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[煤矿工人线粒体DNA拷贝数与相关因素对高血压风险的潜在相互作用研究]

[Research on potential interaction between mitochondrial DNA copy number and related factors on risk of hypertension in coal miners].

作者信息

Guo J Y, Lei L J, Qiao N, Fan G Q, Sun C M, Huang J J, Wang T

机构信息

School of Public Health, Shanxi Medical University, Taiyuan 030001, China.

General Hospital of Datong Coal Mine Group, Datong 037000, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Jan 10;38(1):26-31. doi: 10.3760/cma.j.issn.0254-6450.2017.01.005.

Abstract

To investigate the effects of mitochondrial DNA (mtDNA) copy number in peripheral blood and related factors on the risk of hypertension in coal miners. A case-control study was conducted in 378 coal miners with hypertension and 325 healthy coal miners recruited from Datong Coal Mine Group. A standard questionnaire was used to collect their general information, such as demographic characteristics, habits and occupational history. Fluorescence quantitative PCR was performed to detect the copy number of mtDNA. Logistic regression model was applied for identifying the related risk factors of hypertension and analyzing the interaction between mtDNA copy number and risk factors. The prevalence of hypertension of high mtDNA copy number was lower than mtDNA copy numberin 0-5.67 group, but the difference was not statistically significant (=0.414). Alcohol drinking (=1.80, 95: 1.26-2.56), family history of hypertension (=1.74, 95: 1.20- 2.50), work shifts (=0.69, 95: 0.48-0.99), education level (=0.012) and family monthly income level (=0.001) were related to the prevalence of hypertension. There were potential interactions between mtDNA copy number and alcohol drinking, family monthly income level, family history of hypertension, respectively. Alcohol drinking was a risk factor for hypertension [1.77 (1.25-2.50)]. Potential interactions between mtDNA copy number and alcohol drinking reduced the risk of hypertension (=1.20, 95: 1.07-1.35). Family history of hypertension was a risk factor for hypertension [1.81(1.26-2.59)]. Potential interactions between mtDNA copy number and family history of hypertension reduced the risk of hypertension (=1.24, 95: 1.09-1.41). Family monthly income level was a protect factor for hypertension [0.55(0.46-0.66)]. Potential interactions between mtDNA copy number and family monthly income level increased the protection role of hypertension (=0.90, 95: 0.86-0.94). mtDNA copy number variation was not significantly associated with the prevalence of hypertension in coal miners, but mtDNA copy number showed multiplication interaction on the prevalence of hypertension with alcohol drinking, family monthly income level as well as family history of hypertension and made their influences weaken.

摘要

探讨外周血线粒体DNA(mtDNA)拷贝数及相关因素对煤矿工人高血压患病风险的影响。对从大同煤矿集团招募的378例高血压煤矿工人和325例健康煤矿工人进行病例对照研究。采用标准问卷收集其一般信息,如人口统计学特征、生活习惯和职业史。采用荧光定量PCR检测mtDNA拷贝数。应用Logistic回归模型识别高血压的相关危险因素,并分析mtDNA拷贝数与危险因素之间的相互作用。mtDNA拷贝数高者高血压患病率低于mtDNA拷贝数在0 - 5.67组,但差异无统计学意义(P = 0.414)。饮酒(OR = 1.80,95%CI:1.26 - 2.56)、高血压家族史(OR = 1.74,95%CI:1.20 - 2.50)、工作班次(OR = 0.69,95%CI:0.48 - 0.99)、文化程度(OR = 0.012)和家庭月收入水平(OR = 0.001)与高血压患病率有关。mtDNA拷贝数分别与饮酒、家庭月收入水平、高血压家族史之间存在潜在交互作用。饮酒是高血压的危险因素[OR = 1.77(1.25 - 2.50)]。mtDNA拷贝数与饮酒之间的潜在交互作用降低了高血压风险(OR = 1.20,95%CI:1.07 - 1.35)。高血压家族史是高血压的危险因素[OR = 1.81(1.26 - 2.59)]。mtDNA拷贝数与高血压家族史之间的潜在交互作用降低了高血压风险(OR = 1.24,95%CI:1.09 - 1.41)。家庭月收入水平是高血压的保护因素[OR = 0.55(0.46 - 0.66)]。mtDNA拷贝数与家庭月收入水平之间的潜在交互作用增强了高血压的保护作用(OR = 0.90,95%CI:0.86 - 0.94)。mtDNA拷贝数变异与煤矿工人高血压患病率无显著关联,但mtDNA拷贝数在饮酒、家庭月收入水平以及高血压家族史对高血压患病率的影响上呈现相乘交互作用,使其影响减弱。

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