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饮食摄入与特发性肺纤维化的遗传关联分析:两样本孟德尔随机化研究。

Genetic association analysis of dietary intake and idiopathic pulmonary fibrosis: a two-sample mendelian randomization study.

机构信息

Department of Respiratory and Critical Care Medicine, Shanxi Medical University Affiliated First Hospital, Taiyuan, 030000, China.

Department of Urology, The Second Hospital of Shanxi Medical University, Taiyuan, 030000, China.

出版信息

BMC Pulm Med. 2024 Jan 5;24(1):15. doi: 10.1186/s12890-023-02831-8.

Abstract

BACKGROUND

IPF is a complex lung disease whose aetiology is not fully understood, but diet may have an impact on its development and progression. Therefore, we investigated the potential causal connection between dietary intake and IPF through TSMR to offer insights for early disease prevention recommendations.

METHODS

The study incorporated 29 dietary exposure factors, oily fish intake, bacon intake, processed meat intake, poultry intake, beef intake, pork intake, lamb/mutton intake, non-oily fish intake, fresh fruit intake, cooked vegetable intake, baked bean intake, fresh tomato intake, tinned tomato intake, salad/raw vegetable intake, Fresh fruit intake, coffee intake, tea intake, water intake, red wine intake, average weekly beer plus cider intake, alcoholic drinks per week, cereal intake, bread intake, whole-wheat intake, whole-wheat cereal intake, cheese intake, yogurt intake, salt added to food and whole egg intake. The study explored the causal link between diet and IPF using TSMR analysis, predominantly the IVW method, and performed sensitivity analyses to validate the results.

RESULT

The study revealed that consuming oily fish, yogurt, and dried fruits had a protective effect against IPF, whereas the consumption of alcoholic beverages and beef was linked to an increased risk of IPF.

CONCLUSION

In this MR study, it was discovered that the consumption of oily fish, yogurt, and dried fruits exhibited a protective effect against IPF, whereas the intake of alcoholic beverages and beef was associated with an elevated risk of IPF. These findings underscore the significance of making informed and timely dietary decisions in IPF prevention.

摘要

背景

特发性肺纤维化(IPF)是一种复杂的肺部疾病,其病因尚未完全阐明,但饮食可能对其发生和发展有影响。因此,我们通过 TSMR 研究饮食摄入与 IPF 之间的潜在因果关系,为早期疾病预防建议提供依据。

方法

本研究纳入了 29 种饮食暴露因素,包括油性鱼类摄入、熏肉摄入、加工肉类摄入、禽肉摄入、牛肉摄入、猪肉摄入、羊肉摄入、非油性鱼类摄入、新鲜水果摄入、熟蔬菜摄入、烤豆摄入、新鲜番茄摄入、罐装番茄摄入、沙拉/生蔬菜摄入、新鲜水果摄入、咖啡摄入、茶摄入、水摄入、红酒摄入、每周平均啤酒加苹果酒摄入、每周饮酒量、谷物摄入、面包摄入、全麦摄入、全麦谷物摄入、奶酪摄入、酸奶摄入、食物加盐量和全蛋摄入。本研究主要采用 IVW 法,通过 TSMR 分析探讨饮食与 IPF 之间的因果关系,并进行敏感性分析以验证结果。

结果

研究发现,食用油性鱼类、酸奶和干果可预防特发性肺纤维化,而饮酒和牛肉的摄入与特发性肺纤维化的风险增加有关。

结论

在这项 MR 研究中发现,食用油性鱼类、酸奶和干果可预防特发性肺纤维化,而饮酒和牛肉的摄入与特发性肺纤维化的风险增加有关。这些发现强调了在特发性肺纤维化预防中做出明智和及时的饮食决策的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363f/10768076/d2d314414379/12890_2023_2831_Fig1_HTML.jpg

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