评估时间型与怀孕和围产期结局的因果关系及其与失眠和睡眠时间的相互作用:一项门德尔随机化研究
Qian Yang1,2,3, Maria C Magnus4,5,6, Fanny Kilpi4,5
1MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK. qian.yang@bristol.ac.uk.
BMC pregnancy and childbirth
|December 19, 2024
概括
晚上偏好时代类型可能会增加失眠妇女的早产风险. 需要进一步的研究来证实睡眠模式和怀孕结果之间的这种潜在联系.
科学领域:
- 生殖流行病学 生殖流行病学
- 遗传流行病学遗传流行病学
- 睡眠科学 睡眠科学
背景情况:
- 观察性研究表明,时间型会影响怀孕和围产期的结果.
- 时间型和这些结果之间的因果关系尚不清楚.
- 门德尔随机化 (MR) 可以调查因果关系.
研究的目的:
- 探索晚间时间型偏好与不良怀孕/产前期结果之间的关联.
- 检查失眠和睡眠时间如何根据时间型偏好修改这些关联.
主要方法:
- 两个样本MR使用遗传变异的时间型偏好.
- 分析来自大型群体 (UKB,ALSPAC,BiB,MoBa,FinnGen) 的欧洲血统女性.
- 逆方差加权 (IVW) 分析与灵敏度分析;对失眠和睡眠持续时间进行分层分析.
主要成果:
- 没有强有力的证据证明时间型与大多数结果的关联.
- 失眠与晚上偏好女性早产风险增加有显著关联 (OR 1.61).
- 对于其他结果,不眠症和时间型之间没有发现显著的相互作用,对于任何结果,睡眠时间和时间型之间也没有发现显著的相互作用.
结论:
- 对于失眠和晚间时间类型偏好的女性来说,这表明早产风险可能会增加.
- 由于估计不准确,研究结果需要重复,并需要进一步调查.
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