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食物与动脉粥样硬化的孟德尔随机化研究

Food intake and atherosclerosis:a Mendelian randomization study

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目的 采用双样本孟德尔随机化(MR)法探讨食物与动脉粥样硬化的因果关系,为预防动脉粥样硬化提供参考.方法 通过IEU OpenGWAS数据库收集16种食物(谷物、蔬菜、水果、肉类等)和4种类型动脉粥样硬化(冠状动脉粥样硬化、脑动脉粥样硬化、外周动脉粥样硬化和其他动脉粥样硬化)的研究数据,食物数据包括约50万名研究对象和9 851 867个单核苷酸多态性(SNP)位点,动脉粥样硬化数据包括约20万名研究对象和16 380 447个SNP.以食物为暴露变量,动脉粥样硬化为结局变量,主要采用逆方差加权法(IVW)分析因果关系.采用漏斗图和留一法进行敏感性分析.结果 摄入干果与外周动脉粥样硬化(OR=0.195,95%CI:0.082~0.466)和其他动脉粥样硬化风险降低有关(OR=0.208,95%CI:0.095~0.452),摄入奶酪与外周动脉粥样硬化风险降低有关(OR=0.575,95%CI:0.380~0.870);摄入咖啡与冠状动脉粥样硬化风险升高有关(OR=1.645,95%CI:1.099~2.462),摄入酒精与其他动脉粥样硬化风险升高有关(OR=1.269,95%CI:1.032~1.561);未发现16种食物与脑动脉粥样硬化存在统计学关联.未发现水平多效性;任何单个SNP未对总体估计值产生明显影响;漏斗图未显示明显偏倚.结论 摄入干果和奶酪是动脉粥样硬化的保护因素,摄入咖啡和酒精是危险因素.
Objective To examine the causal relationship between food intake and atherosclerosis using two-sample Men-delian randomization(MR)approach,so as to provide the reference for the prevention of atherosclerosis.Methods Data of 16 types of food(grains,vegetables,fruits,meats,etc.)and 4 types of atherosclerosis(coronary atherosclerosis,cere-bral atherosclerosis,peripheral atherosclerosis and other atherosclerosis)was collected through IEU OpenGWAS database,with food data comprising approximately 500 000 subjects and 9 851 867 SNPs and atherosclerosis data comprising ap-proximately 200 000 subjects and 16 380 447 SNPs.The causal relationship was analyzed using inverse-variance weighted(IVW)method with food as the exposure variable and atherosclerosis as the outcome variable.Sensitivity analy-sis was performed using funnel plots and leave-one-out.Results Dried fruit intake was associated with decreased risks of peripheral atherosclerosis(OR=0.195,95%CI:0.082-0.466)and other atherosclerosis(OR=0.208,95%CI:0.095-0.452),and cheese intake was associated with decreased risk of peripheral atherosclerosis(OR=0.575,95%CI:0.380-0.870).Coffee intake was associated with increased risk of coronary atherosclerosis(OR=1.645,95%CI:1.099-2.462),and alcohol intake was associated with increased risk of other atherosclerosis(OR=1.269,95%CI:1.032-1.561).There was no statistically significant association between 16 types of food and cerebral atherosclerosis.No horizontal pleiotropy was found,no single SNP had significant impact on the overall estimated value,and the funnel plots did not show sig-nificant bias.Conclusion Dried fruit and cheese intake are protective factors for atherosclerosis,while coffee and alco-hol intake are risk factors for atherosclerosis.

atherosclerosisfood intakeMendelian randomizationassociation

刘伟、林泉、范宗静、崔杰、吴旸

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北京中医药大学东方医院心血管科,北京 100078

动脉粥样硬化 食物摄入 孟德尔随机化 关联

国家自然科学基金中央高校基本科研业务费专项

815739002022-JYB-XJSJJ-073

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(6)
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