Zhang Yi, Shen Zan, Pei Hang, Wang Guanyin, Wang Ziyue, Wei Xinshi, Yu Jinsheng, Wang Chao, Hua Jiang, He Bangjian
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Anji County Hospital of Chinese Medicine, Zhejiang, China.
Public Health. 2024 May;230:190-197. doi: 10.1016/j.puhe.2024.03.002. Epub 2024 Apr 1.
In observational studies, the 25-hydroxyvitamin D (25(OH)D) level in body has been found to be closely related to particulate matter (PM) air pollution. In this study, we used the two-sample mendelian randomisation (MR) method to investigate and discuss the potential causal relationship and mode of influence.
MR study.
PM data (PM, PM, PM PM absorbance) came from the UK Biobank database, and 25(OH)D data came from European Bioinformatics Institute (EBI) database. The analysis was conducted utilising three prominent methods (inverse-variance-weighted [IVW], MR-Egger, weighted median, weighted mode, and simple mode). The primary emphasis was placed on IVW, accompanied by heterogeneity and horizontal pleiotropy tests. Furthermore, sensitivity analysis was undertaken.
The MR analysis revealed a significant association between exposure to PM and a decrease in levels of 25(OH)D (odds ratio [OR]: 0.878, 95% confidence interval [CI]: 0.789-0.977). However, no significant relationship was observed between PM exposure and 25(OH)D (OR: 0.943, 95%CI: 0.858-1.037). Further analysis indicated that the main contributor to the decline in 25(OH)D levels is linked to PM exposure (OR: 0.840, 95%CI: 0.751-0.940) and PM absorbance (OR: 0.875, 95%CI: 0.824-0.929). No heterogeneity and horizontal pleiotropy existed.
The MR results suggest that PM (PM, PM and PM absorbance) exposure lowers vitamin D (VD) levels, but PM2.5 was not found to have a significant effect on VD in humans.
在观察性研究中,已发现体内25-羟基维生素D(25(OH)D)水平与颗粒物(PM)空气污染密切相关。在本研究中,我们使用两样本孟德尔随机化(MR)方法来调查和讨论潜在的因果关系及影响方式。
MR研究。
PM数据(PM、PM、PM吸光度)来自英国生物银行数据库,25(OH)D数据来自欧洲生物信息学研究所(EBI)数据库。分析采用三种主要方法(逆方差加权[IVW]、MR-Egger、加权中位数、加权模式和简单模式)。主要重点放在IVW上,并进行异质性和水平多效性检验。此外,还进行了敏感性分析。
MR分析显示,暴露于PM与25(OH)D水平降低之间存在显著关联(优势比[OR]:0.878,95%置信区间[CI]:0.789 - 0.977)。然而,未观察到PM暴露与25(OH)D之间存在显著关系(OR:0.943,95%CI:0.858 - 1.037)。进一步分析表明,25(OH)D水平下降的主要原因与PM暴露(OR:0.840,95%CI:0.751 - 0.940)和PM吸光度(OR:0.875,9%CI:0.824 - 0.929)有关。不存在异质性和水平多效性。
MR结果表明,暴露于PM(PM、PM和PM吸光度)会降低维生素D(VD)水平,但未发现PM2.5对人体VD有显著影响。