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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.
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.
Background:
Childhood obesity has become a global pandemic, leading to a range of diseases. Childhood obesity appears to be associated with an increased prevalence of sleep apnea syndrome. Sleep apnea is an inestimable risk factor for thrombosis, hypertension, cardiomyopathy and many other diseases. Therefore, exploring the relationship between childhood obesity and sleep apnea syndrome will help to understand the potential link between the two and provide research directions for future disease prevention and treatment. However, no studies have confirmed whether there is a causal relationship between childhood obesity and sleep apnea syndrome.
Methods:
The IEU OpenGWAS project provided the GWAS-aggregated data for childhood obesity and sleep apnea syndrome. Inverse-variance weighted (IVW) was used as the main method to evaluate the causal relationship between childhood obesity and sleep apnea syndrome. Single nucleotide polymorphisms (SNPs) were regarded as instrumental variables, and the screening threshold was P <5.0×10-6. Leave-one-out method was performed to confirm the robustness of the results.
Results:
IVW analysis confirmed a causal relationship between genetic susceptibility to childhood obesity and an increased risk of sleep apnea syndrome [odds ratio (OR)=1.12, 95% confidence interval (CI): 1.02-1.23, P=0.016]. However, two-sample MR results also showed no causal relationship between genetic susceptibility to sleep apnea syndrome and an increased risk of childhood obesity (OR=1.50, 95% CI: 0.95-2.38, P=0.083). The intercept of MR-Egger regression was close to 0, which implies that there are no confounding factors in the analysis to affect the results of two-sample MR analysis. The leave-one-out results show that the bidirectional two-sample MR analysis results were robust.
Conclusion:
There is a causal relationship between genetic susceptibility to childhood obesity and increased risk of sleep apnea syndrome. People with a history of childhood obesity should pay more attention to physical examination to early prevention and management of sleep apnea syndrome.
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