久坐与 21 种胃肠道疾病:孟德尔随机研究

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yunzhi Lin, Jun He, Zhen Ding
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引用次数: 0

摘要

过去的观察性研究发现,久坐行为(SB)与胃肠道疾病有关,但其确切原因仍不清楚。为了解决这个问题,我们开展了一项孟德尔随机化(MR)研究,以深入探讨久坐行为与常见胃肠道疾病之间的联系。我们从英国生物数据库研究中选取了代表SB的工具变量,包括看电视、玩电脑和开车。此外,我们还从 FinnGen 研究中获得了 21 种常见胃肠道疾病的遗传关联。在调整了与胃肠道疾病相关的常见风险因素后,我们分析了遗传之间的独立关联。此外,我们还使用了反方差加权法(IVW),并结合 MR-Egger(基于 Egger 回归的孟德尔随机化)和加权中位数等辅助技术,以确保结果的准确性和可靠性。我们的研究结果表明,长时间看电视的遗传易感性与 21 种胃肠道疾病中 9 种疾病的患病风险增加有显著关联。具体来说,这些疾病包括胃食管反流病、慢性胃炎、胆石症、急性胰腺炎、慢性胰腺炎、胃十二指肠溃疡、脂肪肝、肠易激综合征和急性阑尾炎。即使在校正了潜在的混杂因素后,这些关联性仍然显著。重复分析证实了同样的结论。这项研究的结果表明,恶病质与遗传预测的 SB 之间存在因果关系。为了进一步了解潜在的致病机制,需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sedentary and 21 gastrointestinal disorders: A Mendelian randomization study.

Sedentary behavior (SB) has been linked in the past by observational studies to gastrointestinal illnesses, although the exact cause of the link is still unknown. To deal with this problem, we carried out a Mendelian randomization (MR) study to thoroughly examine the connection between SB and common gastrointestinal illnesses. We selected instrumental variables representing the SB from the UK Biobank study, including watching television viewing, playing computer, and driving. In addition, we obtained genetic associations of 21 common gastrointestinal disorders from the FinnGen research. After adjusting for common risk factors associated with gastrointestinal diseases, we analyzed the independent association between genetic. Furthermore, we used the inverse-variance weighted (IVW) method in conjunction with complementing techniques like MR-Egger (Mendelian randomization based on Egger Regression) and weighted median to assure the accuracy and dependability of the results. Our findings suggest that genetic susceptibility to prolonged television viewing is significantly associated with an increased risk of 9 out of 21 gastrointestinal disorders. Specifically, these disorders include gastroesophageal reflux disease, chronic gastritis, cholelithiasis, acute pancreatitis, chronic pancreatitis, gastroduodenal ulcer, fatty liver, irritable bowel syndrome, and acute appendicitis. These associations remained significant even after correcting for potential confounding factors. The replication analysis confirms the same conclusion. The results of this study demonstrate a causal relationship between cachexia and genetically predicted SB. To further understand the underlying pathogenic mechanisms at play, more study is required.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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