Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort
Background Both genetic and lifestyle factors contribute to the development of asthma, but whether unfavourable lifestyle is associated with similar increases in risk of developing asthma among individuals with varying genetic risk levels remains unknown. Methods A healthy lifestyle score was constr...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2023-04-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/9/2/00499-2022.full |
| _version_ | 1797809397178564608 |
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| author | Huaying Liang Danrong Jing Yiqun Zhu Dianwu Li Xin Zhou Wei Tu Hong Liu Pinhua Pan Yan Zhang |
| author_facet | Huaying Liang Danrong Jing Yiqun Zhu Dianwu Li Xin Zhou Wei Tu Hong Liu Pinhua Pan Yan Zhang |
| author_sort | Huaying Liang |
| collection | DOAJ |
| description | Background
Both genetic and lifestyle factors contribute to the development of asthma, but whether unfavourable lifestyle is associated with similar increases in risk of developing asthma among individuals with varying genetic risk levels remains unknown.
Methods
A healthy lifestyle score was constructed using body mass index, smoking status, physical activities and dietary pattern to further categorise into ideal, intermediate and poor groups. Genetic risk of asthma was also categorised as three groups based on the tertiles of polygenic risk score established using 212 reported and verified single-nucleotide polymorphisms of European ancestry in the UK Biobank study. We examined the risk of incident asthma related with each lifestyle level in each genetic risk group by Cox regression models.
Results
Finally, 327 124 participants without baseline asthma were included, and 157 320 (48.1%) were male. During follow-up, 6238 participants (1.9%) developed asthma. Compared to ideal lifestyle in a low genetic risk group, poor lifestyle was associated with a hazard ratio of up to 3.87 (95% CI, 2.98–5.02) for developing asthma in a high genetic risk group. There was interaction between genetic risk and lifestyle, and the population-attributable fraction of lifestyle and genetic risk were 30.2% and 30.0% respectively.
Conclusion
In this large contemporary population, lifestyle and genetic factors jointly play critical roles in the development of asthma, and the effect values of lifestyle on incident adult-onset asthma were greater than that of genetic risk. Our findings highlighted the necessity of a comprehensive intervention for the prevention of asthma despite the genetic risk. |
| first_indexed | 2024-03-13T06:52:04Z |
| format | Article |
| id | doaj.art-cf05aba79d5c4b299f3c69b3bbf56fa1 |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-03-13T06:52:04Z |
| publishDate | 2023-04-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-cf05aba79d5c4b299f3c69b3bbf56fa12023-06-07T13:31:08ZengEuropean Respiratory SocietyERJ Open Research2312-05412023-04-019210.1183/23120541.00499-202200499-2022Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohortHuaying Liang0Danrong Jing1Yiqun Zhu2Dianwu Li3Xin Zhou4Wei Tu5Hong Liu6Pinhua Pan7Yan Zhang8 Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China Department of Respirology and Allergy, Third Affiliated Hospital of Shenzhen University, Shenzhen, China National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital, Central South University, Changsha, China Background Both genetic and lifestyle factors contribute to the development of asthma, but whether unfavourable lifestyle is associated with similar increases in risk of developing asthma among individuals with varying genetic risk levels remains unknown. Methods A healthy lifestyle score was constructed using body mass index, smoking status, physical activities and dietary pattern to further categorise into ideal, intermediate and poor groups. Genetic risk of asthma was also categorised as three groups based on the tertiles of polygenic risk score established using 212 reported and verified single-nucleotide polymorphisms of European ancestry in the UK Biobank study. We examined the risk of incident asthma related with each lifestyle level in each genetic risk group by Cox regression models. Results Finally, 327 124 participants without baseline asthma were included, and 157 320 (48.1%) were male. During follow-up, 6238 participants (1.9%) developed asthma. Compared to ideal lifestyle in a low genetic risk group, poor lifestyle was associated with a hazard ratio of up to 3.87 (95% CI, 2.98–5.02) for developing asthma in a high genetic risk group. There was interaction between genetic risk and lifestyle, and the population-attributable fraction of lifestyle and genetic risk were 30.2% and 30.0% respectively. Conclusion In this large contemporary population, lifestyle and genetic factors jointly play critical roles in the development of asthma, and the effect values of lifestyle on incident adult-onset asthma were greater than that of genetic risk. Our findings highlighted the necessity of a comprehensive intervention for the prevention of asthma despite the genetic risk.http://openres.ersjournals.com/content/9/2/00499-2022.full |
| spellingShingle | Huaying Liang Danrong Jing Yiqun Zhu Dianwu Li Xin Zhou Wei Tu Hong Liu Pinhua Pan Yan Zhang Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort ERJ Open Research |
| title | Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort |
| title_full | Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort |
| title_fullStr | Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort |
| title_full_unstemmed | Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort |
| title_short | Association of genetic risk and lifestyle with incident adult-onset asthma in the UK Biobank cohort |
| title_sort | association of genetic risk and lifestyle with incident adult onset asthma in the uk biobank cohort |
| url | http://openres.ersjournals.com/content/9/2/00499-2022.full |
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