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肌少症与抑郁症之间的因果关系:一项双向孟德尔随机化研究。

Causality between Sarcopenia and Depression: A Bidirectional Mendelian Randomization Study.

机构信息

Orthopedics and Traumatology Department II, Shangluo Traditional Chinese Medicine Hospital, 726000 Shangluo, Shaanxi, China.

Spinal Ward of Orthopedic Hospital, The Affiliated Hospital of Shaanxi University of Chinese Medicine, 712000 Xianyang, Shaanxi, China.

出版信息

Actas Esp Psiquiatr. 2024 Aug;52(4):394-404. doi: 10.62641/aep.v52i4.1679.

Abstract

BACKGROUND

Numerous observational studies have suggested a correlation between sarcopenia and depression, but the nature of this relationship requires further investigation.

METHODS

This study employed bidirectional Mendelian randomization to explore this connection. Data from genome-wide association studies were used, encompassing measures of sarcopenia and mental factors, including depression and emotional states. The initial analysis concentrated on the impact of depression on sarcopenia, and then it examined the reverse relationship. The same methodology was applied to emotional data for validation.

RESULTS

The results indicated a reciprocal causation between sarcopenia and depression, even when emotional state data were considered. Various emotions can impact sarcopenia, and in turn, sarcopenia can affect emotions, except subjective well-being. These findings highlight a cyclic deterioration between sarcopenia and depression, with a link to negative emotions and a partially ameliorative effect of subjective well-being on sarcopenia.

CONCLUSIONS

In summary, this study sheds light on the interplay between psychiatric factors and sarcopenia, offering insights into intervention and prevention strategies.

摘要

背景

大量观察性研究表明,肌少症与抑郁症之间存在关联,但这种关系的性质需要进一步研究。

方法

本研究采用双向孟德尔随机化来探讨这种联系。使用了全基因组关联研究的数据,包括肌少症和精神因素的测量值,如抑郁和情绪状态。最初的分析集中在抑郁对肌少症的影响上,然后检查了相反的关系。同样的方法也应用于情绪数据进行验证。

结果

结果表明,即使考虑到情绪状态数据,肌少症和抑郁之间也存在相互因果关系。各种情绪都会影响肌少症,反过来,肌少症也会影响情绪,但主观幸福感除外。这些发现突出了肌少症和抑郁之间的循环恶化,与负面情绪有关,主观幸福感对肌少症有一定的改善作用。

结论

综上所述,本研究揭示了精神因素和肌少症之间的相互作用,为干预和预防策略提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/162a/11319753/b5800f6d2cfb/ActEsp-52-4-394-404-F1.jpg

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