身体活动,久坐不动的行为和败血症的风险:一项两样本的门德尔随机化研究
Yang Zhang1,2, Yu Rong1,3, Jun Mao1,3
1The Second Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Frontiers in medicine
|September 3, 2024
概括
参与中度至剧烈的体力活动 (MVPA) 和剧烈的体力活动 (VPA) 可能会降低败血症的风险. 相反,长时间的久坐行为,如驾驶,与毒症的风险更高有关.
科学领域:
- 遗传学 是一个遗传学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 败血症是一种危及生命的疾病,对公共健康有重大影响.
- 身体活动和久坐不动行为在败血症风险中的作用需要进一步阐明.
- 了解可修改的风险因素对于制定有效的预防策略至关重要.
研究的目的:
- 调查身体活动,久坐行为和败血症风险之间的潜在因果关系.
- 评估不同体力活动强度和久坐行为与败血症发病率的关联.
- 为基于生活方式的败血症预防提供证据.
主要方法:
- 采用两样本的门德尔随机化方法,使用来自英国生物银行和FinnGen的大规模全基因组关联研究数据.
- 评估了基因预测的身体活动 (MVPA,VPA) 和久坐行为 (驾驶,使用计算机,看电视) 与败血症风险之间的关联.
- 使用逆方差加权,加权中位数和MR-Egger方法进行因果推断,并进行全面的灵敏度分析.
主要成果:
- 中度至剧烈的体力活动 (MVPA) 与败血症风险有显著的反向关联 (OR 0.47,P=0.0296).
- 剧烈的体力活动 (VPA) 也与败血症风险相关 (OR 0.19,P=0.0324).
- 长时间的驾驶时间与增加的败血症风险有显著的积极关联 (OR 3.99,P=0.0097).
结论:
- 这项研究表明,MVPA和VPA对败血症有因果保护作用.
- 长时间的久坐行为,特别是驾驶,可能会因果性地增加败血症风险.
- 这些发现支持发展身体活动干预措施,以预防败血症.
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