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Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study
BACKGROUND: Although studies suggest that concentrations of serum 25-hydroxyvitamin D (25(OH)D) are lower in individuals with Heart Failure (HF), the beneficial effects of vitamin D supplementation are controversial. Therefore, in this study, we aimed to determine whether there is a causal relations...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9164286/ https://www.ncbi.nlm.nih.gov/pubmed/35669075 http://dx.doi.org/10.3389/fnut.2022.910949 |
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author | Gao, Ning Li, Xuebiao Kong, Minjian Ni, Ming Wei, Dongdong Zhu, Xian Wang, Yifan Hong, Ze Dong, Aiqiang |
author_facet | Gao, Ning Li, Xuebiao Kong, Minjian Ni, Ming Wei, Dongdong Zhu, Xian Wang, Yifan Hong, Ze Dong, Aiqiang |
author_sort | Gao, Ning |
collection | PubMed |
description | BACKGROUND: Although studies suggest that concentrations of serum 25-hydroxyvitamin D (25(OH)D) are lower in individuals with Heart Failure (HF), the beneficial effects of vitamin D supplementation are controversial. Therefore, in this study, we aimed to determine whether there is a causal relationship between serum Vitamin D (VD) levels and HF. METHODS: We obtained genetic instruments from the largest available genome-wide association study (GWAS) of European descent for 25(OH)D (443, 734 individuals) to investigate the association with HF (47,309 cases, 930,014 controls), and vice versa. Two-sample bidirectional Mendelian Randomization (MR) analysis was performed to infer the causality. In addition to the primary analysis using inverse variance-weighted (IVW) MR, we applied five additional methods to control for pleiotropy [MR-Egger, weighted median, Maximum-likelihood, MR-robust adjusted profile score (MR-RAPS) and MR-pleiotropy residual sum and outlier (MR-PRESSO)] and compared their respective MR estimates. We also performed a sensitivity analysis to ensure that our results were robust. RESULTS: Mendelian randomized analysis showed that increased serum 25(OH)D was associated with a lower risk of HF in the IVW method (odds ratio [OR] = 0. 81;95%CI, 0.70–0.94, P = 0.006). In the reverse MR analyses, the genetic predisposition to HF was negatively correlated with serum 25(OH)D level (OR = 0. 89;95%CI, (0.82–0.97), P = 0.009). CONCLUSION: Our study revealed the possible causal role of 25(OH)D on decreasing the risk for HF. Meanwhile, reverse MR analysis suggested that HF may be associated with lower vitamin D levels, it could be the potential implications for dietary recommendations. |
format | Online Article Text |
id | pubmed-9164286 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91642862022-06-05 Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study Gao, Ning Li, Xuebiao Kong, Minjian Ni, Ming Wei, Dongdong Zhu, Xian Wang, Yifan Hong, Ze Dong, Aiqiang Front Nutr Nutrition BACKGROUND: Although studies suggest that concentrations of serum 25-hydroxyvitamin D (25(OH)D) are lower in individuals with Heart Failure (HF), the beneficial effects of vitamin D supplementation are controversial. Therefore, in this study, we aimed to determine whether there is a causal relationship between serum Vitamin D (VD) levels and HF. METHODS: We obtained genetic instruments from the largest available genome-wide association study (GWAS) of European descent for 25(OH)D (443, 734 individuals) to investigate the association with HF (47,309 cases, 930,014 controls), and vice versa. Two-sample bidirectional Mendelian Randomization (MR) analysis was performed to infer the causality. In addition to the primary analysis using inverse variance-weighted (IVW) MR, we applied five additional methods to control for pleiotropy [MR-Egger, weighted median, Maximum-likelihood, MR-robust adjusted profile score (MR-RAPS) and MR-pleiotropy residual sum and outlier (MR-PRESSO)] and compared their respective MR estimates. We also performed a sensitivity analysis to ensure that our results were robust. RESULTS: Mendelian randomized analysis showed that increased serum 25(OH)D was associated with a lower risk of HF in the IVW method (odds ratio [OR] = 0. 81;95%CI, 0.70–0.94, P = 0.006). In the reverse MR analyses, the genetic predisposition to HF was negatively correlated with serum 25(OH)D level (OR = 0. 89;95%CI, (0.82–0.97), P = 0.009). CONCLUSION: Our study revealed the possible causal role of 25(OH)D on decreasing the risk for HF. Meanwhile, reverse MR analysis suggested that HF may be associated with lower vitamin D levels, it could be the potential implications for dietary recommendations. Frontiers Media S.A. 2022-05-19 /pmc/articles/PMC9164286/ /pubmed/35669075 http://dx.doi.org/10.3389/fnut.2022.910949 Text en Copyright © 2022 Gao, Li, Kong, Ni, Wei, Zhu, Wang, Hong and Dong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Nutrition Gao, Ning Li, Xuebiao Kong, Minjian Ni, Ming Wei, Dongdong Zhu, Xian Wang, Yifan Hong, Ze Dong, Aiqiang Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title | Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title_full | Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title_fullStr | Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title_full_unstemmed | Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title_short | Associations Between Vitamin D Levels and Risk of Heart Failure: A Bidirectional Mendelian Randomization Study |
title_sort | associations between vitamin d levels and risk of heart failure: a bidirectional mendelian randomization study |
topic | Nutrition |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9164286/ https://www.ncbi.nlm.nih.gov/pubmed/35669075 http://dx.doi.org/10.3389/fnut.2022.910949 |
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