测试身体活动和久坐行为与心理健康和物质使用障碍的因果关系:孟德尔的随机化研究
Eleonora Iob1,2, Jean-Baptiste Pingault3,4, Marcus R Munafò5,6
1Social, Genetic & Developmental Psychiatry (SGDP) Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. eleonora.iob@kcl.ac.uk.
Molecular psychiatry
|July 21, 2023
概括
身体活动因果性地降低了抑郁症和吸烟风险,而久坐不动的行为可以防止厌食症和精神分裂症. 然而,在静止行为和精神分裂症之间注意到了反向因果关系.
科学领域:
- 遗传学 遗传学 是一个
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 观察性研究将体育活动 (PA) 与减少心理健康和物质使用障碍风险联系起来.
- 由于潜在的混因素,例如共同原因或反向因果关系,因果关系仍然不确定.
研究的目的:
- 通过使用孟德尔随机化 (MR) 来调查体育活动 (PA),久坐行为 (SB) 和十种心理健康/物质使用障碍之间的双向因果关系.
主要方法:
- 两个样本的MR分析使用大型全基因组关联研究 (GWAS) 进行基因仪器.
- 来自英国生物银行的客观评估 (加速计) 和自我报告的PA/SB的数据.
- 来自精神病基因组学联盟和其他心理健康/物质使用障碍联盟的数据.
主要成果:
- 客观评估的平均PA显示出对抑郁症和吸烟的保护作用.
- 客观评估的SB与厌食症和精神分裂症的风险降低有关.
- 在SB和精神分裂症之间发现了反向因果关系的证据;PTSD,双相情感障碍,厌食症和ADHD与增加的PA有关.
结论:
- 客观测量PA表明对抑郁症和吸烟有因果保护作用.
- 久坐不动的行为显示出与厌食症的保护性关联.
- 促进PA的干预措施可能会减少抑郁症状和成行为;促进SB/轻度活动可能有助于减少厌食症风险.
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