首页|基于两样本孟德尔随机化法的BMI与阻塞性睡眠呼吸暂停综合征因果关系研究

基于两样本孟德尔随机化法的BMI与阻塞性睡眠呼吸暂停综合征因果关系研究

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目的 探究身体质量指数(Body Mass Index,BMI)与阻塞性睡眠暂停综合征(Obstructive sleep apnea syndrome,OSAS)的因果关系.方法 本研究从大规模全基因组关联研究的汇总数据中,选择相互交集的BMI与OSAS的单核苷酸多态性(Single Nucleotide Polymorphisms SNP)作为工具变量.采用逆方差加权(Inverse Vance Weighted,IVW)、加权中位数、MR-Egger回归、简单模式和加权模型 5 种方法进行双样本孟德尔分析BMI与OSAS的因果关系.并采用敏感性分析,确保结果的稳健性.结果 最终纳入73 个SNP作为工具变量.逆方差加权、加权中位数、MR-Egger回归、简单模式和加权模型的比值(OR值)、95%置信区间(95%CI):1.003713(1.002236~1.005193)、1.003747(1.001475~1.006023)、1.05433(1.001800~1.009079)、1.001333(0.995750~1.006947)、1.006834(1.002746~1.010939);P值均小于 0.001;敏感性分析结果稳健.结论 BMI升高可能是OSAS的危险因素.
A study of the causal relationship between BMI and obstructive sleep apnea syudrome based on two-sample Mendelian randomization
Objective Investigate the causal relationship between Body Mass Index(BMI)and Obstructive Sleep Apnea Syndrome(OSAS).Methods From the summary data of large-scale genome-wide association studies,this study selected single nucleotide polymorphisms(SNPs)of BMI and OSAS that have intersected with each other as instrumental variables.Five methods,including Inverse Vance Weighted(IVW),Weighted Median,MR-Egger regression,Simple mode,and Weighted model,were used to conduct a two-sample Mendelian randomization analysis of the causal relationship between BMI and OSAS.Sensitivity analysis was also performed to ensure the robustness of the results.Results A total of 73 SNPs were included as instrumental variables.Inverse Variance Weighted(IVW),Weighted Median,MR-Egger regression,simple and weighted model ratio(odds ratio,OR),and 95%confidence interval(95%CI)were calculated:1.003713(1.002236~1.005193)、1.003747(1.001475~1.006023)、1.05433(1.001800~1.009079)、1.001333(0.995750~1.006947)、1.006834(1.002746~1.010939);all p-values were less than 0.001;sensitivity analysis showed robust results.Conclusion Elevated BMI may be a risk factor for OSAS.

mendelian randomizationbody mass Indexobstructive sleep apnea syndromegenome wide association study

韩新宇、刘钢、金龙、张娟

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安徽中医药大学第一临床医学院(安徽合肥,230031)

安徽中医药大学第一附属医院耳鼻喉科(安徽合肥)

孟德尔随机化 身体质量指数 阻塞性睡眠暂停综合征 全基因组关联研究

2020年安徽省名中医工作室建设项目

中发展[2020]10号

2024

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子:0.7
ISSN:1007-4856
年,卷(期):2024.32(1)
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