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Genetic and phenotypic associations of frailty with cardiovascular indicators and behavioral characteristics.
Chen, Yihan; Lin, Siying; Yang, Shuangyu; Qi, Mengling; Ren, Yu; Tian, Chong; Wang, Shitian; Yang, Yuedong; Gao, Jianzhao; Zhao, Huiying.
Affiliation
  • Chen Y; School of Mathematical Sciences and LPMC, Nankai University, Tianjin 300071, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen Unive
  • Lin S; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China; School of Computer Science and Engineering, Sun Yat-
  • Yang S; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
  • Qi M; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
  • Ren Y; School of Mathematical Sciences and LPMC, Nankai University, Tianjin 300071, China.
  • Tian C; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
  • Wang S; School of Life Sciences, Sun Yat-Sen University, Guangzhou 510275, China.
  • Yang Y; School of Computer Science and Engineering, Sun Yat-Sen University, Guangzhou 510006, China.
  • Gao J; School of Mathematical Sciences and LPMC, Nankai University, Tianjin 300071, China. Electronic address: gaojz@nankai.edu.cn.
  • Zhao H; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical research center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China. Electronic address: Zhaohy8@mail.sysu.edu.cn.
J Adv Res ; 2024 Jun 09.
Article in En | MEDLINE | ID: mdl-38862035
ABSTRACT

INTRODUCTION:

Frailty Index (FI) is a common measure of frailty, which has been advocated as a routine clinical test by many guidelines. The genetic and phenotypic relationships of FI with cardiovascular indicators (CIs) and behavioral characteristics (BCs) are unclear, which has hampered ability to monitor FI using easily collected data.

OBJECTIVES:

This study is designed to investigate the genetic and phenotypic associations of frailty with CIs and BCs, and further to construct a model to predict FI.

METHOD:

Genetic relationships of FI with 288 CIs and 90 BCs were assessed by the cross-trait LD score regression (LDSC) and Mendelian randomization (MR). The phenotypic data of these CIs and BCs were integrated with a machine-learning model to predict FI of individuals in UK-biobank. The relationships of the predicted FI with risks of type 2 diabetes (T2D) and neurodegenerative diseases were tested by the Kaplan-Meier estimator and Cox proportional hazards model.

RESULTS:

MR revealed putative causal effects of seven CIs and eight BCs on FI. These CIs and BCs were integrated to establish a model for predicting FI. The predicted FI is significantly correlated with the observed FI (Pearson correlation coefficient = 0.660, P-value = 4.96 × 10-62). The prediction model indicated "usual walking pace" contributes the most to prediction. Patients who were predicted with high FI are in significantly higher risk of T2D (HR = 2.635, P < 2 × 10-16) and neurodegenerative diseases (HR = 2.307, P = 1.62 × 10-3) than other patients.

CONCLUSION:

This study supports associations of FI with CIs and BCs from genetic and phenotypic perspectives. The model that is developed by integrating easily collected CIs and BCs data in predicting FI has the potential to monitor disease risk.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Adv Res Year: 2024 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Adv Res Year: 2024 Document type: Article