身体活动和久坐行为与死亡率的关联:观察分析和孟德尔随机化研究
Menglin Han1, Yudun Qu2, Muhui Zeng3
1Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
概括
身体活动 (PA) 与较低的死亡风险有关,而长时间的久坐行为 (SB) 增加了死亡风险. 然而,对PA或SB的遗传倾向似乎没有对死亡风险产生因果关系.
科学领域:
- 流行病学 流行病学
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 调查身体活动 (PA) 和久坐行为 (SB) 与死亡风险之间的联系.
- 使用观察和门德尔随机化 (MR) 两种研究设计.
研究的目的:
- 检查身体活动和久坐行为与死亡风险的关联.
- 使用遗传数据探索潜在的因果关系.
主要方法:
- 使用英国生物库数据进行前性队列研究.
- 将PA和SB分类为相互排斥的组.
- 应用多变量调整的考克斯模型和两样MR分析.
主要成果:
- 总PA (TPA) 的较高水平与所有原因和心血管疾病 (CVD) 死亡率的降低有关.
- 增加的坐着时间和看电视与更高的全因和心血管疾病死亡率有关.
- 两种样本的MR分析没有发现PA/SB的遗传倾向和死亡率之间的因果关系.
结论:
- 观察数据表明,PA对死亡率有保护作用,而长时间的SB增加了风险.
- 门德尔的随机分析没有支持PA或SB遗传倾向对死亡率的因果关系.
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