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初潮早期年龄与女性膀过活的风险之间的关联:来自NHANES和孟德尔随机分析的见解
Guoqiang Huang1, Kaiwen Xiao1, Shuangquan Lin1
1Department of Urology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Translational andrology and urology
|November 13, 2025
概括
初潮的早期年龄 (AAM) 与过度活跃的膀 (OAB) 风险增加有关,身体质量指数 (BMI) 起着调解作用. 控制体重和对AAM进行查可能有助于减少OAB发生率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 初潮的早期年龄 (AAM) 与不良的代谢变化有关.
- AAM,过度活跃的膀 (OAB) 和体重指数 (BMI) 之间的关系需要进一步研究.
- 了解这些联系对于制定有针对性的预防策略至关重要.
研究的目的:
- 为了调查AAM和OAB风险之间的关联.
- 量化BMI在AAM-OAB关系中的调解作用.
- 使用孟德尔随机化 (MR) 评估AAM和OAB之间的因果关系.
主要方法:
- 分析了国家健康和营养检查调查 (NHANES) 中9,647名妇女的数据.
- 后勤回归和受限立方线 (RCS) 分析以评估AAM-OAB关联.
- 用156个SNP来对BMI的作用进行调解分析和因果关系的门德尔随机化 (MR).
主要成果:
- 一年增加的AAM与OAB风险下降5%相关 (OR:0.95,P<0.001).
- 体重指数介于AAM-OAB关联的30.89%.
- MR 分析为 AAM-OAB 联系 (OR:0.998,P=0.008) 提供了因果关系证据,没有显著的 pleiotropy.
结论:
- 早期的AAM因果关系与OAB风险增加有关,部分由BMI调解.
- 早期AAM查和体重管理是减少OAB风险的潜在策略.
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