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刻意的饮食调整可能无法减缓青光眼的进展:一项两样本孟德尔随机化研究。

Deliberate dietary adjustments may not mitigate the progression of glaucoma: A two-sample Mendelian randomization study.

作者信息

Lin Bin, Chen Long-Long, Xu Meng, Li Dong-Kan

机构信息

Xiamen Eye Center and Eye Institute of Xiamen University, School of Medicine, Xiamen, China.

Xiamen Clinical Research Center for Eye Diseases, Xiamen, Fujian Province, China.

出版信息

Medicine (Baltimore). 2025 Jul 18;104(29):e42944. doi: 10.1097/MD.0000000000042944.

Abstract

Ocular diseases, including glaucoma, are significant contributors to visual impairment and irreversible blindness, impacting individuals' socioeconomic opportunities and quality of life. This study aimed to investigate the causal relationship between dietary components and glaucoma progression. We conducted Mendelian randomization studies to assess the effects of 4 dietary components (protein, carbohydrates, sugar, and fat) on glaucoma. A total of 11,417,548 single nucleotide polymorphisms (SNPs) were screened, and after applying a stringent threshold, we retained relevant SNP markers for each dietary group. We employed 4 regression models: MR-Egger regression, a weighted median estimator, an inverse-variance weighted random-effects model, and a weighted model to analyze the data. The analysis revealed that all obtained P-values were greater than .05, indicating no significant association between dietary components and glaucoma. Additionally, sensitivity analyses using the leave-one-out method confirmed the robustness of these findings, showing that the removal of any SNP did not alter the conclusions. The findings suggest that deliberate dietary adjustments may not mitigate the progression of glaucoma. For now, adhering to prescribed medications and considering early surgical intervention when necessary may represent more effective treatments for glaucoma.

摘要

包括青光眼在内的眼部疾病是导致视力损害和不可逆失明的重要因素,影响着个人的社会经济机会和生活质量。本研究旨在调查饮食成分与青光眼进展之间的因果关系。我们进行了孟德尔随机化研究,以评估4种饮食成分(蛋白质、碳水化合物、糖和脂肪)对青光眼的影响。共筛选了11417548个单核苷酸多态性(SNP),在应用严格阈值后,我们为每个饮食组保留了相关的SNP标记。我们采用了4种回归模型:MR-Egger回归、加权中位数估计器、逆方差加权随机效应模型和加权模型来分析数据。分析显示,所有获得的P值均大于0.05,表明饮食成分与青光眼之间无显著关联。此外,使用留一法的敏感性分析证实了这些发现的稳健性,表明去除任何一个SNP都不会改变结论。研究结果表明,刻意的饮食调整可能无法减轻青光眼的进展。目前,坚持遵医嘱用药并在必要时考虑早期手术干预可能是治疗青光眼更有效的方法。

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