终身肥胖对呼吸系统疾病风险的因果关系:孟德尔的随机化研究
Xi Xi Chen1,2,3, Fang Ying Lu1,2,3, Yi Wang1,2,3
1Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Nutrition & metabolism
|March 22, 2025
概括
在整个生命中,从童年到成年,较大的脂肪率因果上增加了许多呼吸道疾病的风险. 儿童肥胖症 儿童肥胖症
科学领域:
- 遗传学和流行病学
- 代谢健康和呼吸功能
背景情况:
- 对终身肥胖对呼吸系统疾病风险的因果影响的理解有限.
- 研究身体组成和呼吸系统健康之间的复杂相互作用.
研究的目的:
- 确定终身脂肪和呼吸道疾病风险之间的因果关系.
- 为了区分童年与成人肥胖对呼吸系统结果的影响.
主要方法:
- 利用两个样本的孟德尔随机化与基因仪器用于脂肪度量.
- 分析了来自欧洲大型祖先队伍 (英国生物银行,FinnGen) 的数据.
- 检查了出生体重,儿童BMI和成人肥胖度的遗传影响.
主要成果:
- 较高的出生体重与一些呼吸道风险/益处有关,但影响通常由成人BMI调解.
- 儿童BMI显示与喘,COPD和睡眠呼吸暂停有关,主要是由成人BMI解释的.
- 成年人脂肪 (BMI,腰比,身体脂肪百分比,内脏脂肪,全身脂肪量) 始终与许多呼吸道疾病的风险增加有关.
结论:
- 提供了强有力的遗传证据,证明童年和成人肥胖在呼吸系统疾病发展中的因果作用.
- 表明,儿童肥胖对呼吸系统健康的影响可能会通过成人肥胖显著调解.
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