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探索奶酪摄入量与心力衰竭风险之间的联系:一项结合生物标志物分析的孟德尔随机化研究。

Exploring the Link Between Cheese Consumption and Heart Failure Risk: A Mendelian Randomization Approach with Biomarker Analysis.

作者信息

Yang Yanjiang, Wang Xiaorui, Yang Wenwen

机构信息

Department of Rheumatology and Immunology, The people's Hospital of Qiandongnan Autonomous Prefecture, Kaili 556000, Guizhou Province, China.

School of Pharmacy, Chengdu University, Chengdu 610106, China.

出版信息

J Dairy Sci. 2025 Jan 30. doi: 10.3168/jds.2024-25892.

Abstract

The study investigates the association between cheese consumption and heart failure risk, employing Mendelian randomization (MR) analysis. Heart failure, influenced by various factors including diet, remains a major global health concern. Cheese, a nutrient-rich dairy product, has shown potential in reducing heart failure risk, though the mechanisms are not fully understood. This study clarifies the association by examining 45 biomarkers that could mediate this effect. This analysis revealed a significant reduction in heart failure risk with cheese consumption (OR = 0.771, P = 0.00588). Of the 45 biomarkers analyzed, 24 showed a significant relationship with cheese intake. Six biomarkers-neutrophil count (mediating effect ratio: 3.37%), apolipoprotein B (2.73%), glucose (4.16%), triglycerides (5.82%), diastolic blood pressure (14.78%), and serum uric acid (8.45%)-were identified as mediators in the cheese consumption-heart failure relationship. This study underscores the role of biomarkers in understanding heart failure mechanisms and highlights the potential of dietary interventions, like cheese consumption, to reduce heart failure risk. While these findings are promising, their generalizability may be limited, and further research across diverse populations is needed.

摘要

该研究采用孟德尔随机化(MR)分析方法,调查了食用奶酪与心力衰竭风险之间的关联。心力衰竭受包括饮食在内的多种因素影响,仍然是全球主要的健康问题。奶酪是一种营养丰富的乳制品,尽管其机制尚未完全明确,但已显示出降低心力衰竭风险的潜力。本研究通过检测45种可能介导这种效应的生物标志物,阐明了两者之间的关联。该分析显示,食用奶酪可使心力衰竭风险显著降低(比值比=0.771,P=0.00588)。在分析的45种生物标志物中,有24种与奶酪摄入量存在显著关联。六种生物标志物——中性粒细胞计数(中介效应比:3.37%)、载脂蛋白B(2.73%)、葡萄糖(4.16%)、甘油三酯(5.82%)、舒张压(14.78%)和血清尿酸(8.45%)——被确定为食用奶酪与心力衰竭关系中的中介因素。本研究强调了生物标志物在理解心力衰竭机制中的作用,并突出了饮食干预(如食用奶酪)降低心力衰竭风险的潜力。虽然这些发现很有前景,但其普遍性可能有限,需要在不同人群中开展进一步研究。

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