剖析饮食习惯与多种类型中风之间的因果关系:孟德尔随机化研究
Yan Cao1,2, Fan Ye1, Ling Zhang1
1NHC Key Laboratory of Human Disease Comparative Medicine, Beijing Key Laboratory for Animal Models of Emerging and Remerging Infectious Diseases, Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences and Comparative Medicine Center, Peking Union Medical College, Beijing 100730, China.
Nutrients
|October 26, 2024
概括
某些饮食习惯因果关系地影响中风风险. 吃干果,奶酪和谷物,同时减少盐和家禽的摄入量,可能有助于预防中风.
科学领域:
- 营养流行病学 营养流行病学
- 心血管遗传学 心血管遗传学
- 公共卫生 公共卫生
背景情况:
- 饮食和中风之间的因果关系对公共健康至关重要.
- 门德尔随机化 (MR) 用于调查这些饮食-中风关联.
- 识别调解者有助于理解这些关系的机制.
研究的目的:
- 使用MR检查20种饮食习惯和中风亚型之间的因果关系.
- 为了确定这些饮食对中风的影响的潜在媒介.
- 量化特定路径中介的比例.
主要方法:
- 两个样本的孟德尔随机化 (MR) 分析.
- 使用调解分析,两步MR (TSMR) 和多变量MR (MVMR) 的方法.
- 来自大型全基因组关联研究 (GWAS) 联盟的遗传数据被利用.
主要成果:
- 干果,奶酪,谷物,油性鱼和热饮的温度显示出对中风的保护作用.
- 羊肉,家禽和添加盐的摄入量与中风风险增加有关.
- 干果和奶酪摄入量通过降低BMI和/或增加HDL-C来降低中风风险,具有显著的中介比例.
结论:
- 这项研究提供了强有力的证据,证明饮食对中风亚型的因果影响.
- 饮食修改,包括增加干果,奶酪和谷物摄入量,减少盐和家禽的摄入量,可以减轻中风风险.
- 了解像BMI和HDL-C这样的调解途径是针对性干预的关键.
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