Wang Peng, Qiao Dashuai, Liu Fangwen, Dong Fanzhen, Li Jinfeng, Xue Gang
Emergency Department, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, China.
Medicine (Baltimore). 2025 Sep 5;104(36):e44164. doi: 10.1097/MD.0000000000044164.
Intracerebral hemorrhage (ICH) is a severe and often fatal brain disorder. Despite the recognition of dietary adjustments as a preventive measure, there is a need for well-designed studies to investigate the dietary factors of ICH patients. We employed Mendelian randomization to explore the relationship between 35 dietary factors (exposures) and ICH (outcome). We applied several statistical methods, including inverse variance weighted, weighted median, Mendelian randomization-Egger regression, simple mode, and weighted mode. Furthermore, sensitivity analyses were conducted to ensure the robustness of our findings. Our study suggested that hot drink temperature (OR: 0.39, P = .037) and fresh fruit intake (OR: 0.389, P = .048) could potentially reduce the risk of ICH. Additionally, although a suggestively increased risk of ICH was observed with cooked vegetable intake (OR: 4.493, P = .036), the wide confidence interval (1.107-18.246) reflects imprecision in the estimate, and further research is needed to clarify this association. These findings provide novel dietary intervention strategies and insights for preventing ICH, holding the potential to inform more targeted health guidance recommendations.
脑出血(ICH)是一种严重且往往致命的脑部疾病。尽管人们认识到饮食调整是一种预防措施,但仍需要精心设计的研究来调查ICH患者的饮食因素。我们采用孟德尔随机化方法来探究35种饮食因素(暴露因素)与ICH(结局)之间的关系。我们应用了几种统计方法,包括逆方差加权法、加权中位数法、孟德尔随机化-伊格回归法、简单模式法和加权模式法。此外,还进行了敏感性分析以确保我们研究结果的稳健性。我们的研究表明,热饮温度(比值比:0.39,P = 0.037)和新鲜水果摄入量(比值比:0.389,P = 0.048)可能会降低ICH风险。此外,虽然观察到熟蔬菜摄入量与ICH风险有提示性的增加(比值比:4.493,P = 0.036),但较宽的置信区间(1.107 - 18.246)反映了估计的不精确性,需要进一步研究来阐明这种关联。这些发现为预防ICH提供了新的饮食干预策略和见解,有可能为更具针对性的健康指导建议提供依据。