酒精消费与肥胖和2型糖尿病的剂量依赖关系:孟德尔随机化分析
Tianyuan Lu1,2,3, Tomoko Nakanishi1,4,5,6, Satoshi Yoshiji1,4,5,6
1Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Québec, H3T 1E2, Canada.
The Journal of clinical endocrinology and metabolism
|June 27, 2023
概括
门德尔随机化 (MR) 表明,大量饮酒会增加肥胖和2型糖尿病的风险. 适度的酒精摄入量显示没有保护性的健康益处,与一些观察性研究相反.
科学领域:
- 遗传学和流行病学
- 代谢健康 代谢健康
- 公共卫生 公共卫生
背景情况:
- 饮酒对健康的影响,特别是适度饮酒的影响,仍在争论中.
- 观察性研究容易产生混和反向因果关系,限制因果推断.
- 门德尔随机化 (MR) 提供了一种研究潜在因果关系的方法.
研究的目的:
- 评估酒精消费对肥胖和2型糖尿病的剂量依赖性因果作用.
- 用遗传预测来区分适度与重度酒精摄入的影响.
主要方法:
- 利用了来自408,540名欧洲血统参与者的英国生物库数据.
- 采用孟德尔随机化 (MR) 分析,按酒精摄入频率分层.
- 评估了与人类计量测量,肥胖和2型糖尿病的关联.
主要成果:
- 过度饮酒 (>14杯/周) 显示脂肪量,肥胖率和2型糖尿病风险的剂量依赖性增加.
- 女性比男性更强烈的关联.
- 适度的酒精摄入量 (≤7杯/周) 通过MR没有显著的健康益处.
结论:
- 这一发现挑战了暗示适度饮酒具有保护作用的观察数据.
- 过度饮酒与肥胖和2型糖尿病风险增加有因果关系.
- 对饮酒的遗传倾向在较低的饮酒水平下不会给健康带来好处.
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