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Published on: February 9, 2021
Causal association between sleep disorders and nephrolithiasis: a two-sample Mendelian randomization study.
Lewei Huang1, Lianhui Fan2, Shudong Wang3
1Department of Respiratory Diseases, General Hospital of Northern Theater Command, Shenyang, 110015, China.
This study found a causal link between sleep disorders and an increased risk of kidney stones (nephrolithiasis). Genetically predicted sleep apnea and combined sleep disorders were associated with higher nephrolithiasis risk.
Area of Science:
- Nephrology
- Sleep Medicine
- Genetics
Background:
- Observational studies suggest a link between sleep disorders and kidney stones (nephrolithiasis).
- The causal nature of this association remains unclear.
- Investigating genetic predispositions can help determine causality.
Purpose of the Study:
- To investigate the causal relationship between genetically determined sleep disorders and the risk of nephrolithiasis.
- Utilizing a two-sample Mendelian randomization (MR) approach.
Main Methods:
- Employed a two-sample MR design using genome-wide association study summary data for sleep disorders and nephrolithiasis.
- Primary analysis used the inverse variance weighted method.
- Confirmatory analyses included weighted mode, weighted median, and MR-Egger regression; sensitivity analyses involved Cochran's Q-test, MR-Egger intercept, and leave-one-out analysis.
Main Results:
- Genetically predicted sleep apnea showed a significant association with increased risk of nephrolithiasis (OR=1.0032, P=0.0025).
- Combined sleep disorders were also causally associated with a higher risk of nephrolithiasis (OR=1.0042, P=0.0032).
- Sensitivity analyses confirmed the robustness of these findings, with no evidence of significant heterogeneity or pleiotropy.
Conclusions:
- This Mendelian randomization study provides evidence for a causal link between sleep disorders and nephrolithiasis.
- Further research is warranted to explore the underlying biological mechanisms.
- These findings may inform clinical strategies for kidney stone prevention in individuals with sleep disorders.
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