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Establishing causal relationships between insomnia and gestational diabetes mellitus using Mendelian randomization

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Educ, Beijing 100053, Peoples R China [2]Capital Med Univ, Sch Gen Practice & Continuing Educ, Beijing 100069, Peoples R China [3]Capital Med Univ, Dept Neurol, Xuanwu Hosp, Beijing 100053, Peoples R China [4]Anhui Med Univ, Affiliated Hosp 1, Dept Neurol, Hefei 230022, Peoples R China [5]Univ Sci & Technol China, Affiliated Hosp USTC 1, Inst Endocrine & Metab Dis, Clin Res Hosp,Chinese Acad Sci Hefei,Dept Endocrin, Hefei 230001, Anhui, Peoples R China [6]Tianjin Normal Univ, Fac Psychol, Tianjin 300382, Peoples R China [7]Capital Med Univ, Dept Gynecol & Obstet, Xuanwu Hosp, Beijing 100053, Peoples R China
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关键词: Insomnia Gestational diabetes mellitus Mendelian randomization Causality Genetic association

摘要:
Background: Gestational diabetes mellitus (GDM) is a common condition observed globally, and previous studies have suggested a link between GDM and insomnia. The objective of this study was to elucidate the causative relationship between insomnia and GDM, and to investigate the influence of factors related to insomnia on GDM. Methods: We performed bidirectional Mendelian randomization (MR) analyses using single nucleotide polymorphisms (SNPs) as genetic instruments for exposure and mediators, thereby minimizing bias due to confounding and reverse causation. The Cochran Q test was utilized for heterogeneity analysis, MR-Egger regression for pleiotropy assessment, and the leave-one-out method for evaluating the robustness of the results. Additionally, we determined the causal relationships between GDM and other factors such as coffee consumption, alcohol intake, and household income. Results: Insomnia was positively associated with GDM, as indicated by 39 SNPs (OR = 1.27, 95 % CI 1.12-1.439, P-value = 0.008). Conversely, the MR analysis did not reveal any causal relationship between GDM and insomnia (OR = 1.032, 95 % CI 0.994-1.071, P-value = 0.99). Additionally, no causal relationship was observed between coffee consumption, alcohol intake, household income, and GDM (all P-values >0.05). Conclusion: Our study indicates that insomnia elevates the risk of GDM, thereby establishing a causal link with GDM, independent of coffee consumption, alcohol intake, and household income.

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出版当年[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
最新[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2022]版:
Q2 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Educ, Beijing 100053, Peoples R China [2]Capital Med Univ, Sch Gen Practice & Continuing Educ, Beijing 100069, Peoples R China
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通讯作者:
通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Educ, Beijing 100053, Peoples R China [7]Capital Med Univ, Dept Gynecol & Obstet, Xuanwu Hosp, Beijing 100053, Peoples R China [*1]Capital Med Univ, Xuanwu Hosp, Beijing 100053, Peoples R China
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