[Causal graph model and its application in nutritional epidemiologic research]

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Oct 10;42(10):1882-1888. doi: 10.3760/cma.j.cn112338-20200805-01025.
[Article in Chinese]

Abstract

Suboptimal diet is one of the most important controllable risk factors for non-communicable diseases. However, randomized controlled trials make it difficult to quantify the causal association between specific dietary factors and health outcomes. In recent years, the rapid development of causal inference has provided a robust theoretical and methodological tool for making full use of observational research data and producing high-quality nutritional epidemiologic research evidence. The causal graph model visualizes the complex causal relationship system by integrating a large amount of prior knowledge and provides a basic framework for identifying confounding and determining causal effect estimation strategies. Different analysis strategies such as adjusting confounders, instrumental variables, or mediation analysis can be created based on other causal graphs. This paper introduces the idea of the causal graph model and the characteristics of various analysis strategies and their application in nutritional epidemiology research, aiming to promote the application of the causal graph model in nutrition and provide references and suggestions for the follow-up research.

不良饮食是慢性非传染性疾病最重要的可控危险因素之一,但通过随机对照试验定量阐明具体饮食因素与健康结局的因果关联面临很多困难。近年来,因果推断的迅速发展为充分利用和发掘观察性研究数据,产生高质量的营养流行病学研究证据提供了有力的理论和方法工具。其中,因果图模型通过整合大量先验知识将复杂的因果关系系统可视化,提供了识别混杂和确定因果效应估计策略的基础框架,基于不同的因果图,可选择调整混杂、工具变量或中介分析等不同的分析策略。本文对因果图模型的思想和各种分析策略的特点及其在营养流行病学研究中的应用进行介绍,旨在促进因果图模型在营养领域的应用,为后续研究提供参考和建议。.

MeSH terms

  • Causality
  • Epidemiologic Studies
  • Humans
  • Mediation Analysis*
  • Models, Theoretical*