{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:53:16Z","timestamp":1765828396801,"version":"3.28.0"},"reference-count":61,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thromb Haemost"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>\n            Background\u2003The extent to which educational attainment (EA) influences the risk of varicose veins (VVs), venous thromboembolism (VTE), and phlebitis occurrence, whether this pathway is mediated by obesity-related traits, and the proportion of their mediation is unknown.<\/jats:p><jats:p>\n            Methods\u2003A Mendelian randomization (MR) design was used to genetically investigate the causal effects of EA on the risk of VV, VTE, and phlebitis and to assess the mediating effect of obesity-related traits. Causal effects were estimated using primarily the multiplicative random-effects inverse variance-weighted method. This was supplemented by Cochran's Q-statistic, MR\u2013Egger regression, MR funnel plots, and leave-one-out test to evaluate the reliability of the results. For the individual mediation effect, the coefficient product method was mainly utilized to estimate.<\/jats:p><jats:p>\n            Results\u2003An increase in genetically predicted EA was associated with a lower risk of VV, VTE, and phlebitis, as well as lower body mass index, basal metabolic rate, hip circumference, and waist circumference. As genetically predicted body mass index, basal metabolic rate, hip circumference, and waist circumference increased, the risk of developing VV, VTE, and phlebitis increased, respectively. Body mass index, basal metabolic rate, hip circumference, and waist circumference were identified as mediators of the protective effects of EA on VV, VTE, and phlebitis.<\/jats:p><jats:p>\n            Conclusion\u2003The findings support a causal relationship between higher EA and lower risk of VV, VTE, and phlebitis. Obesity-related traits play a significant mediating role in these pathways, and there are interactions between them, with hip circumference mediating these pathways relatively independently from the other three.<\/jats:p>","DOI":"10.1055\/s-0044-1786970","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T01:55:54Z","timestamp":1715392554000},"page":"962-970","source":"Crossref","is-referenced-by-count":7,"title":["Obesity-Related Traits Mediate the Effects of Educational Attainment on the Risk of Varicose Veins, Venous Thromboembolism, and Phlebitis"],"prefix":"10.1055","volume":"124","author":[{"given":"Hong-Cheng","family":"Du","sequence":"additional","affiliation":[{"name":"Graduate School of Guangxi University of Chinese Medicine, Nanning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bai-Yang","family":"Deng","sequence":"additional","affiliation":[{"name":"Ruikang Hospital Affiliated to Guangxi University of Chinese 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