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屏幕时间与心血管疾病的相关性研究:两样本孟德尔随机化研究。

Screen time in the development of cardiovascular diseases: A two-sample Mendelian randomization study.

机构信息

Faculty of Medicine, Macau University of Science and Technology, Room PP-R203, Est. Seak Pai Van Praia Park, Rés-Do-Chão R, Coloane, Macau 999078, China.

Faculty of Medicine, Macau University of Science and Technology, Room PP-R203, Est. Seak Pai Van Praia Park, Rés-Do-Chão R, Coloane, Macau 999078, China.

出版信息

Nutr Metab Cardiovasc Dis. 2024 Mar;34(3):706-717. doi: 10.1016/j.numecd.2023.09.029. Epub 2023 Oct 4.

Abstract

BACKGROUND AND AIMS

Coronary artery disease (CAD), heart failure (HF), and ischemic heart disease (IHD) are three common cardiovascular diseases that are closely associated with metabolic activity. The global incidence and prevalence of these conditions are on the rise, primarily due to unhealthy lifestyles, aging populations, and the increasing prevalence of obesity and diabetes. Excessive screen time has emerged as a potential risk factor for various adverse health outcomes, although limited research has explored its relationship with cardiovascular disease outcomes.

METHODS AND RESULTS

A Mendelian randomization (MR) study was conducted, employing exposure-associated genetic variants as instrumental variables to explore the causal relationship between screen time use and cardiovascular disease outcomes. Single nucleotide polymorphisms (SNPs) were utilized as pooled data for the genetic variable instrument, investigating the association between screen use duration and three types of cardiovascular diseases: coronary artery disease (CAD), heart failure (HF), and ischemic heart disease (IHD). Through the MR analysis, it was revealed that the use of mobile phones and TV screens exhibited a significant causal association with the occurrence of CAD, heart failure, and IHD. However, no significant association was observed between the use of computers and these three types of cardiovascular diseases.

CONCLUSION

Our study suggests that excessive screen time use is associated with the development of cardiovascular disease. However, it should be noted that the consequences of screen time can vary depending on the reasons and purposes for its use. Implementing reasonable control over screen time, particularly for entertainment purposes, holds promise as a potential approach to mitigating cardiovascular disease.

摘要

背景与目的

冠心病(CAD)、心力衰竭(HF)和缺血性心脏病(IHD)是三种常见的心血管疾病,与代谢活动密切相关。这些疾病的全球发病率和患病率呈上升趋势,主要原因是不健康的生活方式、人口老龄化以及肥胖症和糖尿病的患病率不断增加。尽管关于屏幕时间与心血管疾病结局之间的关系的研究有限,但过度的屏幕时间已成为各种不良健康结果的潜在危险因素。

方法和结果

进行了一项孟德尔随机化(MR)研究,利用与暴露相关的遗传变异作为工具变量,探讨屏幕时间使用与心血管疾病结局之间的因果关系。单核苷酸多态性(SNP)被用作遗传变量工具的汇总数据,研究屏幕使用时间与三种类型的心血管疾病(冠心病、心力衰竭和缺血性心脏病)之间的关联。通过 MR 分析,发现使用手机和电视屏幕与 CAD、心力衰竭和 IHD 的发生存在显著的因果关联。然而,使用电脑与这三种心血管疾病之间没有显著关联。

结论

我们的研究表明,过度的屏幕时间使用与心血管疾病的发展有关。然而,应该注意的是,屏幕时间的后果可能因使用原因和目的而异。对屏幕时间进行合理的控制,特别是对于娱乐目的,有望成为减轻心血管疾病的一种潜在方法。

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