坚果消费与心血管疾病之间的关联的调解者:一项两步的门德尔随机化研究
Ruizhe Wang1, Jinfang Sun1, Xiaojin Yu2
1Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, People's Republic of China.
Scientific reports
|January 4, 2025
概括
加工花生,但不是其他坚果,可能会增加缺血性心脏病 (IHD) 的风险. 胰岛素和胆固醇等心脏代谢因素部分调解了这种关联,突出了预防心血管疾病 (CVD) 的潜在途径.
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
- 代谢健康 代谢健康
背景情况:
- 观察性研究显示,坚果摄入量与心血管疾病 (CVD) 之间存在不一致的联系.
- 了解因果关系和调解因素对于公共卫生建议至关重要.
研究的目的:
- 调查各种坚果消费对心血管疾病的因果关系.
- 量化心脏代谢因素在与坚果相关的心血管疾病风险中的调解作用.
主要方法:
- 使用全基因组关联研究 (GWAS) 数据进行双样本孟德尔随机化 (MR).
- 使用了逆方差加权 (IVW),MR-Egger和基于中位数的方法.
- 用两步的MR分析来确定介导因素.
主要成果:
- 经过加工的花生 (盐或烤) 与缺血性心脏病 (IHD) 有潜在的积极关联.
- 对于其他坚果类型或心血管疾病结果,没有发现显著的因果关系.
- 禁食胰岛素,LDL胆固醇和禁食血糖介导了加工花生-IHD关联的28.27%.
结论:
- 经过加工的花生可能会因果性地增加IHD风险.
- 心脏代谢因素在这种关系中起着重要的调解作用.
- 研究结果表明,针对食用加工花生的人群,有针对性的干预措施,重点关注代谢健康.
相关概念视频
Psychoneuroimmunology: Cardiovascular Disease
25
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
25
Correlations
32.6K
Correlation means that there is a relationship between two or more variables (such as ice cream consumption and crime), but this relationship does not necessarily imply cause and effect. When two variables are correlated, it simply means that as one variable changes, so does the other. We can measure correlation by calculating a statistic known as a correlation coefficient. A correlation coefficient is a number from -1 to +1 that indicates the strength and direction of the relationship between...
32.6K
Study Designs in Epidemiology
178
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
178
What is an Experiment?
10.3K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
10.3K
Cause and Effect
10.9K
While variables are sometimes correlated because one does cause the other, it could also be that some other factor, a confounding variable, is actually causing the systematic movement in our variables of interest. For instance, as sales in ice cream increase, so does the overall rate of crime. Is it possible that indulging in your favorite flavor of ice cream could send you on a crime spree? Or, after committing crime do you think you might decide to treat yourself to a cone?
10.9K
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
56
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
56


