Causal Relationship Between Hypertension and Schizophrenia

ChaoBiao Xue1, Yifan Sun2, Weiyuan He3

  • 1Department of Psychological Medicine, Shantou Central Hospital.

International Heart Journal
|November 30, 2025
PubMed

Insights

This study found no causal link between hypertension and schizophrenia using genetic data. Bidirectional Mendelian randomization analysis confirmed that neither condition directly causes the other, offering clarity on their complex relationship.

Area of Science:

  • Genetics
  • Psychiatry
  • Cardiovascular Health

Background:

  • Hypertension is a major global health issue and risk factor for various diseases.
  • Schizophrenia is a chronic psychiatric disorder with significant individual and societal impact.
  • The relationship between hypertension and schizophrenia is complex and not fully understood.

Purpose of the Study:

  • To investigate the potential causal relationship between hypertension and schizophrenia.
  • To determine if hypertension causally influences schizophrenia risk.
  • To assess if schizophrenia causally influences hypertension risk.

Main Methods:

  • Utilized bidirectional Mendelian randomization (MR) analysis.
  • Employed genetic instruments derived from genome-wide association study (GWAS) datasets.
  • Applied the inverse-variance weighted (IVW) method with sensitivity analyses for robustness.

Main Results:

  • No significant causal association was found between genetically predicted hypertension and schizophrenia risk in discovery, validation, and meta-analysis groups.
  • Genetically predicted schizophrenia showed no significant association with an increased risk of hypertension.
  • Sensitivity analyses confirmed the robustness of the null findings.

Conclusions:

  • This study provides evidence against a direct causal link between hypertension and schizophrenia.
  • The findings suggest that observed associations may be due to other factors, not direct causation.
  • Further research may explore shared genetic or environmental factors contributing to both conditions.

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