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探索饮食因素对肠道憩室病的影响:孟德尔随机化方法

Exploring the Impact of Dietary Factors on Intestinal Diverticular Disease: A Mendelian Randomization Approach.

作者信息

Tian Wangzhao, Yang Wenwen, Wang Xiaorui, Yang Yanjiang

机构信息

The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Enshi Hubei China.

The First Clinical Medical College, Lanzhou University Lanzhou Gansu China.

出版信息

Food Sci Nutr. 2024 Dec 1;12(12):10859-10866. doi: 10.1002/fsn3.4623. eCollection 2024 Dec.

Abstract

Dietary habits significantly influence the development of intestinal diverticular disease (IDD), a common gastrointestinal condition primarily affecting the colon. We performed a Mendelian randomization (MR) analysis on 20 diet-related factors using data from the UK Biobank. IDD cases ( = 33,618) and controls ( = 329,381) were obtained from the FinnGen Biobank. Three key MR methods were applied: the inverse-variance-weighted (IVW) method as the primary approach to estimate causal relationships, along with the weighted median (WM) and MR-Egger methods. Significant associations were found for pork intake ( = 1.06,  = 0.00244), nonoily fish intake ( = 0.709,  = 0.0449), oily fish intake ( = 0.246,  = 0.0222), and dried fruit intake ( = -0.953,  < 0.0001). After false discovery rate (FDR) adjustment, pork intake ( = 0.0244) and dried fruit intake ( < 0.0001) remained significant. Our results indicate that while pork and certain types of fish intake may elevate the risk of IDD, dried fruit intake may offer a protective effect. These findings highlight the potential of dietary changes in IDD prevention and management, though further research across diverse populations is needed.

摘要

饮食习惯对肠道憩室病(IDD)的发展有显著影响,这是一种主要影响结肠的常见胃肠道疾病。我们利用英国生物银行的数据,对20个与饮食相关的因素进行了孟德尔随机化(MR)分析。IDD病例(n = 33,618)和对照(n = 329,381)来自芬兰基因生物银行。应用了三种关键的MR方法:逆方差加权(IVW)方法作为估计因果关系的主要方法,以及加权中位数(WM)和MR-Egger方法。发现猪肉摄入量(OR = 1.06,P = 0.00244)、非油性鱼类摄入量(OR = 0.709,P = 0.0449)、油性鱼类摄入量(OR = 0.246,P = 0.0222)和干果摄入量(OR = -0.953,P < 0.0001)存在显著关联。经过错误发现率(FDR)调整后,猪肉摄入量(P = 0.0244)和干果摄入量(P < 0.0001)仍然显著。我们的结果表明,虽然摄入猪肉和某些类型的鱼类可能会增加患IDD的风险,但摄入干果可能具有保护作用。这些发现凸显了饮食改变在预防和管理IDD方面的潜力,不过还需要在不同人群中进行进一步研究。

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Colonic diverticular disease.结肠憩室病。
Nat Rev Dis Primers. 2020 Mar 26;6(1):20. doi: 10.1038/s41572-020-0153-5.

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