Table 1 Two-sample Mendelian randomization estimates for the association between sleep traits and risk of colorectal, colon, proximal colon, distal colon, and rectal cancer in both sexes combined and in sex-stratified analyses.
From: Mendelian randomization study of sleep traits and risk of colorectal cancer
Exposure | Chronotype | Frequent insomnia symptoms | Any insomnia symptoms | Insomnia—Jansen et al. (2019) | Sleep duration | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome | Method | GVs | OR (95% CI) | P | GVs | OR (95% CI) | P | GVs | OR (95% CI) | P | GVs | OR (95% CI) | P | GVs | OR (95% CI) | P |
Colorectal cancer, Males | IVW random-effects model | 289 | 0.87 (0.78, 0.97) | 0.01 | 38 | 0.99 (0.65, 1.51) | 0.96 | NA | NA | NA | 190 | 1.03 (0.94, 1.12) | 0.53 | 76 | 0.850 (0.663, 1.088) | 0.20 |
Weighted median method | 0.91 (0.79, 1.05) | 0.20 | 1.04 (0.58, 1.89) | 0.89 | NA | NA | 0.94 (0.83, 1.07) | 0.37 | 1.003 (0.728, 1.381) | 0.99 | ||||||
MR-Egger method | 0.92 (0.69, 1.23) | 0.56 | 0.34 (0.07, 1.66) | 0.18 | NA | NA | 0.81 (0.61, 1.07) | 0.14 | 0.760 (0.336, 1.721) | 0.51 | ||||||
Colorectal cancer, Females | IVW random-effects model | 290 | 0.99 (0.89, 1.09) | 0.78 | 38 | 1.04 (0.61, 1.77) | 0.89 | NA | NA | NA | 190 | 0.99 (0.93, 1.06) | 0.85 | 76 | 0.960 (0.743, 1.240) | 0.75 |
Weighted median method | 0.95 (0.82, 1.09) | 0.44 | 0.71 (0.36, 1.37) | 0.31 | NA | NA | 0.94 (0.86, 1.04) | 0.24 | 1.246 (0.915, 1.697) | 0.16 | ||||||
MR-Egger method | 0.77 (0.60, 0.99) | 0.04 | 0.34 (0.05, 2.24) | 0.26 | NA | NA | 1.12 (0.86, 1.47) | 0.40 | 0.842 (0.359, 1.973) | 0.69 | ||||||
Colorectal cancer | IVW random-effects model | 290 | 0.97 (0.92, 1.02) | 0.19 | 38 | 1.01 (0.90, 1.13) | 0.87 | 38 | 1.01 (0.90, 1.13) | 0.88 | 190 | 1.02 (0.99, 1.06) | 0.25 | 76 | 0.998 (0.995, 1.001) | 0.27 |
Weighted median method | 0.96 (0.90, 1.02) | 0.16 | 1.02 (0.87, 1.19) | 0.85 | 1.01 (0.86, 1.19) | 0.89 | 1.02 (0.97, 1.08) | 0.38 | 0.998 (0.994, 1.002) | 0.29 | ||||||
MR-Egger method | 0.95 (0.83, 1.08) | 0.42 | 0.81 (0.54, 1.20) | 0.29 | 0.81 (0.54, 1.20) | 0.29 | 1.13 (0.98, 1.31) | 0.09 | 0.995 (0.983, 1.007) | 0.41 | ||||||
Colon cancer, Males | IVW random-effects model | 289 | 0.86 (0.76, 0.98) | 0.02 | 38 | 0.97 (0.57, 1.63) | 0.90 | NA | NA | NA | 190 | 1.03 (0.90, 1.18) | 0.63 | 76 | 0.900 (0.674, 1.201) | 0.47 |
Weighted median method | 0.95 (0.80, 1.14) | 0.61 | 1.01 (0.48, 2.14) | 0.98 | NA | NA | 0.93 (0.79, 1.08) | 0.33 | 1.133 (0.757, 1.695) | 0.54 | ||||||
MR-Egger method | 0.97 (0.69, 1.37) | 0.87 | 0.41 (0.06, 2.91) | 0.37 | NA | NA | 0.75 (0.49, 1.13) | 0.17 | 0.872 (0.336, 2.260) | 0.78 | ||||||
Colon cancer, Females | IVW random-effects model | 290 | 1.03 (0.92, 1.15) | 0.62 | 38 | 1.04 (0.57, 1.92) | 0.89 | NA | NA | NA | 190 | 1.00 (0.92, 1.08) | 0.93 | 76 | 0.946 (0.716, 1.250) | 0.70 |
Weighted median method | 1.07 (0.91, 1.26) | 0.43 | 1.23 (0.57, 2.65) | 0.61 | NA | NA | 0.94 (0.84, 1.05) | 0.31 | 0.972 (0.680, 1.388) | 0.88 | ||||||
MR-Egger method | 0.80 (0.60, 1.08) | 0.15 | 0.32 (0.04, 2.75) | 0.30 | NA | NA | 1.08 (0.78, 1.49) | 0.63 | 0.691 (0.276, 1.731) | 0.43 | ||||||
