抑郁和虚弱之间的双向因果关系:一个单变量和多变量门德尔随机化研究
Ni Sang1, Bo-Han Li1, Meng-Yao Zhang1
1School of Nursing, Anhui Medical University, 15 Feicui Road, Hefei 230032, Anhui, China.
Age and ageing
|July 1, 2023
概括
这项研究使用了门德尔的随机化来调查抑郁症和虚弱之间的因果关系. 研究结果证实了双向因果关系,表明抑郁症增加了脆弱的风险,反之亦然.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 遗传流行病学遗传流行病学
背景情况:
- 现有的队列研究对抑郁症和虚弱之间的双向关联提出了不一致的发现.
- 需要对因果关系进行严格的调查.
研究的目的:
- 通过双向两样本的门德尔随机化 (MR) 研究来调查抑郁症和虚弱之间的因果关系.
主要方法:
- 进行了单变量和多变量双向MR分析.
- 选择抑郁症和脆弱性的独立遗传变异作为工具变量.
- 采用逆方差加权 (IVW),MR-Egger,加权中位数,加权模式和多变量MR (MVMR) 方法,以BMI,初潮年龄和腰比等混因素进行调整.
主要成果:
- 单变量MR分析表明,抑郁症和虚弱风险 (OR=1.30) 之间以及虚弱和抑郁风险 (OR=1.69) 之间存在积极的因果关系.
- MVMR分析证实了双向因果关系在对潜在混因素单独和组合进行调整后仍然存在.
结论:
- 研究结果支持基因预测抑郁症和两种方向的脆弱性之间的因果关系.
- 这突显了心理健康和身体衰老之间的复杂相互作用.
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