Causal Relationship Between Childhood Obesity and Sleep Apnea Syndrome: Bidirectional Two-Sample Mendelian

Ping Wang1, Shuli Liu1, Ling Min Kong1

  • 1Department of Pediatrics, The Second Affiliated Hospital of Shandong First Medical University, Taian, Shandong, 271000, People's Republic of China.

PubMed

Insights

Childhood obesity causally increases the risk of developing sleep apnea syndrome. Early prevention and management are crucial for individuals with a history of childhood obesity to mitigate sleep apnea risks.

Area of Science:

  • Genetics and Public Health
  • Epidemiology
  • Mendelian Randomization

Background:

  • Childhood obesity is a global pandemic linked to numerous diseases.
  • Childhood obesity is associated with an increased prevalence of sleep apnea syndrome.
  • Sleep apnea is a significant risk factor for serious health conditions like thrombosis and hypertension.

Purpose of the Study:

  • To investigate the potential causal relationship between childhood obesity and sleep apnea syndrome.
  • To provide research directions for future disease prevention and treatment strategies.
  • To confirm if genetic susceptibility to childhood obesity influences sleep apnea risk.

Main Methods:

  • Utilized GWAS-aggregated data from the IEU OpenGWAS project.
  • Employed Inverse-Variance Weighted (IVW) as the primary Mendelian Randomization method.
  • Screened single nucleotide polymorphisms (SNPs) as instrumental variables with a P-value threshold of <5.0×10⁻⁶.
  • Performed leave-one-out analysis to ensure result robustness.

Main Results:

  • Confirmed a causal relationship between genetic susceptibility to childhood obesity and an increased risk of sleep apnea syndrome (OR=1.12, P=0.016).
  • Found no evidence of a causal relationship between genetic susceptibility to sleep apnea syndrome and childhood obesity (OR=1.50, P=0.083).
  • MR-Egger regression intercept near zero indicated minimal confounding factors.

Conclusions:

  • Established a causal link between genetic predisposition to childhood obesity and a higher risk of sleep apnea syndrome.
  • Recommended increased vigilance in physical examinations for individuals with a history of childhood obesity.
  • Emphasized early prevention and management of sleep apnea syndrome in at-risk populations.
Abstract

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