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An Exploratory Analysis of Essential Tremor and Associated Phenotypes Cover

An Exploratory Analysis of Essential Tremor and Associated Phenotypes

Open Access
|Apr 2026

Figures & Tables

Table 1

GWAS data source publications and sample sizes of tested phenotypes.

TRAITPUBLICATION DATEREFERENCE NUMBERNUMBER OF CASESNUMBER OF CONTROLS
Essential Tremor2024[6]16,480      1,936,173
Bipolar Disorder2021[64]41,917      371,549
Cigarettes per Day2022[65]784,353
Coffee Consumption2019[66]358,093
Cognition2024[67]455,496
Alcohol Consumption (Drinks per Week)2022[65]2,965,643
Essential Hypertension2019[66]99,665      289,307
Hearing Loss2019[66]96,354      274,359
Insomnia2022[68]593,724      1,771,286
Low-Density Lipoprotein (LDL) Levels2021[69]1,320,016
Major Depressive Disorder (MDD)2019[70]246,363      561,190
Parkinson’s Disease2019[71]39,275      1,411,006
25-OH Vitamin D Levels2023[72]421,867

[i] *For multi-ancestry GWASes, the European ancestry cohort of the population was extracted, and reported sample sizes are from exclusively that subset.

Figure 1

Bidirectional Mendelian randomization results for essential tremor with all phenotypes . The forest plots depict Mendelian randomization (MR) analyses results when (A) essential tremor is the exposure with all other traits as outcomes, and MR results when (B) all other traits are the exposure and essential tremor is the outcome. Mendelian randomization analysis method results are shown separately by color.

Table 2

Number of instrumental variables retained by test and significant results.

EXPOSUREOUTCOMENUMBER OF IVS RETAINEDNOMINALLY SIGNIFICANT RESULTS
Essential tremorBipolar disorder27N/A
Bipolar disorderEssential tremor58N/A
Essential tremorCigarettes smoked per day27N/A
Cigarettes smoked per dayEssential tremor56N/A
Essential tremorCoffee consumption26N/A
Coffee ConsumptionEssential tremor34N/A
Essential tremorCognition21N/A
CognitionEssential tremor50N/A
Essential tremorDrinks (alcohol) consumed per week27N/A
Drinks (alcohol) consumed per weekEssential tremor83MR Egger
(p = 4.72e-02)
Essential tremorEssential hypertension27N/A
Essential hypertensionEssential tremor165N/A
Essential tremorHearing loss27N/A
Hearing lossEssential tremor30N/A
Essential tremorInsomnia12N/A
InsomniaEssential tremor7N/A
Essential tremorlow-density-lipoprotein levels25N/A
low-density-lipoprotein levelsEssential tremor438N/A
Essential tremorMajor depressive disorder24N/A
Major depressive disorderEssential tremor32N/A
Essential tremorParkinson’s disease25Inverse variance weighted
(p = 5.06e-03)
Parkinson’s diseaseEssential tremor23N/A
Essential tremor25-OH Vitamin D27N/A
25-OH Vitamin DEssential tremor122MR Egger
(p = 4.72e-02)
Figure 2

Structural Equation Model of ET and associated traits. The figure depicts the interactions between unobserved latent variables (shown in ellipses) and observed phenotypes (in squares). Unidirectional arrows from latent variables to traits represent the loading of the phenotype onto the factor, with loading coefficients written on the arrow, and standard deviations in parentheses underneath. The portion of variance in the trait unexplained by its loading on to the factor is found on the double-barbed curved arrows pointing from the trait to itself, with standard deviations in parenthesis. Finally, the curved arrows between latent variables represent the degree of interaction between latent variables, with standard deviations in parenthesis. The model metrics (CFI and SRMR) are shown in the top left corner.

DOI: https://doi.org/10.5334/tohm.1168 | Journal eISSN: 2160-8288
Language: English
Page range: 27 - 27
Submitted on: Jan 19, 2026
Accepted on: Apr 9, 2026
Published on: Apr 28, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Dylan Gharibian, Miranda Medeiros, Patrick A. Dion, Guy A. Rouleau, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.