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Assessment of causal effects of physical activity on neurodegenerative diseases: A Mendelian randomization study.

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收录情况: ◇ SCIE ◇ SSCI ◇ 卓越:重点期刊

机构: [a]Center for Medical Genetics & Hunan Provincial Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410008, China [b]Department of Neurology, Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA 02115, USA [c]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [d]Department of Neurology, Xiangya Hospital, Central South University, Changsha 410008, China [e]School of Physical Education, Henan University, Kaifeng 475001, China [f]School of Medicine, South China University of Technology, Guangzhou 510006, China [g]Department of Biology, College of Arts & Sciences, Boston University, Boston, MA 02215, USA [h]CAS Center for Excellence in Brain Science and Intelligence Technology, Shanghai 200031, China
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关键词: Alzheimer's disease Amyotrophic lateral sclerosis Genetic epidemiology Mendelian randomization Parkinson’s disease Physical activity

摘要:
Physical activity has been hypothesized to play a protective role in neurodegenerative diseases. However, effect estimates previously derived from observational studies were prone to confounding or reverse causation. We performed a two-sample Mendelian randomization (MR) analysis to explore the causal association of accelerometer-measured physical activity with three common neurodegenerative diseases: Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS). We selected genetic instrumental variants reaching genome-wide significance (p < 5 × 10-8) from two largest meta-analyses of about 91,100 UK Biobank participants. Summary statistics for AD, PD, and ALS were retrieved from the up-to-date studies in European ancestry led by the international consortia. The random-effect, inverse variance-weighted MR was employed as the primary method, while MR pleiotropy residual sum and outlier (MR-PRESSO), weighted median, and MR-Egger were implemented as sensitivity tests. All statistical analyses were performed using the R software (Version 3.6.1; R Foundation for Statistical Computing, Vienna, Austria). Primary MR analysis and replication analysis utilized 5 and 8 instrumental variables, which explained 0.2% and 0.4% variance in physical activity, respectively. In each set, one variant at 17q21 was significantly associated with PD, and MR sensitivity analyses indicated them it as an outlier and source of heterogeneity and pleiotropy. Primary results with the removal of outlier variants suggested odds ratios (ORs) of neurodegenerative diseases per unit increase in objectively measured physical activity were 1.52 (95% confidence interval (95%CI): 0.88-2.63, p = 0.13) for AD and 3.35 (95%CI: 1.32-8.48, p = 0.01) for PD, while inconsistent results were shown in the replication set for AD (OR = 1.06, 95% CI: 1.01-1.12, p = 0.02) and PD (OR = 0.99, 95%CI: 0.88-0.12, p = 0.97). Similarly, the beneficial effect of physical activity on ALS (OR = 0.51, 95%CI: 0.29-0.91, p = 0.02) was not confirmed in the replication analysis (OR = 0.96, 95%CI: 0.91-1.02, p = 0.22). Genetically predicted physical activity was not robustly associated with risk of neurodegenerative disorders. Triangulating evidence across other studies is necessary in order to elucidate whether enhancing physical activity is an effective approach in preventing the onset of AD, PD, or ALS. Copyright © 2021. Production and hosting by Elsevier B.V.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 运动科学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 运动科学 2 区 酒店、休闲、体育与旅游
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出版当年[2019]版:
Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Q1 SPORT SCIENCES
最新[2023]版:
Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Q1 SPORT SCIENCES

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第一作者机构: [a]Center for Medical Genetics & Hunan Provincial Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410008, China [b]Department of Neurology, Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA 02115, USA
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