初潮时的年龄和绝经时的年龄对败血症的因果关系:一个双样本的门德尔随机化分析
Na Guo1, Lu Zhang1, Nannan He1
1The Fist Clinical Medical College of Lanzhou University, Lanzhou, Gansu Province, China.
PloS one
|February 7, 2024
概括
初潮 (AAM) 的早期年龄与败血症的风险更高有关,但更年期 (ANM) 的年龄与败血症发展没有因果关系. 需要进一步的研究来证实这些发现.
科学领域:
- 生殖健康 生殖健康
- 传染病流行病学 传染病流行病学
- 遗传流行病学遗传流行病学
背景情况:
- 初潮时的年龄 (AAM) 和更年期时的年龄 (ANM) 是重点的生殖里程碑.
- 败血症是一种危及生命的疾病,需要确定可修改的危险因素.
研究的目的:
- 调查AAM,ANM和发生败血症的风险之间的潜在因果关系.
- 使用门德尔随机化 (MR) 来评估因果关系,最大限度地减少混因素.
主要方法:
- 使用全基因组关联研究 (GWAS) 总结统计数据进行了两样本的门德尔随机化 (MR) 分析.
- 与AAM和ANM相关的单核酸多态 (SNP) 作为仪器变量.
- 使用逆方差加权 (IVW),MR-Egger回归和加权中位数方法估计了因果关系,并进行了灵敏度分析.
主要成果:
- 在AAM和败血症风险之间发现了显著的负因果关联 (IVW:OR = 0.870,P = 0.003),表明早期初潮增加了败血症风险.
- 没有足够的证据支持ANM和败血症风险之间的因果关系 (IVW:OR = 0.987,P = 0.129).
结论:
- 初潮的早期年龄可能与毒症的风险增加有关.
- 根据这种MR分析,更年期的年龄似乎与败血症风险没有因果关系.
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