Department of Traumatic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
J Gerontol A Biol Sci Med Sci. 2024 Jan 1;79(1). doi: 10.1093/gerona/glad191.
Many studies reported that lifestyle, psychosocial characteristics, and sleep status related to sarcopenia, although few studies provided evidence of causal relationships between them.
The data used in our study were from UK Biobank, FinnGen Release 8, and large genome-wide association study meta-analyses. Two-sample Mendelian randomization was conducted to identify the causal associations of 21 traits of lifestyle, psychosocial characteristics, and sleep status with 6 traits of sarcopenia. Benjamini-Hochberg correction was performed to reduce the bias caused by multiple tests. Risk factor analyses were performed to explore the potential mechanism behind the exposures.
Mendelian randomization analyses after adjustment proved the causal roles of coffee intake, education years, smoking, leisure screen time, and moderate-to-vigorous intensity physical activity during leisure time in sarcopenia was proven although providing no significant evidence for causal roles for carbohydrates intake, protein intake, alcohol, and sleep status in sarcopenia.
Our results strongly support that coffee intake, education years, smoking, leisure screen time, and moderate-to-vigorous intensity physical activity during leisure time played significantly causal roles in sarcopenia, which may provide new intervention strategies for preventing the development of sarcopenia.
许多研究报告称,生活方式、心理社会特征和睡眠状况与肌肉减少症有关,尽管很少有研究提供它们之间因果关系的证据。
我们研究中使用的数据来自英国生物银行、芬兰遗传研究 8 期和大型全基因组关联研究荟萃分析。采用双样本孟德尔随机化分析 21 种生活方式、心理社会特征和睡眠状况特征与 6 种肌肉减少症特征之间的因果关联。采用 Benjamini-Hochberg 校正法减少多重检验引起的偏差。进行风险因素分析以探讨暴露背后的潜在机制。
调整后的孟德尔随机化分析证明了咖啡摄入、受教育年限、吸烟、休闲屏幕时间和休闲时间中等至剧烈强度体力活动与肌肉减少症之间存在因果关系,但碳水化合物摄入、蛋白质摄入、饮酒和睡眠状况与肌肉减少症之间不存在因果关系。
我们的结果强烈支持咖啡摄入、受教育年限、吸烟、休闲屏幕时间和休闲时间中的中等至剧烈强度体力活动对肌肉减少症具有显著的因果作用,这可能为预防肌肉减少症的发展提供新的干预策略。