加速度计衍生的休息活动节奏幅度,遗传倾向和缺血性心脏病风险:观察性和孟德尔随机化研究
Lele Wang1, Juying Zhang1, Xiong Xiao1
1West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Journal of medical Internet research
|December 15, 2025
概括
扰乱休息活动节律幅度 (RARA) 与患缺血性心脏病 (IHD) 的风险更高有关. 这种关联似乎独立于遗传倾向,这表明RARA对IHD预防具有重要意义.
科学领域:
- 时间生物学 时间生物学
- 心血管流行病学心血管流行病学
- 遗传流行病学遗传流行病学
背景情况:
- 休息活动节奏幅度 (RARA) 是一种与各种健康结果相关的基本人类行为.
- RARA与缺血性心脏病 (IHD) 以及潜在的遗传修饰之间的因果关系尚不清楚.
研究的目的:
- 调查RARA和IHD之间的因果关系.
- 为了确定遗传倾向是否会改变RARA-IHD关系.
主要方法:
- 使用手腕动图,对84,095名英国生物库参与者的前性队列分析.
- 使用英国生物银行和FinnGen GWAS数据进行孟德尔随机化 (MR) 分析.
- 通过多基因风险评分 (IHD-PRS) 评估发生的IHD和遗传倾向.
主要成果:
- 被破坏的RARA与增加的IHD风险 (HR 1.20) 有显著的关联.
- 没有观察到由遗传倾向引起的显著修饰.
- 核磁共振分析支持RARA和IHD之间的因果关系 (OR 1.13).
结论:
- 在RARA和IHD之间存在潜在的因果关系.
- 这种关联独立于遗传倾向.
- RARA被强调为IHD预防策略的重要因素.
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