Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study

ABSTRACT Background Previous studies have shown that neuroticism and artificially sweetened food all play essential roles in chronic pain to varying degrees. However, it is unclear precisely the causal relationship between neuroticism traits and chronic pain and whether an unhealthy sweetened food i...

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Main Authors: Huanghong Zhao, Dongsheng Guan, Zhen Ma, Minghui Yang, Ning Dong, Jian Guo
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70476
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author Huanghong Zhao
Dongsheng Guan
Zhen Ma
Minghui Yang
Ning Dong
Jian Guo
author_facet Huanghong Zhao
Dongsheng Guan
Zhen Ma
Minghui Yang
Ning Dong
Jian Guo
author_sort Huanghong Zhao
collection DOAJ
description ABSTRACT Background Previous studies have shown that neuroticism and artificially sweetened food all play essential roles in chronic pain to varying degrees. However, it is unclear precisely the causal relationship between neuroticism traits and chronic pain and whether an unhealthy sweetened food is a mediator in this process. Methods This study employed rigorous research methods to ensure the validity of the findings. We utilized Mendelian randomization (MR) to examine the causal relationships between neuroticism traits, artificially sweetened food, and chronic pain. The data encompass four neuroticism traits (neuroticism, experiencing mood swings, depressed affect, and worry), consumption levels of nine artificially sweetened foods, and seven types of chronic pain. The primary statistical method employed was inverse variance weighting (IVW). Eventually, we explored whether artificially sweetened food serves as a mediator in the relationship between neuroticism traits and chronic pain. Results We found that genetic predisposition to higher neuroticism traits and the consumption of artificial sweeteners is associated with an increased risk of chronic pain across multiple sites. Reverse MR analysis also confirms that chronic pain at multiple sites similarly increases the risk of neuroticism traits. Two‐step MR suggests the mediating effects of five artificial sweeteners on sciatica: low back pain, thoracic pain, low back pain, joint pain, and muscular pain. These findings could inform interventions and treatments for chronic pain. Conclusion Neuroticism traits and chronic pain have causal relationships, with artificially sweetened food mediating the pathway from neuroticism traits to chronic pain.
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spelling doaj-art-927ba6d955934db8b4045f2b8407aad52025-08-20T02:20:03ZengWileyBrain and Behavior2162-32792025-04-01154n/an/a10.1002/brb3.70476Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization StudyHuanghong Zhao0Dongsheng Guan1Zhen Ma2Minghui Yang3Ning Dong4Jian Guo5Henan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaHenan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaHenan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaHenan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaHenan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaHenan Provincial Hospital of Traditional Chinese Medicine Zhengzhou ChinaABSTRACT Background Previous studies have shown that neuroticism and artificially sweetened food all play essential roles in chronic pain to varying degrees. However, it is unclear precisely the causal relationship between neuroticism traits and chronic pain and whether an unhealthy sweetened food is a mediator in this process. Methods This study employed rigorous research methods to ensure the validity of the findings. We utilized Mendelian randomization (MR) to examine the causal relationships between neuroticism traits, artificially sweetened food, and chronic pain. The data encompass four neuroticism traits (neuroticism, experiencing mood swings, depressed affect, and worry), consumption levels of nine artificially sweetened foods, and seven types of chronic pain. The primary statistical method employed was inverse variance weighting (IVW). Eventually, we explored whether artificially sweetened food serves as a mediator in the relationship between neuroticism traits and chronic pain. Results We found that genetic predisposition to higher neuroticism traits and the consumption of artificial sweeteners is associated with an increased risk of chronic pain across multiple sites. Reverse MR analysis also confirms that chronic pain at multiple sites similarly increases the risk of neuroticism traits. Two‐step MR suggests the mediating effects of five artificial sweeteners on sciatica: low back pain, thoracic pain, low back pain, joint pain, and muscular pain. These findings could inform interventions and treatments for chronic pain. Conclusion Neuroticism traits and chronic pain have causal relationships, with artificially sweetened food mediating the pathway from neuroticism traits to chronic pain.https://doi.org/10.1002/brb3.70476artificially sweetened foodchronic paindepressed affectexperiencing mood swingsmediation analysisMendelian randomization
spellingShingle Huanghong Zhao
Dongsheng Guan
Zhen Ma
Minghui Yang
Ning Dong
Jian Guo
Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
Brain and Behavior
artificially sweetened food
chronic pain
depressed affect
experiencing mood swings
mediation analysis
Mendelian randomization
title Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
title_full Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
title_fullStr Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
title_full_unstemmed Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
title_short Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study
title_sort artificially sweetened food mediates the perception of chronic pain in individuals with neuroticism traits a mendelian randomization study
topic artificially sweetened food
chronic pain
depressed affect
experiencing mood swings
mediation analysis
Mendelian randomization
url https://doi.org/10.1002/brb3.70476
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