时间变化的身体大小对选择的自身免疫性疾病的因果影响:一生历程的门德尔随机化研究
Dennis Freuer1, Christa Meisinger2
1Epidemiology, Medical Faculty, University of Augsburg, University Hospital of Augsburg, Augsburg, Germany dennis.freuer@med.uni-augsburg.de.
RMD open
|November 14, 2023
概括
较高的出生体重增加了类风湿性关节炎的风险,由成人体重指数 (BMI) 介导. 预防成人肥胖可能会减轻高出生体重的个体的风险.
科学领域:
- 流行病学 流行病学
- 遗传学 是一个遗传学.
- 免疫学 免疫学 免疫学
背景情况:
- 巴克的假设将出生体重与以后的健康结果联系起来.
- 之前的研究缺乏对自身免疫性疾病的生命周期分析.
- 发现了类风湿性关节炎,牛皮,牛皮性关节炎和多发性硬化症的研究缺口.
研究的目的:
- 研究生命周期体型与自身免疫性疾病之间的关联.
- 利用遗传数据进行可靠的分析.
- 确定从出生体重到疾病的调解途径.
主要方法:
- 门德尔的随机化 (MR) 有多达806,984名参与者.
- 主要分析的辐射逆变量加权方法.
- 网络集群和多变量MR用于调解分析.
主要成果:
- 基因预测高出生体重与类风湿性关节炎相关 (OR 1.44).
- 通过成年人体重指数 (BMI) (OR 1.45) 介导的关联.
- 对于牛皮,牛皮性关节炎或多发性硬化症没有发现显著的关联.
结论:
- 出生体重增加是类风湿性关节炎的危险因素.
- 胎儿遗传因素和持续的成年人BMI有助于风险.
- 在高出生体重的个体中预防肥胖可能会降低类风湿关节炎的风险.
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