Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study

Abstract Previous studies have associated different beverage types with frailty and sarcopenia, it remains uncertain whether these associations are causal. This Mendelian randomization study aimed to investigate the causal effects of various beverage consumption on frailty and sarcopenia-related tra...

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Main Authors: Xingzhi Guo, Chen Hou, Peng Tang, Lina Zhang, Rui Li
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-025-06307-8
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author Xingzhi Guo
Chen Hou
Peng Tang
Lina Zhang
Rui Li
author_facet Xingzhi Guo
Chen Hou
Peng Tang
Lina Zhang
Rui Li
author_sort Xingzhi Guo
collection DOAJ
description Abstract Previous studies have associated different beverage types with frailty and sarcopenia, it remains uncertain whether these associations are causal. This Mendelian randomization study aimed to investigate the causal effects of various beverage consumption on frailty and sarcopenia-related traits. Independent genetic variants strongly (P < 5E-8) associated with sweet and bitter beverages and their subtypes were used as instrumental variables. Summary-level data from recent genome-wide association studies on frailty index (FI), appendicular lean mass (ALM), and low hand grip strength (LHGS) were utilized, with false discovery rate (FDR) adjustment for multiple comparisons. Genetically predicted consumption of bitter non-alcoholic beverages (BNaBs) was associated with increased FI (β = 0.16, 95%CI: 0.04–0.28, PFDR=0.020) and decreased ALM (β=-0.18, 95%CI: -0.31 to -0.06, PFDR=0.019). Moreover, total bitter beverage and BNaBs consumption showed a suggestive association with an elevated risk of LHGS (Praw<0.05). However, the consumption of total sweet beverages, but not sugar-sweetened beverages, was associated with decreased FI and increased ALM. No causal effects on frailty and sarcopenia-related traits were observed for coffee, tea, or bitter alcoholic beverages. These findings suggest that the consumption of bitter beverages, particularly BNaBs, may be linked to the development of muscle weakness and frailty.
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series BMC Geriatrics
spelling doaj-art-76e636a3c670496ea06bdc02b8aaacd42025-08-20T03:42:07ZengBMCBMC Geriatrics1471-23182025-08-012511910.1186/s12877-025-06307-8Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization studyXingzhi Guo0Chen Hou1Peng Tang2Lina Zhang3Rui Li4Department of Geriatric Neurology, Shaanxi Provincial People’s HospitalDepartment of Geriatric Neurology, Shaanxi Provincial People’s HospitalDepartment of Geriatric Neurology, Shaanxi Provincial People’s HospitalDepartment of Geriatric Neurology, Shaanxi Provincial People’s HospitalDepartment of Geriatric Neurology, Shaanxi Provincial People’s HospitalAbstract Previous studies have associated different beverage types with frailty and sarcopenia, it remains uncertain whether these associations are causal. This Mendelian randomization study aimed to investigate the causal effects of various beverage consumption on frailty and sarcopenia-related traits. Independent genetic variants strongly (P < 5E-8) associated with sweet and bitter beverages and their subtypes were used as instrumental variables. Summary-level data from recent genome-wide association studies on frailty index (FI), appendicular lean mass (ALM), and low hand grip strength (LHGS) were utilized, with false discovery rate (FDR) adjustment for multiple comparisons. Genetically predicted consumption of bitter non-alcoholic beverages (BNaBs) was associated with increased FI (β = 0.16, 95%CI: 0.04–0.28, PFDR=0.020) and decreased ALM (β=-0.18, 95%CI: -0.31 to -0.06, PFDR=0.019). Moreover, total bitter beverage and BNaBs consumption showed a suggestive association with an elevated risk of LHGS (Praw<0.05). However, the consumption of total sweet beverages, but not sugar-sweetened beverages, was associated with decreased FI and increased ALM. No causal effects on frailty and sarcopenia-related traits were observed for coffee, tea, or bitter alcoholic beverages. These findings suggest that the consumption of bitter beverages, particularly BNaBs, may be linked to the development of muscle weakness and frailty.https://doi.org/10.1186/s12877-025-06307-8BeverageBitterFrailtyMendelian randomizationSarcopenia
spellingShingle Xingzhi Guo
Chen Hou
Peng Tang
Lina Zhang
Rui Li
Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
BMC Geriatrics
Beverage
Bitter
Frailty
Mendelian randomization
Sarcopenia
title Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
title_full Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
title_fullStr Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
title_full_unstemmed Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
title_short Habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia-related traits: a Mendelian randomization study
title_sort habitual sweet and bitter beverage consumption in relation to the risk of frailty and sarcopenia related traits a mendelian randomization study
topic Beverage
Bitter
Frailty
Mendelian randomization
Sarcopenia
url https://doi.org/10.1186/s12877-025-06307-8
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