine consumption.

Outcome

Clinically diagnosed kidney stones.

Analytical approach

Mendelian randomization methods were used to calculate causal estimates. Estimates from the 2 sources were combined using the fixed-effects meta-analysis methods.

Results

Genetically predicted coffee and caffeine consumption was associated with a lower risk of kidney stones in the UK Biobank study, and the associations were directionally similar in the FinnGen consortium. The combined odds ratio of kidney stones was 0.60 (95% CI, 0.46-0.79; P < 0.001) per a genetically predicted 50% increase in coffee consumption and 0.81 (95% CI, 0.69-0.94; P = 0.005) per a genetically predicted 80-mg increase in caffeine consumption.

Limitations

Genetic influence on kidney stone risk via pathways not involving coffee or caffeine.

Conclusions

Using genetic data, this study provides evidence that higher coffee and caffeine consumption may cause a reduction in kidney stones.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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