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Screen Time and Chronic Pain Health: Mendelian Randomization Study
Jiahui Jiang1, Chunyan Pu1, Jiarui Cai1
1Department of Maternal and Child Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.
Increased screen time, particularly watching TV and using mobile phones, is linked to higher risks of chronic pain. Computer use showed a protective association, but confounding factors cannot be ruled out.
Area of Science:
- Genetics
- Epidemiology
- Computational Biology
Background:
- Growing use of electronic devices leads to increased screen time, raising health concerns, including chronic pain.
- Previous studies on screen time and chronic pain have limitations in scope, causal inference, and exploring biological mechanisms.
Purpose of the Study:
- To investigate causal associations between different screen time behaviors and chronic pain phenotypes.
- To identify shared biological mechanisms underlying these associations using genetic data.
Main Methods:
- Utilized genome-wide association study data for two-sample Mendelian randomization (MR), reverse MR, and multivariable MR (MVMR).
- Analyzed associations between television watching, computer use, mobile phone use, and chronic pain phenotypes (multisite chronic pain, back, knee, neck/shoulder, hip pain, headaches).
- Employed Summary data-based Mendelian randomization (SMR), transcriptome-wide association study (TWAS), and colocalization analysis to find shared genes and biological pathways.
Main Results:
- Watching television and mobile phone use were positively associated with increased risk for several chronic pain types, including multisite chronic pain (MCP).
- Computer use showed a negative association with MCP, back, and knee pain.
- Integrative analyses identified CEP170 as a key gene potentially mediating the link between computer use and MCP.
Conclusions:
- Screen time is associated with various chronic pain conditions.
- The CEP170 gene may play a role in the biological mechanisms linking computer use and MCP.
- The lack of robust MVMR results necessitates caution regarding potential confounding factors.
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