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饮食习惯与欧洲血统个体中胰腺炎的关联:一项两样本孟德尔随机化研究。

Association between Dietary Habits and Pancreatitis among Individuals of European Ancestry: A Two-Sample Mendelian Randomization Study.

机构信息

Department of Gastroenterology, Changhai Hospital, Navy Medical University, Shanghai 200433, China.

Shanghai Institute of Pancreatic Diseases, Shanghai 200433, China.

出版信息

Nutrients. 2023 Feb 24;15(5):1153. doi: 10.3390/nu15051153.

Abstract

Dietary factors are believed to potentially influence the risk of pancreatitis. Here, we systematically investigated the causal relationships between dietary habits and pancreatitis by using two-sample Mendelian randomization (MR). Large-scale genome-wide association study (GWAS) summary statistics for dietary habits were obtained from the UK Biobank. GWAS data for acute pancreatitis (AP), chronic pancreatitis (CP), alcohol-induced AP (AAP) and alcohol-induced CP (ACP) were from the FinnGen consortium. We performed univariable and multivariable MR analyses to evaluate the causal association between dietary habits and pancreatitis. Genetically driven alcohol drinking was associated with increased odds of AP, CP, AAP and ACP (all with < 0.05). Genetic predisposition to higher dried fruit intake was associated with reduced risk of AP (OR = 0.280, = 1.909 × 10) and CP (OR = 0.361, = 0.009), while genetic predisposition to fresh fruit intake was associated with reduced risk of AP (OR = 0.448, = 0.034) and ACP (OR = 0.262, = 0.045). Genetically predicted higher consumption of pork (OR = 5.618, = 0.022) or processed meat (OR = 2.771, = 0.007) had a significant causal association with AP, and genetically predicted higher processed meat intake increased the risk of CP (OR = 2.463, = 0.043). Our MR study showed that fruit intake may be protective against pancreatitis, whereas dietary intake of processed meat has potential adverse impacts. These findings may inform prevention strategies and interventions directed toward dietary habits and pancreatitis.

摘要

饮食因素被认为可能会影响胰腺炎的风险。在这里,我们通过两样本 Mendelian 随机化(MR)系统地研究了饮食习惯与胰腺炎之间的因果关系。饮食习惯的大规模全基因组关联研究(GWAS)汇总统计数据来自英国生物银行。急性胰腺炎(AP)、慢性胰腺炎(CP)、酒精性 AP(AAP)和酒精性 CP(ACP)的 GWAS 数据来自 FinnGen 联盟。我们进行了单变量和多变量 MR 分析,以评估饮食习惯与胰腺炎之间的因果关联。遗传驱动的饮酒与 AP、CP、AAP 和 ACP 的患病风险增加有关(均<0.05)。遗传易感性导致摄入更多的干果与 AP(OR=0.280, =1.909×10)和 CP(OR=0.361, =0.009)的风险降低相关,而遗传易感性导致摄入更多的新鲜水果与 AP(OR=0.448, =0.034)和 ACP(OR=0.262, =0.045)的风险降低相关。遗传预测的较高猪肉(OR=5.618, =0.022)或加工肉类(OR=2.771, =0.007)消费与 AP 有显著的因果关系,遗传预测的较高加工肉类摄入增加 CP(OR=2.463, =0.043)的风险。我们的 MR 研究表明,水果摄入可能对胰腺炎具有保护作用,而加工肉类的饮食摄入可能会产生不良影响。这些发现可能为针对饮食习惯和胰腺炎的预防策略和干预措施提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2246/10004739/ca68a838b0c5/nutrients-15-01153-g001.jpg

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