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Genetically low vitamin D concentrations and myopic refractive error: a Mendelian randomization study

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机构: [1]QIMR Berghofer Med Res Inst, Stat Genet, Brisbane, Qld, Australia [2]Univ Queensland, Diamantina Inst, Translat Res Inst, Brisbane, Qld, Australia [3]Kings Coll London, Dept Ophthalmol, London, England [4]Kings Coll London, Dept Ophthalmol & Twin Res, London, England [5]Univ Western Australia, Lions Eye Inst, Perth, WA, Australia [6]Cardiff Univ, Sch Optometry & Vis Sci, Cardiff, S Glam, Wales [7]Univ Tasmania, Menzies Res Inst Tasmania, Hobart, Tas, Australia [8]Univ Bristol, Sch Social & Community Med, Bristol, Avon, England [9]Univ Sydney, Dept Ophthalmol, Ctr Vis Res, Camperdown, NSW, Australia [10]Univ Sydney, Westmead Inst Med Res, Camperdown, NSW, Australia [11]QIMR Berghofer Med Res Inst, Dept Epidemiol, Brisbane, Qld, Australia [12]Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore [13]Duke NUS Grad Med Sch, Ophthalmol & Visual Sci Acad Clin Programme, Singapore, Singapore [14]Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Ophthalmol, Singapore, Singapore [15]Univ Wisconsin, Dept Ophthalmol & Visual Sci, Madison, WI USA [16]Erasmus MC, Dept Ophthalmol & Epidemiol, Rotterdam, Netherlands [17]Capital Univ Med Sci, Beijing Inst Ophthalmol, Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China [18]Heidelberg Univ, Seegartenklin Heidelberg, Med Fac Mannheim, Dept Ophthalmol, Heidelberg, Germany [19]Johns Hopkins Med Inst, Wilmer Eye Inst, Baltimore, MD 21205 USA [20]Univ Penn, Dept Ophthalmol, Philadelphia, PA 19104 USA [21]Australian Natl Univ, Res Sch Populat Hlth, Natl Ctr Epidemiol & Populat Hlth, Canberra, ACT, Australia
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关键词: vitamin D myopia Mendelian randomization

摘要:
Myopia prevalence has increased in the past 20 years, with many studies linking the increase to reduced time spent outdoors. A number of recent observational studies have shown an inverse association between vitamin D [25(OH)D] serum levels and myopia. However, in such studies it is difficult to separate the effects of time outdoors and vitamin D levels. In this work we use Mendelian randomization (MR) to assess if genetically determined 25(OH)D levels contribute to the degree of myopia. We performed MR using results from a meta-analysis of refractive error (RE) genome-wide association study (GWAS) that included 37 382 and 8 376 adult participants of European and Asian ancestry, respectively, published by the Consortium for Refractive Error And Myopia (CREAM). We used single nucleotide polymorphisms (SNPs) in the DHCR7, CYP2R1, GC and CYP24A1 genes with known effects on 25(OH)D concentration as instrumental variables (IV). We estimated the effect of 25(OH)D on myopia level using a Wald-type ratio estimator based on the effect estimates from the CREAM GWAS. Using the combined effect attributed to the four SNPs, the estimate for the effect of 25(OH)D on refractive error was -0.02 [95% confidence interval (CI) -0.09, 0.04] dioptres (D) per 10 nmol/l increase in 25(OH)D concentration in Caucasians and 0.01 (95% CI -0.17, 0.19) D per 10 nmol/l increase in Asians. The tight confidence intervals on our estimates suggest the true contribution of vitamin D levels to degree of myopia is very small and indistinguishable from zero. Previous findings from observational studies linking vitamin D levels to myopia were likely attributable to the effects of confounding by time spent outdoors.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 1 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 公共卫生、环境卫生与职业卫生
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出版当年[2015]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]QIMR Berghofer Med Res Inst, Stat Genet, Brisbane, Qld, Australia [2]Univ Queensland, Diamantina Inst, Translat Res Inst, Brisbane, Qld, Australia [*1]Royal Brisbane & Womens Hosp, 300 Herston Rd, Brisbane, Qld 4006, Australia
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通讯机构: [1]QIMR Berghofer Med Res Inst, Stat Genet, Brisbane, Qld, Australia [2]Univ Queensland, Diamantina Inst, Translat Res Inst, Brisbane, Qld, Australia [*1]Royal Brisbane & Womens Hosp, 300 Herston Rd, Brisbane, Qld 4006, Australia
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