相对碳水化合物摄入量通过心理健康和肥胖对高血压的因果关系:一项门德尔随机化研究
Chaojie Ye1,2, Lijie Kong1,2, Yiying Wang1,2
1Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Nutrients
|November 25, 2023
概括
较高的碳水化合物摄入量与较低的高血压风险有关. 这种关联在很大程度上通过改善心理健康和减少肥胖度来调解,为高血压预防提供了新的途径.
科学领域:
- 营养流行病学 营养流行病学
- 心血管疾病研究研究
- 遗传流行病学遗传流行病学
背景情况:
- 不一致的观察结果将碳水化合物摄入量和高血压联系在一起,其中不清楚的介导途径.
- 了解因果关系及其媒介对于公共卫生干预至关重要.
研究的目的:
- 研究相对碳水化合物摄入量对高血压风险的因果关系.
- 评估心理健康和肥胖在这种协会中的调解作用.
主要方法:
- 利用来自欧洲祖先群体全基因组关联研究 (GWAS) 的总结级统计数据.
- 采用单变量,多变量和双步门德尔随机化 (MR) 分析.
- 来自FinnGen和英国生物库数据集的MRI估计结果进行了元分析.
主要成果:
- 每一个标准偏差较高的相对碳水化合物摄入量与高血压风险降低71% (OR:0.29) 相关,独立于其他宏观营养素.
- 没有观察到高血压对碳水化合物摄入的逆因果作用.
- 通过心理健康指标 (例如,主要抑郁症,积极影响) 和肥胖特征 (例如,体重指数,腰围) 发现了显著的调解.
结论:
- 较高的相对碳水化合物摄入量因果性地降低了高血压风险.
- 心理健康和肥胖是这种保护作用的重要媒介.
- 这些发现为高血压预防和干预策略提供了因果目标.
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