Sleep’s Impact on Age-Related Macular Degeneration Revealed in a Genetic Study

Published on August 21, 2023

Imagine you’re playing a game of Jenga. Each block represents a different aspect of sleep, and the whole tower represents age-related macular degeneration (AMD). In this study, researchers wanted to see if removing certain blocks (or sleep traits) from the tower would have any effect on AMD. Using Mendelian randomization (MR) analysis, they examined the genetic links between sleep duration, daytime dozing, sleeplessness, and AMD. The results showed that while sleep duration had a small but significant impact on reducing the risk of AMD, no such relationship was found for daytime dozing or sleeplessness. It’s like finding out that removing only one type of block from your wobbly Jenga tower can slightly decrease the chance of it toppling over. So, if you want to prevent or manage AMD, it’s worth making sure you get enough shut-eye! To learn more about this fascinating study and its implications, check out the full article.

AimsObservational studies have shown that sleep pattern is associated with age-related macular degeneration (AMD), but whether sleep pattern is a causal factor for AMD remains unclear. This study aims to use Mendelian randomization (MR) analysis to investigate the potential causal relationship between sleep traits and AMD.MethodsThis is a two-sample MR study. The single-nucleotide polymorphisms associated with AMD and early AMD were selected as the outcome from two different genome-wide association studies (GWAS): the early AMD GWAS with 14,034 cases and 91,214 controls, and AMD GWAS with 3,553 cases and 147,089 controls. The datasets of sleep duration, daytime dozing, and sleeplessness were used as exposure, which comprised nearly 0.46 million participants. Inverse-variance weighted method was used as the main result, and comprehensive sensitivity analyses were conducted to estimate the robustness of identified associations and the impact of potential horizontal pleiotropy.ResultsThrough MR analysis, we found that sleep duration was significantly associated with AMD (OR = 0.983, 95% CI = 0.970–0.996, P-value = 0.01). We also found suggestive evidence for the association of genetically predicted sleep duration with early AMD, which showed a consistent direction of effect with a marginal significance (OR = 0.724, 95% CI = 0.503–1.041, P-value = 0.08). Sensitivity analyses further supported the robustness of the causal relationship between sleep duration and AMD. However, we were unable to determine the relationship between daytime dozing or sleeplessness and AMD (including early AMD) (P-value > 0.05).ConclusionSleep duration affects the causal risk for AMD; that is, longer sleep duration reduces the risk of AMD, while shorter sleep duration increases the risk of AMD. Although the influence is minimal, keeping adequate sleep duration is recommended, especially for patients with intermediate or advanced AMD.

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