瑞典多病症的家族聚合:国家探索性家庭研究
Bengt Zöller1,2, MirNabi Pirouzifard1,2, Björn Holmquist3
1Department of Clinical Science, Lund University, Malmö, Sweden.
BMJ medicine
|July 19, 2023
概括
多种疾病,多种慢性疾病的存在,在瑞典家庭中的聚合物,在近亲如双胞胎中观察到更高的风险. 这表明,共同的遗传和环境因素影响疾病聚类.
科学领域:
- 遗传学和流行病学
- 公共卫生研究 公共卫生研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 多种疾病,定义为两个或两个以上的慢性非传染性疾病,构成了重大的公共卫生挑战.
- 了解多病症的家族聚合对于识别共同的风险因素和制定有针对性的干预措施至关重要.
研究的目的:
- 调查多发病症是否在瑞典的家庭中聚合.
- 通过不同程度的亲属关系量化多病症的家族风险.
主要方法:
- 一项基于人口的全国性探索性家庭研究,利用1997-2015年的瑞典登记数据.
- 用45种慢性疾病 (ICD-10) 的修改计数方法评估多病症.
- 使用调整的几率比率 (ORs) 分析了家庭关联,将多病症患者与未受影响个体的亲属进行比较.
主要成果:
- 观察到多种疾病的显著家族聚合,双胞胎的OR为2.89,完全兄弟姐妹为1.81,半兄弟姐妹为1.26,表兄弟姐妹为1.13.
- 随着亲属患病人数的增加,风险增加,年龄较小时风险最高.
- 确定了9个疾病集群,其中7个显示家族聚合,包括心脏代谢和精神健康障碍.
结论:
- 在瑞典家庭中,多病症明显聚集,表明共同的遗传和/或环境影响.
- 这些发现支持在遗传研究中使用疾病集群来发现非传染性疾病的新模式.
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