Yan Shenghua, Gu Feifei, Tian Bei
Shanghai University of Traditional Chinese Medicine (SHUTCM), Shanghai, 201203, People's Republic of China.
Department of Nursing, Shanghai Pudong New Area Zhoupu Hospital (Shanghai Health Medical College Affiliated Zhoupu Hospital), Shanghai, 201318, People's Republic of China.
J Multidiscip Healthc. 2024 Dec 20;17:5991-5999. doi: 10.2147/JMDH.S480976. eCollection 2024.
Previous observational studies have indicated an association between social isolation and an increased risk of cardiovascular diseases such as angina, but various factors may confound these studies. This study employs Mendelian randomization to investigate the causal relationship between social isolation and angina, minimizing potential confounding effects.
We conducted a two-sample Mendelian randomization analysis using genetic variants as instrumental variables for social isolation. Genetic data for social isolation was sourced from a large-scale genome-wide association study (GWAS), while outcome data for angina came from an independent GWAS dataset.
Our findings suggest that a higher genetic predisposition to social isolation and loneliness is significantly associated with an increased risk of developing angina (Odds Ratio [OR] = 1.07, 95% confidence interval []: 1.03-1.11, < 0.01). The analysis did not provide strong evidence of horizontal pleiotropy affecting the results. This supports the hypothesis that social isolation may causally contribute to the risk of angina.
Our study demonstrates the hypothesis that social isolation causally influences the risk of angina and emphasizes the importance of interventions targeting social isolation and loneliness as social factors in the prevention and management of cardiovascular diseases.
以往的观察性研究表明,社会孤立与心绞痛等心血管疾病风险增加之间存在关联,但多种因素可能会混淆这些研究。本研究采用孟德尔随机化方法来探究社会孤立与心绞痛之间的因果关系,将潜在的混杂效应降至最低。
我们使用基因变异作为社会孤立的工具变量进行了两样本孟德尔随机化分析。社会孤立的基因数据来自一项大规模全基因组关联研究(GWAS),而心绞痛的结局数据则来自一个独立的GWAS数据集。
我们的研究结果表明,社会孤立和孤独的较高遗传易感性与患心绞痛风险增加显著相关(优势比[OR]=1.07,95%置信区间[]:1.03-1.11,<0.01)。该分析未提供影响结果的水平多效性的有力证据。这支持了社会孤立可能因果性地导致心绞痛风险增加的假设。
我们的研究证实了社会孤立因果性地影响心绞痛风险这一假设,并强调了针对社会孤立和孤独进行干预作为心血管疾病预防和管理中的社会因素的重要性。