大型抑郁症通过中间风险因素影响周围动脉疾病风险
Gabrielle Shakt1,2, Noah L Tsao1,2, Michael G Levin1,3
1Corporal Michael Crescenz VA Medical Center Philadelphia PA USA.
Journal of the American Heart Association
|February 16, 2024
概括
重度抑郁症 (MDD) 可能因果性地增加外周动脉疾病 (PAD) 的风险. 这种联系似乎是由生活方式因素,如吸烟和体重指数介导的.
科学领域:
- 心血管流行病学心血管流行病学
- 精神病学遗传学 精神病学遗传学
背景情况:
- 大型抑郁症 (MDD) 是心血管疾病的已知风险因素.
- 观察性研究表明MDD和外周动脉疾病 (PAD) 之间存在联系,但缺乏因果证据.
研究的目的:
- 调查MDD和PAD遗传责任之间的潜在因果关系.
- 探索中间风险因素在这种关联中的作用.
主要方法:
- 利用双样本的门德尔随机化 (MR) 来评估MDD和PAD遗传责任之间的关联.
- 采用多变量MR来控制潜在的介导因素,包括吸烟,酒精摄入量和体重指数.
主要成果:
- 在MDD的遗传责任和PAD的遗传责任增加之间发现了显著的关联 (OR,1.17).
- MDD的遗传责任与增加的吸烟,减少的酒精摄入量和增加的体重指数有关,所有这些都与PAD有关.
- 多变量MR表明,这些中间风险因素完全解释了MDD-PAD相关性.
结论:
- 这项研究提供了MDD和PAD之间的潜在因果关系的证据,这种因果关系是由生活方式和代谢因素介导的.
- 有效的心血管疾病管理可能需要综合的身体和心理健康干预措施.
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