The genetic causal association between arthritis and low back pain

Abstract Background Arthritis and low back pain (LBP) are prevalent musculoskeletal conditions with a perceived association. Previous observational studies have suggested a possible link between arthritis and LBP, but causality has not been firmly established. Methods The analysis involved data from...

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Main Authors: Aimin Gong, Daniel Yang, Mengjie Zeng
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:JOR Spine
Subjects:
Online Access:https://doi.org/10.1002/jsp2.70023
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author Aimin Gong
Daniel Yang
Mengjie Zeng
author_facet Aimin Gong
Daniel Yang
Mengjie Zeng
author_sort Aimin Gong
collection DOAJ
description Abstract Background Arthritis and low back pain (LBP) are prevalent musculoskeletal conditions with a perceived association. Previous observational studies have suggested a possible link between arthritis and LBP, but causality has not been firmly established. Methods The analysis involved data from a meta‐analysis of genome‐wide association studies sourced from the UK Biobank Genetics resources on rheumatoid arthritis (RA), osteoarthritis (OA) at any site, knee osteoarthritis (KOA), hip osteoarthritis (HOA), and LBP. Two‐sample Mendelian randomization analysis was utilized to evaluate the causal link between arthritis and LBP. The primary method employed was inverse‐variance weighting (IVW), with additional techniques such as MR‐Egger, weighted median, Cochran Q statistic, and leave‐one‐out analysis used to identify heterogeneity and pleiotropy. Results Genetically determined RA exhibited a causal impact on LBP (Weighted median: odds ratio [OR] = 1.094, 95% confidence interval [CI] 1.002–1.195, p = 0.043). Furthermore, OA at any site and KOA showed causal associations with LBP (Inverse variance weighted: OR = 1.089, 95% CI 1.011–1.173, p = 0.026) and (OR = 1.0004, 95% CI 1.000–1.008, p = 0.019), respectively. Additionally, HOA was also linked causally with an elevated risk of developing LBP (Weighted median: OR = 1.002, 95% CI 1.000–1.004, p = 0.049; Inverse variance weighted: OR = 1.002, 95% CI 1.001–1.004, p = 0.003). Conclusions This study offers genetic evidence supporting the causal relationship between RA, OA at any site, KOA, HOA and the increased risk of LBP, especially highlighting the significant impact of HOA.
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spelling doaj-art-6a6a5ee946aa484f8d5a1d0df43eedcd2025-08-20T02:43:38ZengWileyJOR Spine2572-11432024-12-0174n/an/a10.1002/jsp2.70023The genetic causal association between arthritis and low back painAimin Gong0Daniel Yang1Mengjie Zeng2Department of Traditional Chinese Medicine Hainan Medical University Haikou People's Republic of ChinaSchool of Public Health and Preventive Medicine, Monash University Melbourne Victoria AustraliaSchool of Public Health and Preventive Medicine, Monash University Melbourne Victoria AustraliaAbstract Background Arthritis and low back pain (LBP) are prevalent musculoskeletal conditions with a perceived association. Previous observational studies have suggested a possible link between arthritis and LBP, but causality has not been firmly established. Methods The analysis involved data from a meta‐analysis of genome‐wide association studies sourced from the UK Biobank Genetics resources on rheumatoid arthritis (RA), osteoarthritis (OA) at any site, knee osteoarthritis (KOA), hip osteoarthritis (HOA), and LBP. Two‐sample Mendelian randomization analysis was utilized to evaluate the causal link between arthritis and LBP. The primary method employed was inverse‐variance weighting (IVW), with additional techniques such as MR‐Egger, weighted median, Cochran Q statistic, and leave‐one‐out analysis used to identify heterogeneity and pleiotropy. Results Genetically determined RA exhibited a causal impact on LBP (Weighted median: odds ratio [OR] = 1.094, 95% confidence interval [CI] 1.002–1.195, p = 0.043). Furthermore, OA at any site and KOA showed causal associations with LBP (Inverse variance weighted: OR = 1.089, 95% CI 1.011–1.173, p = 0.026) and (OR = 1.0004, 95% CI 1.000–1.008, p = 0.019), respectively. Additionally, HOA was also linked causally with an elevated risk of developing LBP (Weighted median: OR = 1.002, 95% CI 1.000–1.004, p = 0.049; Inverse variance weighted: OR = 1.002, 95% CI 1.001–1.004, p = 0.003). Conclusions This study offers genetic evidence supporting the causal relationship between RA, OA at any site, KOA, HOA and the increased risk of LBP, especially highlighting the significant impact of HOA.https://doi.org/10.1002/jsp2.70023arthritisgeneticlow back painMendelian randomization
spellingShingle Aimin Gong
Daniel Yang
Mengjie Zeng
The genetic causal association between arthritis and low back pain
JOR Spine
arthritis
genetic
low back pain
Mendelian randomization
title The genetic causal association between arthritis and low back pain
title_full The genetic causal association between arthritis and low back pain
title_fullStr The genetic causal association between arthritis and low back pain
title_full_unstemmed The genetic causal association between arthritis and low back pain
title_short The genetic causal association between arthritis and low back pain
title_sort genetic causal association between arthritis and low back pain
topic arthritis
genetic
low back pain
Mendelian randomization
url https://doi.org/10.1002/jsp2.70023
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