非法药物使用是否会增加中风风险? 一个系统性审查,元分析和孟德尔随机化分析
Megan Ritson1, Hugh S Markus1, Eric L Harshfield1
1University of Cambridge, Department of Clinical Neurosciences, Cambridge, United Kingdom.
概括
非法物质的使用,包括大麻,可卡因和安非他命,显著增加中风风险. 基因分析证实了物质依赖和中风之间的因果关系,强调了预防策略的必要性.
科学领域:
- 神经科学是一个神经科学.
- 流行病学 流行病学
- 遗传学 是一个遗传学.
背景情况:
- 观察性研究表明,物质使用障碍与中风风险之间存在联系.
- 因果关系和潜在的混因素仍然不清楚.
研究的目的:
- 对非法物质使用和中风风险的观察数据进行元分析.
- 使用门德尔随机化来评估物质依赖对中风亚型的因果关系.
主要方法:
- 32项研究 (超过1亿参与者) 的系统审查和元分析.
- 使用全基因组关联研究数据对七种药物暴露的两样本孟德尔随机化.
- 对所有中风,缺血性中风和出血性中风亚型的关联分析.
主要成果:
- 分析显示,大麻,可卡因和安非他命等药物增加了中风风险.
- 门德尔随机化表明,大麻使用障碍与任何中风和大动脉中风有关.
- 可卡因依赖与心血管栓塞性中风和脑内出血有关;整体物质使用障碍增加了任何中风和脑内出血的风险.
结论:
- 一致的观察和遗传证据支持滥用物质会增加中风风险.
- 可卡因,安非他命和大麻特别与增加中风风险有关.
- 研究结果强调了预防物质使用障碍的预防策略的重要性,以减少中风的发生率.
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