Genetic Epidemiology Lab, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Sleep. 2021 Jan 21;44(1). doi: 10.1093/sleep/zsaa154.
Sleep is essential for both physical and mental health, and there is a growing interest in understanding how different factors shape individual variation in sleep duration, quality and patterns, or confer risk for sleep disorders. The present study aimed to identify novel inferred causal relationships between sleep-related traits and other phenotypes, using a genetics-driven hypothesis-free approach not requiring longitudinal data.
We used summary-level statistics from genome-wide association studies and the latent causal variable (LCV) method to screen the phenome and infer causal relationships between seven sleep-related traits (insomnia, daytime dozing, easiness of getting up in the morning, snoring, sleep duration, napping, and morningness) and 1,527 other phenotypes.
We identify 84 inferred causal relationships. Among other findings, connective tissue disorders increase insomnia risk and reduce sleep duration; depression-related traits increase insomnia and daytime dozing; insomnia, napping, and snoring are affected by obesity and cardiometabolic traits and diseases; and working with asbestos, thinner, or glues may increase insomnia risk, possibly through an increased risk of respiratory disease or socio-economic related factors.
Overall, our results indicate that changes in sleep variables are predominantly the consequence, rather than the cause, of other underlying phenotypes and diseases. These insights could inform the design of future epidemiological and interventional studies in sleep medicine and research.
睡眠对身心健康都至关重要,人们越来越关注了解不同因素如何塑造个体在睡眠时间、质量和模式上的差异,或导致睡眠障碍的风险。本研究旨在使用无需纵向数据的基于遗传学的无假设驱动方法,确定睡眠相关特征与其他表型之间新的潜在因果关系。
我们使用全基因组关联研究的汇总统计数据和潜在因果变量(LCV)方法,筛选表型并推断七种睡眠相关特征(失眠、白天打盹、早上起床容易、打鼾、睡眠时间、小睡和早起)与 1527 种其他表型之间的因果关系。
我们确定了 84 种潜在的因果关系。其他发现包括,结缔组织疾病会增加失眠风险并减少睡眠时间;与抑郁相关的特征会增加失眠和白天打盹;失眠、小睡和打鼾受肥胖和心脏代谢特征和疾病的影响;接触石棉、薄纸或胶水可能会增加失眠风险,这可能是通过增加患呼吸道疾病或与社会经济相关的因素的风险所致。
总的来说,我们的研究结果表明,睡眠变量的变化主要是其他潜在表型和疾病的结果,而不是原因。这些见解可以为睡眠医学和研究中的未来流行病学和干预研究提供信息。