超重、肥胖与伴有呼吸衰竭的重症新型冠状病毒肺炎感染之间的偶然关联:一项两样本孟德尔随机化研究

Casual correlation between overweight, obesity, and severe COVID-19 infection with respiratory failure: A two-sample Mendelian randomization.

作者信息

Chen Shiqiang, Zhang Qiang, Zhang Xiaobing, Xie Peiyao, Guo Hua, Lu Fengling, Zhou Chaoyang, Dong Fubo

机构信息

Department of Emergency and Critical Care Medicine, Yuhuan People's Hospital, Taizhou, China.

Department of Critical Care Medicine, Yuhuan People's Hospital, Taizhou, China.

出版信息

Medicine (Baltimore). 2025 Jan 3;104(1):e41006. doi: 10.1097/MD.0000000000041006.

Abstract

This study aimed to detect the causal association of overweight and obesity on severe COVID-19 infection with respiratory failure through a two-sample Mendelian randomization (MR) method based on the genome-wide association studies datasets. All genome-wide association studies summary data of exposures and outcome used in this study were obtained from the IEU database derived from Europeans. The study mainly used the inverse variance weighted method to test causal relationship. Simultaneously, MR-PRESSO and MR-EGGER were used to detect the pleiotropy, and sensitivity analysis was performed using leave-one-out analysis. In the inverse variance weighted analyses, we found no causal association between obesity (e.g., OR = 1.15, 95% CIs = 0.96-1.37, P = .13 for obesity-ebi-a-GCST90000255), obesity subtypes (e.g., OR = 1.93, 95% CIs = 0.90-4.14, P = .10 for obesity and other hyperalimentation) as well as overweight (OR = 0.90, 95% CIs = 0.64-1.27, P = .54) and severe COVID-19 infection with respiratory failure. The findings showed no causal association between obesity or overweight and severe COVID-19 infection with respiratory failure. Further validation is needed regarding whether obesity or overweight is a risk factor for it.

摘要

本研究旨在通过基于全基因组关联研究数据集的两样本孟德尔随机化(MR)方法,检测超重和肥胖与伴有呼吸衰竭的重症新型冠状病毒肺炎(COVID-19)感染之间的因果关联。本研究中使用的所有暴露因素和结局的全基因组关联研究汇总数据均来自欧洲人的IEU数据库。该研究主要采用逆方差加权法来检验因果关系。同时,使用MR-PRESSO和MR-EGGER检测多效性,并采用逐一剔除分析进行敏感性分析。在逆方差加权分析中,我们发现肥胖(例如,肥胖-ebi-a-GCST90000255的比值比[OR]=1.15,95%置信区间[CIs]=0.96-1.37,P=0.13)、肥胖亚型(例如,肥胖与其他营养过剩的OR=1.93,95% CIs=0.90-4.14,P=0.10)以及超重(OR=0.90,95% CIs=0.64-1.27,P=0.54)与伴有呼吸衰竭的重症COVID-19感染之间无因果关联。研究结果表明,肥胖或超重与伴有呼吸衰竭的重症COVID-19感染之间无因果关联。肥胖或超重是否为此类感染的危险因素,仍需进一步验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7be5/11709160/25ddda6a38a7/medi-104-e41006-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索