利用孟德尔随机化策略探索 2 型糖尿病与神经系统疾病之间的因果关系。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-11-15 DOI:10.1097/MD.0000000000040412
Yongfang Wei, Shuling Xu, Zhaoquan Wu, Mengling Zhang, Meihua Bao, Binsheng He
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引用次数: 0

摘要

尽管有大量证据表明糖尿病患者中一般神经系统疾病的发生率增加,但对 2 型糖尿病(T2D)与特定神经系统疾病(包括腕管综合征和贝尔氏麻痹等疾病)之间因果关系的研究却很有限。我们采用孟德尔随机化(MR)方法研究了 T2D 对 67 种神经系统疾病的因果效应。我们主要采用逆方差加权法进行分析,同时还采用了加权中位数法和 MR-Egger 法。为了检测和纠正潜在的异常值,我们使用了 MR-PRESSO 分析法。异质性采用 Cochrane Q 值进行评估。MR 分析发现,T2D 与 8 种疾病的风险增加之间可能存在关系,证据级别为提示性(P
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Exploring the causal relationships between type 2 diabetes and neurological disorders using a Mendelian randomization strategy.

While there is ample evidence indicating an increased occurrence of general neurological conditions among individuals with diabetes, there has been limited exploration into the cause-and-effect connection between type 2 diabetes (T2D) and specific neurological disorders, including conditions like carpal tunnel syndrome and Bell's palsy. We used Mendelian randomization (MR) approach to investigate the causal effects of T2D on 67 neurological diseases. We primarily utilized the inverse-variance weighted method for the analysis, and also employed the weighted median and MR-Egger methods in our study. To detect and correct potential outliers, MR-PRESSO analysis was used. Heterogeneity was assessed using Cochrane Q-values. The MR analyses found a possible relationship between T2D and a risk increase of 8 diseases at suggestive level of evidence (P < .05). Notably, among the positive findings that met the false discovery rate threshold, nerve, nerve root, and plexus disorders (odds ratio [OR] = 1.11; 95% confidence interval [CI] = 1.08-1.15); neurological diseases (OR = 1.05; 95% CI = 1.03-1.07) and carpal tunnel syndrome (OR = 1.10; 95% CI = 1.05-1.16) were identified. Our findings affirm a cause-and-effect association between T2D and certain neurological disorders.

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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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