Colon cancer | IVW random-effects model | 290 | 0.98 (0.93, 1.04) | 0.50 | 38 | 1.01 (0.87, 1.17) | 0.92 | 38 | 1.01 (0.87, 1.17) | 0.93 | 190 | 1.03 (0.98, 1.08) | 0.24 | 76 | 0.999 (0.995, 1.002) | 0.45 |
Weighted median method | 1.00 (0.93, 1.08) | 0.91 | 1.07 (0.88, 1.29) | 0.51 | 1.06 (0.87, 1.28) | 0.58 | 1.04 (0.98, 1.11) | 0.18 | 1.001 (0.996, 1.005) | 0.82 | ||||||
MR-Egger method | 0.99 (0.85, 1.15) | 0.91 | 0.75 (0.45, 1.25) | 0.27 | 0.75 (0.45, 1.23) | 0.26 | 1.11 (0.93, 1.34) | 0.25 | 0.993 (0.980, 1.006) | 0.28 | ||||||
Proximal colon cancer | IVW random-effects model | 290 | 0.99 (0.93, 1.06) | 0.82 | 38 | 0.97 (0.81, 1.16) | 0.77 | 38 | 0.97 (0.81, 1.16) | 0.75 | 190 | 1.02 (0.96, 1.09) | 0.50 | 76 | 0.998 (0.995, 1.002) | 0.34 |
Weighted median method | 1.01 (0.92, 1.11) | 0.76 | 1.02 (0.80, 1.30) | 0.87 | 1.01 (0.80, 1.29) | 0.92 | 1.06 (0.98, 1.15) | 0.13 | 0.999 (0.993, 1.004) | 0.63 | ||||||
MR-Egger method | 1.01 (0.83, 1.21) | 0.95 | 0.46 (0.26, 0.84) | 0.01 | 0.47 (0.26, 0.84) | 0.01 | 1.06 (0.83, 1.35) | 0.63 | 0.993 (0.979, 1.007) | 0.30 | ||||||
Distal colon cancer | IVW random-effects model | 290 | 0.98 (0.91, 1.05) | 0.60 | 38 | 1.13 (0.94, 1.36) | 0.20 | 38 | 1.13 (0.93, 1.36) | 0.21 | 190 | 1.03 (0.98, 1.09) | 0.27 | 76 | 0.998 (0.994, 1.003) | 0.50 |
Weighted median method | 1.00 (0.91, 1.10) | 0.98 | 1.30 (1.01, 1.66) | 0.04 | 1.26 (0.98, 1.62) | 0.07 | 1.04 (0.96, 1.13) | 0.35 | 0.998 (0.993, 1.004) | 0.58 | ||||||
MR-Egger method | 0.97 (0.80, 1.19) | 0.79 | 1.35 (0.70, 2.63) | 0.37 | 1.29 (0.67, 2.49) | 0.45 | 1.12 (0.90, 1.39) | 0.32 | 0.992 (0.975, 1.008) | 0.32 | ||||||
Rectal cancer, Males | IVW random-effects model | 289 | 0.87 (0.75, 1.00) | 0.06 | 38 | 0.88 (0.47, 1.65) | 0.70 | NA | NA | NA | 190 | 1.05 (0.92, 1.20) | 0.44 | 76 | 0.698 (0.497, 0.982) | 0.04 |
Weighted median method | 0.84 (0.68, 1.04) | 0.12 | 0.94 (0.39, 2.26) | 0.89 | NA | NA | 0.99 (0.83, 1.18) | 0.90 | 0.799 (0.497, 1.284) | 0.35 | ||||||
MR-Egger method | 0.81 (0.55, 1.20) | 0.30 | 1.05 (0.10, 11.03) | 0.97 | NA | NA | 0.96 (0.63, 1.47) | 0.87 | 0.895 (0.291, 2.759) | 0.85 | ||||||
Rectal cancer, Females | IVW random-effects model | 290 | 0.94 (0.81, 1.09) | 0.43 | 38 | 1.34 (0.59, 3.06) | 0.48 | NA | NA | NA | 190 | 1.06 (0.95, 1.17) | 0.31 | 76 | 0.912 (0.627, 1.327) | 0.63 |
Weighted median method | 0.87 (0.70, 1.10) | 0.24 | 1.07 (0.34, 3.32) | 0.91 | NA | NA | 1.08 (0.92, 1.26) | 0.33 | 0.884 (0.528, 1.480) | 0.64 | ||||||
MR-Egger method | 0.91 (0.62, 1.35) | 0.64 | 0.64 (0.03, 12.25) | 0.77 | NA | NA | 1.69 (1.09, 2.61) | 0.02 | 1.099 (0.317, 3.814) | 0.88 | ||||||
Rectal cancer | IVW random-effects model | 290 | 0.95 (0.89, 1.01) | 0.13 | 38 | 1.06 (0.89, 1.25) | 0.52 | 38 | 1.05 (0.89, 1.24) | 0.58 | 190 | 1.04 (0.98, 1.10) | 0.18 | 76 | 0.996 (0.992, 1.000) | 0.06 |
Weighted median method | 0.98 (0.89, 1.08) | 0.72 | 1.19 (0.93, 1.51) | 0.16 | 1.18 (0.92, 1.50) | 0.18 | 1.03 (0.95, 1.11) | 0.45 | 0.996 (0.991, 1.002) | 0.20 | ||||||
MR-Egger method | 0.93 (0.77, 1.12) | 0.43 | 1.40 (0.78, 2.52) | 0.26 | 1.27 (0.71, 2.27) | 0.42 | 1.23 (0.99, 1.52) | 0.06 | 0.999 (0.983, 1.015) | 0.89 |