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author:

Wang, Ling (Wang, Ling.) [1] | Fang, Meilin (Fang, Meilin.) [2] | Wang, Cunze (Wang, Cunze.) [3] | Li, Jinglin (Li, Jinglin.) [4] | Huang, Shasha (Huang, Shasha.) [5] | Li, Wen (Li, Wen.) [6] | Zhuang, Boyang (Zhuang, Boyang.) [7] | Gong, Shurong (Gong, Shurong.) [8]

Indexed by:

Scopus SCIE

Abstract:

The causal effects of mental health problems on the risk of infectious diseases remain vague. Investigating them via observational study is challenging as it presents possible confounding factors. Therefore, the objective of this study was to utilize Mendelian randomization (MR) techniques to evaluate the causal relationship between mental health problems and the risk of infectious diseases. Multivariable MR analyses were performed using genome-wide association data for sleep disorders (N = 216,700), depression (N = 500,199), anxiety (N = 290,361), nervous feelings (N = 450,700), unspecified mental disorder (N = 218,792), pneumonia (N = 486,484), skin and subcutaneous tissue infection (SSTI; N = 218,792), intestinal infectious diseases (IIDs; N = 218,792), urinary tract infection (N = 463,010), and central nervous system (CNS) infections (N = 218,792) among individuals of European ancestry. Independent genetic variants significantly (P < 10(-8)) associated with each exposure were considered instruments. The primary analysis used an inverse variance-weighted method, followed by a series of sensitivity analyses. Genetically predicted sleep disorders were associated with an increased risk of SSTI (odds ratio [OR], 1.29 [95% confidence interval (CI), 1.05-1.59]; P = .017). Genetically predicted depression was linked with an increased risk of CNS infections (OR, 1.59 [95% CI, 1.00-2.53]; P = .049) and SSTI (1.24 [95% CI, 1.03-1.49]; P = .024). Genetically predicted anxiety was associated with IIDs (OR, 1.19 [95% CI, 1.03-1.37]; P = .017) and SSTI (OR, 1.21 [95% CI, 1.02-1.43]; P = .029). There was no significant causal evidence for genetic prediction of nervous feelings and unspecified mental disorders in IIDs, CNS infections, SSTI, pneumonia, or urinary tract infection. Sensitivity analyses showed that the above causal association estimates were robust. In this MR study, we demonstrated a causal relationship between sleep disorders, depression, anxiety, and the risk of infectious diseases. However, no evidence was found to support causality between nervous feelings, unspecified mental disorders, and the risk of infectious diseases.

Keyword:

infectious disease Mendelian randomization mental health problems

Community:

  • [ 1 ] [Wang, Ling]Fuzhou Univ, Fujian Med Univ, Affiliated Prov Hosp, Shengli Clin Med Coll ,Fujian Prov Hosp,Dept Pharm, Fuzhou, Peoples R China
  • [ 2 ] [Fang, Meilin]Fujian Med Univ, Sch Pharm, Fuzhou, Peoples R China
  • [ 3 ] [Wang, Cunze]Fujian Med Univ, Sch Pharm, Fuzhou, Peoples R China
  • [ 4 ] [Li, Jinglin]Fujian Med Univ, Sch Pharm, Fuzhou, Peoples R China
  • [ 5 ] [Huang, Shasha]Fujian Univ Tradit Chinese Med, Sch Pharm, Fuzhou, Peoples R China
  • [ 6 ] [Li, Wen]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Peoples R China
  • [ 7 ] [Zhuang, Boyang]Fujian Ctr Drug Evaluat & Monitoring, Fuzhou, Peoples R China
  • [ 8 ] [Gong, Shurong]Fuzhou Univ, Fujian Med Univ, Fujian Prov Hosp, Affiliated Prov Hosp,Dept Crit Care Med 3,Shengli, Fuzhou, Peoples R China

Reprint 's Address:

  • [Gong, Shurong]Fuzhou Univ, Affiliated Prov Hosp, Dongjie 134, Fuzhou, Peoples R China;;

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Source :

MEDICINE

ISSN: 0025-7974

Year: 2024

Issue: 36

Volume: 103

1 . 4 0 0

JCR@2023

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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