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夏日户外时间与近视的因果关系:基于孟德尔随机化研究

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目的 采用两样本孟德尔随机化方法(MR)研究夏日户外时间对于近视的因果关系.方法 本研究进行了两样本孟德尔随机化分析,对全基因组关联研究(GWAS)的汇总数据进行分析,以确定夏日户外时间是否对近视产生因果影响.暴露事件和结局事件的汇总数据仅来自欧洲裔,以全基因组显著(P<0.5 ×10-8)和独立(r2<0.001)单核苷酸多态性(SNP)作为工具变量,本次夏日户外时间的数据共包含419 314例样本,近视数据共包含367 906例样本.以OR值评价夏日户外时间对近视风险的因果关系.同时分析了异质性和敏感性的效果估计的稳健性和多效性.结果 使用33个SNP进行分析后,随机效应逆方差加权 IVW 结果:OR=0.604 952 2,95%CI 为 0.527~0.693,P=4.959 237 × 10-13,研究发现,夏日户外时间和近视有负向因果关系,同时,在效果估计中具有一定的异质性(I2=0.42)及没有发现显著多效性(截距=-0.006 6,SE=0.004 82,P=0.182).IVW分析结果显示,夏日户外时间缩短可以增加患近视的风险.同时,使用加权中值法(WM)和MR-Egger回归法分析也表现出相似的结果.敏感性分析结果显示,遗传多效性不会对结果产生偏倚.综上所述,对数变换后的夏日户外时间每降低一个标准差,会导致近视的风险增加39%.结论 夏日户外时间对近视的发生可能存在负向因果关系.
The causal relationship between time spent outdoors in summer and myopia:based on Mendelian randomization
Objective To study the causal relationship between time spent outdoors in summer and myopia by using a two-sample Mendel randomization analysis.Methods In this study,a two-sample Mendelian randomization(MR)a-nalysis was conducted,and the data from the Genome-Wide Association Studies(GWAS)were analyzed to identify whether time spent outdoors in summer could exert a causal effect on myopia.The data of exposure events and outcome events were collected based on European descent,with the significant whole genome(P<0.5 × 10-8)and independent(r2<0.001)single nucleotide polymorphism(SNP)as instrumental variables.The data on time spent outdoors in summer in-cluded 419 314 samples,and the data on myopia included 367906 samples.The OR values were used to evaluate the causal effect of time spent outdoors in summer on myopia risk.Meanwhile,the robustness and pleiotropy of the effect estimates of the heterogeneity and sensitivity analysis were also analyzed.Results The results of inverse variance weighted(IVW)random effects after the analysis based on 33 SNPs were:OR=0.604 952 2;95%CI:0.527-0.693;P=4.959 237 × 10-13.It was found that there was a causal relationship between time spent outdoors in summer and myopia.At the same time,there was some heterogeneity(I2=0.42)and no significant pleiotropy(intercept=-0.0066,SE=0.004 82,P=0.182)in the effect estimation.The IVW analysis results showed that shorter time spent outdoors in summer could increase the risk of myopia.Meanwhile,the analysis results based on the weighted median(WM)method and MR-Egger regression also re-sulted in similar results.The sensitivity analysis showed that genetic pleiotropy did not induce bias in the results.In sum-mary,for every one standard deviation decrease in the time spent outdoors in summer after the logarithmic transformation,the risk of myopia increased by 39%.Conclusion There may be a negative causal relationship between time spent out-doors in summer and myopia.

Mendelian randomizationtime spent outdoors in summermyopiacausal relationship

黄莉红、张大铮、刘敏

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611830 四川省成都市,都江堰市医疗中心

610075 四川省成都市,成都中医药大学

611843 四川省成都市,都江堰市青少年近视防治中心

610073 四川省成都市,成都市妇女儿童医学中心

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孟德尔随机化 夏日户外时间 近视 因果关系

2025

眼科新进展
新乡医学院

眼科新进展

北大核心
影响因子:0.961
ISSN:1003-5141
年,卷(期):2025.45(1)