女性生殖特征和关节疾病之间的双向因果关系
Lihan Xu1,2,3, Xiaofu Yang1,2,3, Cheng Shu1,2,3
1Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, 310006 Hangzhou, Zhejiang, China.
Journal of oral & facial pain and headache
|October 10, 2025
概括
晚期的生殖时间,包括第一次性交和第一次分娩,可以防止关节疾病 (TMD). 相反,TMD发病可能会延迟初潮,表明生殖特征和TMD之间存在双向关系.
科学领域:
- 遗传学 是一个遗传学.
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 部疾病 (TMD) 很普遍,特别是在生育年龄的女性中.
- 女性生殖特征与TMD之间的关系尚不清楚.
- 这项研究调查了生殖因素和TMD之间的相互因果关系.
研究的目的:
- 确定五种女性生殖特征与TMD之间的双向因果关系.
- 探索生殖时间是否影响TMD风险.
- 评估TMD发病是否影响生殖特征.
主要方法:
- 使用双向门德尔随机化 (MR) 方法.
- 评估初潮时的年龄,第一次性交,第一次分娩,最后一次分娩和更年期.
- 采用了统计方法,如逆方差加权,MR Egger和MR-PRESSO,以确保稳定性.
主要成果:
- 在第一次性交,第一次分娩和最后一次分娩的晚年与TMD风险降低有关 (保护作用).
- 在初潮或更年期的年龄和TMD之间没有发现显著的遗传联系.
- TMD发作显示了延迟初潮的潜在因果作用.
结论:
- 遗传决定的后期生殖里程碑 (第一次性交,第一次分娩,最后一次分娩) 可能会提供对TMD的保护.
- TMD发病似乎影响初潮时间,这表明双向关系.
- 这些发现突出了生殖时间和关节障碍之间的复杂相互作用.
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