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Chunk #23 — Discussion

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A comprehensive evaluation of potential lung function associated genes in the SpiroMeta general population sample.
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However, it is important to recognise the limitations of our study. We have tested for association in a general population sample; the magnitude of effect of these genetic variants may be greater in populations enriched with individuals with respiratory diseases such as asthma and COPD. Second, we have tested with cross sectional lung function measures. Some of the variants tested might affect longitudinal changes by accelerating or decelerating the decline in lung function, although this would still be expected to result in effects evident in cross sectional data. Third, the power of our study to detect associations of SNPs with modest effect sizes on lung function was limited given our relatively conservative approach to multiple testing, therefore we cannot rule out a real but modest effect of some of these loci on lung function and susceptibility to respiratory diseases in the general population. Alternative approaches could be to utilise a priori evidence about the reported direction of effect and a priori assumptions about the likely presence of multiple causal variants. Fourth, we tested for association with lung function measures among