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Published on: July 21, 2023
Association of celiac disease and myocardial infarction: a systematic review and meta-analysis
Nikhil Sharma1,2, Muhammed Shabil3,4, Mahalaqua Nazli Khatib5
1Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Guwahati, 781101, India.
Insights
This meta-analysis found no significant link between celiac disease (CD) and myocardial infarction (MI). Further research is needed due to study heterogeneity and to explore cardiovascular risks in CD patients.
Area of Science:
- Cardiology
- Gastroenterology
- Epidemiology
Background:
- Celiac disease (CD) is an autoimmune disorder triggered by gluten, primarily impacting the gut but with potential cardiovascular implications.
- Emerging evidence suggests a link between CD and myocardial infarction (MI), yet existing studies present conflicting findings.
- This study systematically reviewed and meta-analyzed data to determine the risk of MI in individuals diagnosed with CD.
Approach:
- A comprehensive literature search was conducted across major databases (PubMed, Embase, Web of Science) up to August 2024.
- Included studies focused on the association between CD and MI in adult populations, extracting relevant effect estimates.
- A random-effects meta-analysis was performed using R software to calculate pooled hazard ratios (HRs) and odds ratios (ORs), assessing statistical heterogeneity.
Key Points:
- The meta-analysis included 8 studies, examining the association between celiac disease and myocardial infarction.
- Pooled HR analysis (HR=1.143, 95% CI: 0.619-2.109) and OR analysis (OR=0.879, 95% CI: 0.481-1.606) showed no statistically significant association.
- High heterogeneity was noted across studies (I²=86% for HR, 99% for OR), indicating significant variability in results.
Conclusions:
- This meta-analysis did not find a significant association between celiac disease and myocardial infarction.
- Substantial heterogeneity across studies underscores the need for larger, more homogeneous cohorts to clarify cardiovascular risks in CD patients.
- Future research should investigate specific subgroups and the influence of gluten-free diet adherence on cardiovascular outcomes in individuals with CD.
Background:
Celiac disease (CD) is an autoimmune disorder characterized by gluten intolerance, primarily affecting the gastrointestinal system but potentially influencing cardiovascular health. Emerging evidence suggests an association between CD and myocardial infarction (MI), though studies have produced inconsistent results. This study aimed to systematically review and conduct a meta-analysis of existing literature to quantify the risk of MI in individuals diagnosed with CD.
Methods:
A comprehensive literature search was performed across PubMed, Embase, and Web of Science up to August 2024. Studies were included if they investigated the association between CD and MI in adult populations and provided relevant effect estimates. Data from eligible studies were extracted, and a random-effects meta-analysis was conducted to calculate pooled hazard ratios (HRs) and odds ratios (ORs), along with an assessment of heterogeneity. Statistical analysis has been performed by R software (V 4.4).
Results:
A total of 8 studies were included in the systematic review. Pooled HR analysis showed no significant association between CD and MI (HR = 1.143, 95% CI: 0.619-2.109), and pooled OR analysis also revealed non-significant results (OR = 0.879, 95% CI: 0.481-1.606). High heterogeneity was observed (I2 = 86% for HR, 99% for OR).
Conclusion:
This meta-analysis found no significant association between CD and MI. However, substantial heterogeneity across studies indicates variability in results, highlighting the need for further research with larger, more homogeneous cohorts to better understand cardiovascular risks in CD patients. Future studies should explore subgroups and the impact of gluten-free diet adherence.
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