遗传肥胖和心房的风险:根据孟德尔随机化的因果估计
Neal A Chatterjee1, Franco Giulianini1, Bastiaan Geelhoed2
1Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Circulation
|December 16, 2016
概括
这项研究使用遗传数据证实较高的体重指数 (BMI) 与心房动 (AF) 的风险增加之间的因果关系. 这些发现表明,预防肥胖可能会降低AF发病率.
科学领域:
- 心血管遗传学
- 流行病学
- 肥胖研究
背景情况:
- 观察性研究表明身体质量指数 (BMI) 和心房 (AF) 之间存在联系,但由于潜在的偏差,因果关系尚不确定.
- 门德尔的随机化用于克服观察数据的局限性,并推断因果关系.
研究的目的:
- 通过使用遗传变异作为仪器变量,研究体质指数 (BMI) 和心房的发生率之间的因果关系.
主要方法:
- 使用了来自7个潜在群体的51,646名欧洲祖先的数据.
- 使用Mendelian随机化与仪器变量分析使用FTO基因型和39-SNP BMI基因得分.
- 通过随机效应,逆方差加权的分析对发生的AF进行了联合队列特异估计,平均随访时间为7. 419. 2年.
主要成果:
- 这两种基因仪器 (FTO和BMI基因评分) 都与更高的BMI和发生性AF风险的增加有显著关联.
- 仪器变量分析显示了因果关系:BMI增加1kg/ m2与AF风险比率为1. 11-1. 15有关.
- 结果与观察数据一致,并且对多变量调整具有稳定性.
结论:
- 这项研究提供了强有力的证据,证明高BMI和发生的AF之间存在因果关系.
- 专注于预防肥胖的公共卫生策略可能有助于减轻肌肉炎的负担.
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