调查吸烟和饮酒行为是否影响2型糖尿病的风险,使用孟德尔的随机化研究
Zoe E Reed1,2, Hannah M Sallis3,4,5, Rebecca C Richmond3,4
1School of Psychological Science, University of Bristol, Bristol, UK. zoe.reed@bristol.ac.uk.
Scientific reports
|March 7, 2025
概括
吸烟和饮酒的公共卫生干预措施可能无法降低2型糖尿病 (T2D) 的风险. 虽然吸烟显示可能与T2D有因果关系,但结果不一致. 饮酒对T2D风险没有明显的因果关系.
科学领域:
- 遗传学和流行病学
- 代谢疾病 代谢疾病
- 公共卫生 公共卫生
背景情况:
- 以前的研究表明,吸烟,饮酒和2型糖尿病 (T2D) 风险之间存在关联.
- 然而,对连续血糖特征的因果关系和影响仍未得到充分研究.
研究的目的:
- 研究吸烟 (终身吸烟指数,LSI) 和酒精消费 (每周饮料,DPW) 对T2D和血糖特征的潜在因果影响.
- 使用孟德尔随机化来区分观察关联和真正的因果关系.
主要方法:
- 采用两个样本和一个样本的门德尔随机化 (MR) 分析.
- 利用公开可用的全基因组协会研究 (GWAS) 数据和英国生物库数据.
- 评估对T2D,禁食葡萄糖,禁食胰岛素和HbA1c的影响.
主要成果:
- 两种样本MR表明LSI对T2D风险的潜在因果作用,但灵敏度分析不一致.
- 没有强有力的证据将较高的DPW与两样MR的T2D风险联系在一起.
- 一个样本MR表明DPW对T2D风险和较低HbA1c的可能因果作用,但注意到BMI对禁食葡萄糖的潜在混.
结论:
- 目前的证据表明,减少吸烟和饮酒可能不会显著降低T2D患病率.
- 生活方式因素,遗传学和血糖控制之间的复杂相互作用需要进一步调查.
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