酒精消费与目前饮酒者痴呆发病率之间的关联:线性和非线性孟德尔随机化分析
Lingling Zheng1,2, Weiyao Liao3, Shan Luo4
1Department of Computational Biology and Medical Big Data, Shenzhen University of Advanced Technology, China.
EClinicalMedicine
|September 18, 2024
概括
这项研究发现,目前的饮酒者中,酒精消费与痴呆症风险之间存在线性因果关系. 研究结果表明,没有安全的饮酒水平可以预防痴呆症.
科学领域:
- 神经科学是一个神经科学.
- 流行病学 流行病学
- 遗传学 遗传学是一种遗传学.
背景情况:
- 之前关于酒精和痴呆症的研究表明J型关系,但受到混因素的限制.
- 反向因果关系也可能影响饮酒与痴呆风险之间的相关性.
研究的目的:
- 调查当前饮酒者中酒精消费与发生痴呆症风险之间的因果关系.
- 使用先进的分析方法,区分线性和非线性关系.
主要方法:
- 利用了来自313,958名当前饮酒者的英国生物银行数据,从2006-2010年到2021年进行了跟踪.
- 采用多变量考克斯模型,限制立方线和线性/非线性孟德尔随机化 (MR) 分析.
- 对MR的仪器变量是基于来自欧洲大型元GWAS的95个SNP的遗传评分.
主要成果:
- 在常规分析中观察到J形关联,在12.2个酒精单位/周时,痴呆风险最低.
- 非线性MR分析没有发现显著的非线性因果关系 (p=0.45).
- 个人层面和总结层面的线性MR分析都表明,更高的基因预测酒精消费导致痴呆症风险增加.
结论:
- 在目前的饮酒者中,酒精消费与痴呆症风险之间存在正线性因果关系.
- 这种J形的关联没有得到MR等因果推理方法的支持.
- 研究结果表明,对于痴呆风险而言,饮酒没有安全门.
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