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Causal Effects of Body Mass Index, Education and Lifestyle Behaviors on Intervertebral Disc Disorders: Mendelian Randomization Study

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单位: [1]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. [2]Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, USA.
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关键词: Mendelian randomization Intervertebral disc disorder Lifestyle behavior Sedentary behavior Risk factor

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This study aimed to investigate the causal risk factors for intervertebral disc disorders (IVDD) to help establish prevention strategies for IVDD-related diseases. We performed two-sample Mendelian Randomization analyses to investigate the causal effects of body mass index (BMI), education, and lifestyle behaviors (sedentary behavior, smoking and sleeping) on thoracic/thoracolumbar/lumbosacral IVDD (TTL-IVDD) and cervical IVDD. Inverse-variance weighted (IVW) method was conducted as the primary model to pool effect sizes using odds ratio and 95% confidence interval. The strength of causal evidence was evaluated from the effect size and different Mendelian Randomization methods (MR-Egger/weighted median/weighted mode method, Cochran's Q test, leave-one-out analysis, MR Steiger, MR-PRESSO and radial IVW analyses). We found strong evidence for the causal associations between IVDD and BMI (TTL-IVDD, 1.27 [1.18, 1.37], p=2.40×10-10 ; cervical IVDD, 1.24 [1.12, 1.37, p=6.58×10-5 ), educational attainment (TTL-IVDD, 0.57 [0.51, 0.64], p=9.64×10-21 ; cervical IVDD, 0.58 [0.49, 0.68], p=1.78×10-10 ), leisure television watching (TTL-IVDD, 1.54 [1.29, 1.84], p=7.80×10-6 ; cervical IVDD, 1.65 [1.29, 2.11], p=0.0001), smoking initiation (TTL-IVDD, 1.37 [1.25, 1.50], p=1.78×10-10 ; cervical IVDD, 1.32 [1.16, 1.51], p=6.49×10-5 ), short sleep (TTL-IVDD, 1.28 [1.09, 1.49], p=0.0027; cervical IVDD, 1.53 [1.21, 1.94], p=0.0008), or frequent insomnia (TTL-IVDD, 1.20 [1.11, 1.30], p=1.54×10-5 ; cervical IVDD, 1.37 [1.20, 1.57], p=7.80×10-6 ). This study provided genetic evidence that increased BMI, low educational attainment, sedentary behavior by leisure television watching, smoking initiation, short sleep, and frequent insomnia were causal risk factors for IVDD. More efforts should be directed toward increasing public awareness of these modifiable risk factors and mobilizing individuals to adopt healthy lifestyles. This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights reserved.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 骨科
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大类 | 3 区 医学
小类 | 4 区 骨科
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Q2 ORTHOPEDICS
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Q2 ORTHOPEDICS

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第一作者单位: [1]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
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通讯机构: [1]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. [*1]No.1095, Jiefang Road, Wuhan City, Hubei Province, China
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